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Medicaid Law
 
Derek Waskul; Cory Schneider; Kevin Wiesner; Washtenaw Asociation for Community Advocacy v. Washtenaw Country Community Mental Health, et al. Eastern District of Michigan Federal Courthouse - Detroit, Michigan

An association generally has standing if “at least one of [its] members would have standing to sue on his own.” United Food & Commercial Workers v. Brown, 517 U.S. 544, 554–55 (1996) (citing Warth v. Seldin, 422 U.S. 490, 511 (1975)). In this interlocutory appeal, the Washtenaw Association for Community Advocacy identifies at least one named member who appears to have suffered an initial deprivati... More...   $0 (08-16-2018 - MI)

State of Ohio v. Rickey Lamb, Jr.

On July 21, 2015, the Fulton County Grand Jury issued a seven-count indictment charging appellant with one count of arson in violation of R.C. 2909.03(A)(2), a felony of the fourth degree (“Count 1”); one count of aggravated arson in violation of R.C. 2909.02(A)(2), a felony of the second degree (“Count 2”); one count of aggravated arson in violation of R.C. 2909.02(A)(1), a felony of the firs... More...   $0 (08-14-2018 - OH)

United States of America v. Dr. Dwight L. Bailey Western District of Virginia Federal Courthouse - Abington, Virginia

Abington, VA - Lebanon Doctor Convicted of Federal Drug Distribution Charges Following Two Week Jury Trial

Dr. Dwight L. Baily Found Guilty of 63 Charges Including Drug Conspiracy

A medical doctor who operated two rural healthcare practices in Lebanon, Virginia was convicted on August 1, 2018 of federal drug and healthcare fraud charges.

Following more than two weeks o... More...
   $0 (08-04-2018 - VA)

Frank Ciaramella v. Howard Zucker Southern District of New York - New York, New York

New York, NY - Frank Ciaramella and Richard Palazzola, on behalf of themselves and all others similarly situated sued Howard Zucker, as Commissioner of the Department of Health on civil rights violation theories challenging the proposed policy of the Medicaid denial of health benefits to individuals like him.

Mr. Ciaramella, age 57, suffers from a number of health problems and is unable ... More...
   $0 (08-03-2018 - NY)

United States of America v. Mustak Y. Vaid Southern District of New York - New York, New York

New York, NY - Doctor Sentenced To 18 Months In Prison For Participating In $30 Million Scheme To Defraud Medicare And Medicaid

Mustak Y. Vaid, was sentenced today by U.S. District Judge Lorna G. Schofield to 18 months in prison for his participation in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. VAID falsely posed as the owner of a medical clinic, w... More...
   $0 (08-02-2018 - NY)

United States of America v. Waveney Blackman Federal Courthouse - District of Columbia

Washington, DC - Owner of Durable Medical Equipment Company Pleads Guilty to Defrauding Medicaid of More Than $9 Million - Defendant Used Money to Buy Real Estate, Luxury Car

The owner of a company that provided durable medical equipment pleaded guilty on July 25, 2018 to a federal charge of health care fraud for carrying out a scheme in which she fraudulently obtained more than $9.4 mill... More...
   $0 (07-26-2018 - DC)

Lacey Robinett v. Shelby County Healthcare Corporation United States District Court for the Eastern District of Arkansas - Jonesboro, Arkansas

Lacey Robinett appeals the district court’s 1 grant of judgment on the pleadings
to Shelby County Healthcare Corporation (“the Med”) and Avectus Healthcare
1The Honorable D.P. Marshall Jr., United States District Judge for the Eastern
District of Arkansas.
Solutions, LLC. Robinett contends that the district court erroneously concluded that
the federal and Arkansas Medicaid laws... More...
   $0 (07-18-2018 - AR)

Planned Parenthood of the Heartland and Jill Meadows v. Kimberly K. Reynolds, ex rel State of Iowa and Iowa Board of Medicine SUPREME COURT OF IOWA

In this appeal, we must decide if the constitutional right of women to choose to terminate a pregnancy is unreasonably restricted by a statute that prohibits the exercise of the right for a period of seventy-two hours after going to a doctor. In making this decision, we recognize the continuing debate in society over abortion and acknowledge the right of government to reasonably regulate the const... More...   $0 (07-15-2018 - IA)

United State of America, et al. v. Southern Baptist Hospital of Florida Inc., et al. Glass Office Floor Mats

