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Tuesday, January 21, 2020

NEVADA ATTORNEY GENERAL'S OFFICE: Attorney General Laxalt announces conviction of medicaid provided business ordered to pay over $1 million in restitution

By Press release submission | Jun 24, 2018


Nevada Attorney General's Office issued the following announcement on May 29.

Nevada Attorney General Adam Paul Laxalt announced that We Care Behavioral Health Agency, LLC (We Care), based out of Las Vegas, was convicted for Medicaid fraud. The fraud was committed between April 2016 and August 2017.

Eighth Judicial District Court Judge Jennifer Togliatti sentenced the business on a gross misdemeanor charge of Intentional Failure to Maintain Adequate Records, and placed it on probation for three years. As part of the sentence, We Care was ordered to pay $1,080,082.49 in restitution.

“This restitution of over $1 million dollars should send a message of deterrence to Medicaid providers engaging in fraud,” said Laxalt.

The investigation began after the Medicaid Fraud Control Unit (MFCU) received an allegation that We Care had allegedly not provided services to Medicaid recipients as billed to Nevada Medicaid. The investigation revealed that We Care intentionally failed to maintain accurate documentation, including progress notes concerning the services actually provided to Medicaid recipients. Many of We Care’s records did not note accurate dates or types of services purportedly provided to the Medicaid recipients.

On behalf of the Attorney General and the State, the MFCU investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation. Anyone wishing to report suspicious activities regarding any related fraud may contact the MFCU at 702-486-3420 or 775-684-1100.

This case was prosecuted by Senior Deputy Attorney General Andrew Schulke.

Original source can be found here.

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Nevada Attorney General's Office