Medical Services of America, Inc. and Traditional Home Care, Inc., doing business as Community Home Health Services, have agreed to pay $702,541.20 to resolve allegations that they violated the Physician Self-Referral Law, commonly known as the Stark Law, by making bonus payments to an employee based on the number of patient referrals made by the employee’s spouse, a physician. The Stark Law prohibits entities from submitting claims to Medicare for certain designated health services that result from referrals by a physician who has a financial interest with the entity, unless a specific exception applies. Here, the physician’s spouse was employed by Community Home Health Services, and the alleged conduct did not meet any Stark Law exception. The alleged misconduct occurred from February 2017 through February 2025 and involved a physician referring Medicare beneficiaries to Community Home Health Services for designated health services. Community Home Health Services then allegedly furnished those services and submitted claims to Medicare for reimbursement. Of the $702,541.20 settlement amount, $379,752 will be paid as restitution.