Home Care Medicaid Fraud Developments in Florida, Maryland, and Illinois
The National Council on Medicaid Home Care – a NAHC affiliate - reports on recent developments in home care Medicaid fraud and abuse, including: 1) alleged overbilling of unauthorized services in Florida; 2) convicted fraud of a caregiver in Maryland; and 3) convicted beneficiary fraud in Illinois.
As reported by Local 10 News in Florida, on October 9, a Florida state audit found that the home care organization of the vice mayor of Broward County, Barbara Sharief, billed for unauthorized Medicaid services. The audit alleges that South Florida Pediatric Homecare (SFPH) overbilled the program $220,000, which the state is asking for back, as well as $44,000 in fines. This audit is currently being litigated.
Sharief had agreed to settle a previous audit for about $540,000, which included approximately $50,000 in fines. In this audit, the state alleged that SFPH overcharged for services lacking documentation, charging registered nursing rates when licensed practical nurses administered the services, and billed services unauthorized by physicians.