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Maryland Chapter 21 of Association of Certified Fraud Examiners

Court Awards State $425,940.54 Against Assisted Living Program for Housing Medicaid Recipients in Unlicensed Facilities

18 Oct 2024 11:27 PM | Anonymous

An assisted living program that was licensed by the state to provide housing and related services to individuals on Medicaid. After a referral from the Maryland Department of Health, the Office of the Attorney General’s Medicaid Fraud and Vulnerable Victims Unit conducted an investigation into the assisted living program of the LLC licensed by the state to provide housing and related services to individuals on Medicaid. The state’s Medicaid Fraud Unit found that the LLC had housed four Medicaid recipients at locations that had not been inspected, approved, or licensed by the state from at least January 10, 2020, through February 17, 2022, putting the residents’ health and safety at risk. The Medicaid program had paid the LLC nearly $142,000 for these serves. The Court granted a default judgment against the LLC and ordered a payment of $425,940.54, which is triple the amount of the state’s damages. Source: Maryland Attorney General

Maryland Chapter 21 of Association of Certified Fraud Examiners

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