⏱ 2 min read
Blessings 4 Ever Home Care Agency, a Philadelphia-based provider, has agreed to pay $1 million to resolve allegations of False Claims Act violations. The agency, which provides in-home health and personal care services to Pennsylvania Medicaid beneficiaries, submitted claims for payment using falsified documentation and improperly billed for services provided to hospital inpatients. The scheme, which lasted from 2015 to 2023, involved fabricating training certificates and personnel documents for personal care attendants (PCAs) and billing Medicaid for services provided on days when beneficiaries were hospitalized.
The United States alleges that Blessings 4 Ever fabricated or backdated 181 training certificates and personnel documents to falsely certify that PCAs satisfied state training requirements and Medicaid Program requirements. This resulted in the agency operating with PCAs who lacked proper documentation, providing substandard services to consumers and the Medicaid waiver program.
In addition to the falsified documentation, Blessings 4 Ever also improperly billed Medicaid for 1,141 claims for in-home personal care services on days when 209 beneficiaries were hospital inpatients. The agency’s actions resulted in a significant loss to the Medicaid program and put the health and well-being of beneficiaries at risk.
The $1 million resolution is a result of a thorough investigation and negotiation between the United States Attorney’s Office and Blessings 4 Ever. The agreement brings an end to the allegations of False Claims Act violations and holds the agency accountable for its actions.
📋 Key Facts
- Crime: Fraud & Financial Crimes
- Defendant: Pennsylvania
- Location: PA
- Source: DOJ Press Release
