Latest Posts

Home

Facebook

Twitter

Search
About

MN Medicaid Fraud Case Worth $12 Million, Feds Seize $2 Million

Another alleged case of Medicaid fraud in Minnesota is currently being investigated by the U.S. Attorney’s office.

The Star Tribune reports:

In a highly unusual move, federal prosecutors have seized $2 million from a former Twin Cities mental-health agency accused of submitting fraudulent bills for home services involving hundreds of Minnesota children and adults.

The U.S. Attorney’s office said it seized the funds after an investigation found that Complementary Support Services (CSS), a nonprofit based in Richfield, had fraudulently billed Medicaid.

The money represents a portion of the more than $12 million that CSS allegedly obtained through its fraudulent billing practices, the U.S. Attorney’s office said in a civil forfeiture action filed Tuesday.

According to a 2015 investigation by the Star Tribune, the agency apparently spent years bilking millions of dollars from the state.

And the agency’s actions went seemingly unnoticed.

The state’s failure to detect problems at CSS reflects a longstanding gap in Minnesota’s oversight of mental health services. Like more than 200 other agencies that provide care in the home and community, CSS is unlicensed and is not subject to routine regulatory oversight to assure that billing matched the services provided.

State records show that the Department of Human Services knew of problems with CSS’ internal controls practices as far back as 2010, when the agency was licensed by DHS to provide home and community-based services to people with developmental disabilities. Yet CSS stopped billing for those licensed services in 2011, and DHS did not terminate payments to CSS under the state’s Medicaid program until mid-November [of 2015].

Medicaid-funded care services are a hot-spot for health care abuse. And without major changes to the scam-ridden system, Medicaid rip-offs will continue at the expense of both recipients and taxpayers. 

Comments

Subscribe

Categories

Upcoming Events

  • 2019 Annual Dinner Featuring Candace Owens

    Location: Hilton Minneapolis 1001 South Marquette Avenue Minneapolis, MN 55403

    From Brexit to Blexit… Britain’s exit from the European Union has not been smooth sailing. Since the leave date has been pushed back to October, Nigel Farage is now running for a seat in the European Parliament. That election date is May 23 which has forced him to cancel all American speaking engagements, including our Annual Dinner. Center of the American Experiment is pleased to announce that Candace Owens, the founder of the Blexit movement and host of The Candace Owens Show, will now be presenting the keynote address at our 2019 Annual Dinner on May 18. We are excited…

    Register Now
  • The Diversity Delusion

    Location: Hilton Minneapolis 1001 South Marquette Avenue Minneapolis, MN 55403

    Please join Center of the American Experiment on Wednesday, April 24th at the Hilton Hotel for a lunch forum with Heather Mac Donald as she discusses her new book, The Diversity Delusion: How Race and Gender Pandering Corrupt the University and Undermine Our Culture.  Heather Mac Donald is the Thomas W. Smith Fellow at the Manhattan Institute, a contributing editor of City Journal, and a New York Times bestselling author. She is a recipient of the 2005 Bradley Prize. Mac Donald’s work at City Journal has covered a range of topics, including higher education, immigration, policing, homelessness and homeless advocacy, criminal-justice reform, and race…

    Register Now