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State suspends Medicaid billing by home health care provider Good Faith Services

Administrative sanction follows criminal fraud charges against employees

The Alaska Department of Health and Social Services suspended the Medicaid billing privileges of home-health-care business Good Faith Services as of Nov. 25, 2013. Good Faith offers in-home care, transportation and care coordination services to Medicaid recipients.

The Department is required to suspend billing if a business that bills Medicaid has both a credible allegation of fraud against it and it is being investigated for Medicaid fraud.

In February, 2013, the Department of Health and Social Services’ Medicaid Program Integrity section and Division of Senior and Disabilities Services asked the state Department of Law’s Medicaid Fraud Control Unit to investigate potential wrongdoing.

Health and Social Services alleges that Good Faith billed the state for services that its employees did not provide.

The state Medicaid Fraud Control Unit is investigating, and has charged 39 company employees with Medicaid fraud. The state has not charged the company with fraud.

The Medicaid billing suspension is temporary; it would become permanent should there be a conviction of a crime related to these allegations. The company has appealed the suspension.

“We will continue to support this ongoing investigation to protect the integrity of the Medicaid program,” said Senior and Disabilities Division Director Duane Mayes.

The Department of Health and Social Services routinely refers cases to the Department of Law for further investigation.

For more information on the Medicaid Fraud Control Unit’s investigation, contact Cori Mills, Alaska Department of Law, 907-465-2132. For previous press releases on this case from the Department of Law, visit http://www.law.state.ak.us/department/criminal/mfcu.html.

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