New York Attorney General Letitia James announced a major takedown of 25 transportation companies throughout the state for schemes to steal millions of dollars from Medicaid. In January, Attorney General James announced new investigations into transportation companies that are reimbursed by Medicaid for taking patients to and from healthcare appointments. As a result of these Office of the Attorney General (OAG) investigations, 16 transportation companies will pay back more than $13 million. In addition, OAG has filed new lawsuits against seven transportation companies for defrauding Medicaid and secured the convictions of two individuals and their companies for their roles in medical transportation fraud schemes.
The OAG’s Medicaid Fraud Control Unit (MFCU) has investigated transportation companies across the state for using fake billing and other fraudulent tactics to steal Medicaid funds. The companies’ schemes often involve billing Medicaid for fake trips, adding fake tolls to inflate costs, fraudulently extending the mileage of trips, and using unlicensed drivers. In some cases, companies exploit vulnerable Medicaid recipients by paying them kickbacks in exchange for requesting transportation services from the company. These kickback schemes can put already vulnerable New Yorkers at even greater risk. MFCU investigators have uncovered cases in which transportation companies exploited Medicaid recipients in need of substance abuse treatment to recruit passengers to use in fake billing schemes.