SC AG Announces Arrest Case Manager for Forgery, Medicaid Fraud
South Carolina Attorney General Alan Wilson announced that his office’s Vulnerable Adults and Medicaid Provider Fraud unit (VAMPF) has arrested Brett John Lerner, 32 years…
Legionnaires’ Disease Investigation Tied to Illinois Nursing Facility
Public health authorities are investigating a cluster of two cases of Legionnaires’ disease in individuals who were at or near a skilled nursing facility in…
CMS Releases Guidance on Survey and Certification During Federal Shutdown
On October 1, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum outlining contingency plans for state survey and certification (S&C) activities…
Pharmacy Will Pay $2.3M Restitution for Scheme Involving Unregulated HIV Meds
Attorney General Dave Sunday announced that a Philadelphia pharmacy will pay more than $2 million in restitution after pleading guilty to felony Medicaid Fraud and…
Vermont Psychologist Charged with Medicaid Fraud
The Attorney General’s Office announced that Robert Vaillancourt, 76, of Bethel, Vermont, was arraigned on four counts of felony Medicaid Fraud. The charges brought against…
EEOC Sues Infusion Therapy Provider over Alleged Pregnancy Discrimination
A nationwide provider of infusion-therapy services violated federal law by failing to accommodate an employee’s pregnancy-related symptoms in June and July of 2023, the US…
NYS Medicaid Inspector General Issues 2024 Annual Report
The New York State Office of the Medicaid Inspector General (OMIG) has issued its 2024 Annual Report, which details New York’s Medicaid program integrity efforts…
EEOC Sues Montrose Regional Health for Age Discrimination, Retaliation for 2nd Time
Montrose Memorial Hospital, Inc. doing business as Montrose Regional Health, a regional medical center in the San Juan Valley in southwestern Colorado, violated federal law…
HHS OCR Settles HIPAA Investigation of Cadia Healthcare Facilities for PHI Disclosure
The US Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced a settlement with five healthcare providers, collectively known as Cadia…
Clinic Agrees to Pay $2.8M to Resolve Claims of Overbilling for Diagnostic Tests
On September 24, 2025, United States Attorney Pete Serrano announced that an urgent care clinic with locations in Richland and Pasco, Washington, had agreed to…