AG Gansler: Home Health Care Company Pays $500K in Fraud Settlement
Pikesville business submitted claims to Medicaid without proper documentation
Baltimore, MD (January 6, 2014) - Attorney General Douglas F. Gansler announced today that A1 Reliable Medical & Healthcare Services, Inc. ("Reliable"), based in Pikesville, will pay $500,000 to the State of Maryland to resolve allegations that the company submitted improper claims for payment to the Medicaid program.
"Companies providing health care services through the Medicaid program must follow strict rules to ensure taxpayer money is properly used," said Attorney General Gansler. "When that doesn't happen, as in this case, it erodes public confidence in a system intended to help our most vulnerable citizens."
The settlement resolves allegations that Reliable submitted claims for durable medical equipment and disposable medical supplies for which Reliable did not have a prescriber's order or certification of continuous medical need or for which it had not obtained a proof of delivery. The settlement also resolves allegations that Reliable submitted claims for payment for home health care services that were required to be provided by individuals who possessed specified professional licenses, but were in fact provided by individuals who did not possess the requisite licenses.
Attorney General Gansler thanked Medicaid Fraud Control Unit Deputy Director Shelly Marie Martin, Chief Auditor Ruth Jarrell, Investigative Auditor Todd Sheffer, and United States Department of Health and Human Services, Office of the Inspector General Special Agent Sharnell Thomas for their work on this case.