ResCare has agreed to pay West Virginia $576,000 in a settlement over accusations of Medicaid fraud.
The company is accused of filing nearly $280,000 in fraudulent Medicaid claims with $296,000 owed for operating expenses for the West Virginia Attorney General’s Medicaid Fraud Control Unit.
“This is an important victory for West Virginians,” Attorney General Patrick Morrisey said of the settlement. “Health care providers need to know they must maintain accurate records and only bill for services they actually rendered. They must work within the parameters established by the West Virginia Medicaid Program.”
ResCare was determined to have submitted claims not supported by medical documentation, not allowed, more than Medicaid allowances or without minimum required documentation.
ResCare now must begin a new electronic records management system for its West Virginia locations as part of the settlement.
The West Virginia Medicaid Fraud Control Unit, created as part of the Attorney General’s Office in 2019, receives 75% of its funding from the U.S. Department of Health and Human Services under a grant award of $2.2 million for the 2022 fiscal year with $734,860 coming from West Virginia.