Agape Health Management, Inc. has agreed to pay $385,917 to settle federal and state civil fraud allegations that claimed Agape submitted false claims for reimbursement to the Virginia Medicaid Program, according to a recent settlement.
The allegations against Agape Health Management, Inc., which operates under the name Agape Adult Day Healthcare Center in Alexandria, Virginia, include claims that Agape knowingly submitted false or fraudulent claims for transportation services purportedly provided to Virginia Medicaid recipients that were not present or transported to the Agape facility on the claimed dates of service.
Agape operates a facility in Alexandria that provides adult day health care primarily for Virginia Medicaid recipients. The services provided include community-based health, therapeutic, and social services designed to meet the specialized needs of elderly and disabled recipients. Agape also provides transportation services to and from their facility.
The resolution obtained in this matter was the result of a coordinated effort between the U.S. Attorney’s Office for the Eastern District of Virginia, the Virginia Attorney General’s Office Medicaid Fraud Control Unit, the U.S. Department of Health and Human Services Office of Inspector General, the Virginia Department of Medical Assistance Services, and the FBI’s Washington Field Office.
Assistant U.S. Attorney Monika Moore, Assistant Attorney General Erica Bailey, and Assistant Attorney General Megan Winfield of the Virginia Attorney General’s Office Medicaid Fraud Control Unit investigated the matter. The civil claims settled by this Federal False Claims Act and Virginia Fraud Against Taxpayers Act agreement are allegations only; there has been no determination of civil liability.
A copy of the settlement agreement along with this press release may be found on the website of the U.S. Attorney’s Office for the Eastern District of Virginia.
Agape Health Management, Inc.’s settlement serves as a reminder of the importance of transparency and accountability in the healthcare industry. The Medicaid program relies on providers to submit accurate claims for reimbursement, and any attempts to defraud the system will be met with swift action.
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Key Facts
- State: Virginia
- Category: White Collar Crime|Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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