Hope In-Home Care LLC, a Newport News-based provider of Medicaid in-home health care services, has agreed to settle allegations that it submitted false claims to the Virginia Medicaid Program, according to a release from the U.S. Attorney’s Office for the Eastern District of Virginia.
Under the terms of the settlement, Hope In-Home Care will pay a total of $3,345,065.35 to the United States and Virginia.
The U.S. Attorney’s Office and the Virginia Attorney General’s Office alleged multiple fraudulent schemes by Hope covering almost a three-year period from January 2011 through September 2013, the release said.
The allegations include that Hope employed and submitted claims for uncertified personal care aides who were ineligible to provide services and that Hope falsified documents and statements in order to qualify ineligible beneficiaries for services.
They also alleged Hope made false statements in prior authorization requests in order to obtain approval and reimbur...