Jacksonville, FL - United States Settles False Claims Act Allegations Against Liberty Ambulance For $1.2 Million

After a multiple-year investigation and the government’s intervention into a whistleblower suit in 2015, the United States announces a $1.2 million settlement with Liberty Ambulance. In reaching this settlement, the parties have resolved allegations that, from June 29, 2005, to... More...
   $0 (07-11-2018 - FL)

United States of America v. Health Quest Systems, Inc. and Putnan Health Cetner Northern District of New York Federal Courthouse - Albany, New York

Albany, NY - Health Quest and Putnam Hospital Center to Pay $14.7 Million to Resolve False Claims Act Allegations

Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims for payment. New-... More...
   $14700000 (07-10-2018 - NY)

United States of America, ex rel. Gerald Polukoff v. St. Marks Hospital, et al. District of Utah Federal Courthouse - Salt Lake City, Utah

This is a qui tam action alleging violations of the False Claims Act (“FCA”), 31
U.S.C. §§ 3729–33, involving fraudulent reimbursements under the Medicare Act, 42
U.S.C. §§ 1395–1395ccc. Plaintiff Gerald Polukoff, M.D., is a doctor who worked with
Defendant Sherman Sorensen, M.D. After observing some of Dr. Sorensen’s medical
3
practices, Dr. Polukoff brought this FCA action, o... More...
   $0 (07-10-2018 - UT)

United States of America v. James Burkhart Southern District of Indiana Federal Courthouse - Indianapolis, Indiana Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Indianapolis, IN - Former health care chief executive sentenced to 9.5 years in federal prison

James Burkhart’s conspiracy reaped nearly $19.4 million in fraud and kickbacks, funding
private jets, vacation homes, diamond jewelry, and gold bars

United States Attorney Josh J. Minkler today announced the sentencing of the former CEO of American Senior Communities (ASC) in a mas... More...
   $0 (07-07-2018 - IN)

In the Matter of the Guardianship of E.C., A Minor Child

On August 9, 2016, the maternal grandparents of E.C., petitioned the court to be appointed as E.C.'s guardians. D.P., E.C.'s mother, had died of cancer on July 28, 2016. Grandparents alleged that they were fit to serve as E.C.'s guardians partly because E.C. had been living with them since she was six months old. Grandparents also asserted that D.C., E.C.'s biological father, had no bond with E.C.... More...   $0 (07-07-2018 - KS)

United States of America ex rel. Susana Mulcahey, et al. v. Open Arms Family Support Services, LLC, et al. Eastern District of Virginia Federal Courthouse - Richmond, Virginia

Richmond, VA - Medicaid Provider Agrees to Lifetime Exclusion from Medicaid

The owner of several Richmond area medical support service companies agreed to settle a civil fraud case alleging her companies defrauded the Virginia Medicaid program of over $1 million.

The allegations involved Dawn Sykes, 43, of Glen Allen, and her companies: Open Arms Family Support Services, LLC; Ope... More...
   $0 (07-04-2018 - VA)

United States of America et al v. Healogics, Inc. Northern District of Iowa Federal Courthouse - Cedar Rapids, Iowa Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Cedar Rapids, IA - Nationwide Wound Services Provider Agrees to Pay Nearly $400,000 to Resolve False Claims Act Allegations

Healogics, Inc., a Florida-based provider of wound care services with clinics across the country, agreed to pay $398,162.69 to resolve False Claims Act allegations pertaining to improper coding. Specifically, the United States alleged that, from January 1, 2012, thr... More...
   $398162 (06-28-2018 - IA)

United States of America v. Richard E. Paulus, M.D. Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Mark Twain once quipped that “there are three kinds of
falsehood: lies, damnable lies, and statistics.” Dr. Paulus begs to differ and insists that certain
statistical estimations cannot be false. As a cardiologist, Paulus interpreted hundreds of
angiograms—specialized x-rays that approximate how severely a person’s arteries are blocked.
A federal jury convicted him of committing he... More...
   $0 (06-25-2018 - TN)

United States of America v. Kelly Robinett, Kingsley Nwanguma and Joy Ogwuegbu Northern District of Texas Federal Courthouse - Dallas, Texas

Dallas, TX - Texas Physician and Two Texas Nurses Convicted for Roles in Home Health Care Fraud Scheme

A federal jury found one physician and two nurses guilty today of health care fraud, and one physician and one nurse guilty of conspiracy to commit health care fraud, all for their roles in a home health fraud scheme.

