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NY Jewish Healthcare Pays $47M for Medicaid Fraud

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  • January 27, 2016
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NY Jewish Healthcare Pays $47M for Medicaid Fraud

CenterLight Health Care, formerly Beth Abraham Family of Health Services, has agreed to repay a combined $47 million to state and federal authorities after admitting to having over 1,000 ineligible members in its Medicaid-sponsored long term care plan.
The Medicaid-funded care plan required that the members be in need of nursing home care to qualify. CenterLight admitted in the settlement that it referred 1,241 people to the care plan who were either ineligible or became ineligible, and were not removed from the plan. “Centerlight received a ‘capitation payment’ of $3,800 per month, per person enrolled in the program,” wrote Josh Nathan-Kazis, a staff writer for the Forward.
“It’s simple: CenterLight Health Care did not play by the rules,” said New York Attorney General Eric Schneiderman, in an emailed statement to the Forward. “We won’t tolerate companies that seek to exploit the system for profit.”
The not-for-profit charity is one of many to face financial penalties for Medicaid fraud.

Brad Ericson
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Brad Ericson, MPC, CPC, COSC, is a seasoned healthcare writer and editor. He directed publishing at AAPC for nearly 12 years and worked at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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