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Attorney General's News Release

April 27, 2011

Attorney General Koster reaches settlement with Caruthersville company in Medicaid fraud case --state to receive $375,000--

Jefferson City, Mo.— Attorney General Chris Koster today announced a settlement with CMV In-Home Assistance, Inc., a Caruthersville, Missouri, based company that provides in-home personal care services. The settlement resolves allegations that CMV improperly billed Medicaid for services from 2007 through 2010.

The Attorney General’s Medicaid Fraud Control Unit alleged that CMV improperly billed for in-home services for 5 recipients who were institutionalized and failed to ensure that 30 of its employees were registered with the Family Care Safety Registry (FCSR) before allowing them to provide in-home services, as required by law.

The Family Care Safety Registry with the Missouri Department of Health & Senior Services provides background information on potential caregivers. Potential employees are screened for criminal history with the state, the sex offender registry, and child abuse/neglect records, among others.

“The Family Care Safety Registry was established by law to protect children, the elderly, and the physically or mentally disabled in Missouri,” Koster said. This is a vital tool to ensure that those who care for vulnerable Missourians have a clean background and are qualified for this important work.”

Today’s agreement requires CMV to pay $205,000 restitution; $102,500 in damages; $60,000 civil penalties; and $7,500 for investigation costs, totaling $375,000. Additionally, CMV is required to immediately stop submitting reimbursement claims to Medicaid for services to institutionalized patients or for services provided by those not on the FCSR. CMV is also prohibited from engaging in such actions in the future. This agreement is a compromise of disputed claims and does not contain an admission of wrongdoing by CMV.

“One of my top priorities as Attorney General is to enforce our laws against those who cheat Missouri taxpayers by committing Medicaid fraud,” Koster said. “We will continue to search for companies and individuals who would perpetrate this kind of fraud, and recover public money inappropriately billed to our health care system.”

Koster said citizens should report suspected Medicaid provider fraud or abuse and neglect to his Medicaid Fraud Hotline toll free at 800-286-3932, e-mail the complaint to attorney.general@ago.mo.gov or complete a complaint form at the Attorney General’s Medicaid Fraud Website at http://ago.mo.gov/divisions/medicaid-fraud-control-unit-faqs.htm.



 
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