Acting Assistant Attorney General John P. Cronan of the Justi... More...
   $0 (06-23-2018 - TX)

Rehabilitation Center at Hollywood Hills, LLC vs State of Florida, Agency For Health etc.

On September 13, 2017, AHCA issued the Immediate Moratorium on Admissions, which prohibited the facility from “admit[ting] for services any individual.” The order made the following factual findings: a. On September 10, 2017, [the facility] became aware that its air conditioning equipment had ceased to operate effectively. b. In addition to contacting the local electrical power provider, [the fa... More...   $0 (06-21-2018 - TN)

American Indian Health & Services Corporatioon v. Jennifer Kent, as Director

The State Department of Health Care Services and its director (collectively, the
Department) appeal from a judgment in favor of plaintiffs on a petition for a writ of
mandate. Plaintiffs are 23 federally qualified health centers (FQHC’s) and rural health
clinics (RHC’s) that serve medically underserved populations (the Clinics). (42 U.S.C.
§§ 254b(a)(1), 1396d(l)(1), (2), 1395x(aa)... More...
   $0 (06-20-2018 - CA)

United States of America v. Washington Healthcare Authority Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Seattle, WA - DOJ Reaches Settlement with Washington Health Care Authority to Improve Services to Patients Who are Deaf or Hard of Hearing
WA State Agency Administered ‘Apple Health’ in a Manner that Discriminated Against Patients Who Rely on Sign Language Interpreters

The U.S. Department of Justice, working through the U.S. Attorney’s Office, and the Washington Health Care ... More...
   $0 (06-19-2018 - WA)

United States of America v. Tynesha Renne Dorsey Western District of Pennsylvania Courthouse - Pittsburgh, Pennsylvania

Pittsburgh, PA - Pittsburgh Woman Sentenced to Probation with Home Confinement for Operating a Forged Prescription Ring

An Allegheny County resident has been sentenced in federal court to 54 months probation, with 11 months of home confinement, and ordered to pay $3,434 in restitution on her conviction of conspiracy to commit offenses against the United States, United States Attorney Sco... More...
   $0 (06-13-2018 - PA)

Marie Gillispie v. Regional Care Hospital Partners, Inc. Western District of Pennsylvania Courthouse - Pittsburgh, Pennsylvania

We are asked to determine whether the District Court
erred in dismissing a claim under the “whistleblower”
protection provision of the Emergency Medical Treatment and
Active Labor Act (“EMTALA”), 42 U.S.C. § 1395dd. The
dispute here arises from Marie Gillispie’s allegations that the
Southwest Regional Medical Center (the “Medical Center”)
terminated her employment because s... More...
   $0 (06-13-2018 - PA)

United States of America v. Rassan M. Tarabein Southern District of Alabama Federal Courthouse - Mobile, Alabama

Mobile, AL - Former Pain Management Doctor Receives 5 Years in Health Care Fraud Case, Ordered to Pay More Than 15 Million Dollars in Restitution

Chief United States District Judge Kristi K. DuBose sentenced Rassan M. Tarabein, 58, a former neurologist residing in Fairhope, Alabama, to 60 months imprisonment in a health care fraud case. The judge ordered that Tarabein pay restitution tot... More...
   $0 (06-11-2018 - AL)

United States of America v. Signature Healthcare, LLC Northern District of Georgia Federal Courthouse - Atlanta, Georgia

Atlanta, GA - Signature Healthcare to pay more than $30 million to resolve False Claims Act allegations related to rehabilitation therapy

Signature HealthCARE, LLC (“Signature”), a Louisville, Kentucky based company that owns and operates approximately 125 skilled nursing facilities, including facilities in Georgia, has agreed to resolve allegations that it violated the False Claims Act b... More...
   $30000000 (06-11-2018 - GA)

Mateel Environmental Justice Foundation v. Office of Environmental Health Harzard Asse

In 1989, the predecessor to respondent Office of Environmental Health Hazard
Assessment (OEHHA), the lead agency charged with implementing California’s Safe
Drinking Water and Toxic Enforcement Act (Proposition 65) (Health & Saf. Code,
§ 25249.5 et seq.), adopted a regulation setting a “maximum allowable dose level” or
MADL for lead as a reproductive toxicant. (Cal. Code Regs., tit... More...
   $0 (06-08-2018 - CA)

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