Medi-Cal Plan, Providers Settle Alleged False Claims Violations

Ventura County Medi-Cal Managed Care Commission, Ventura County, Dignity Health, and Clinicas del Camino Real Inc. have agreed to pay a total of $70.7 million in three separate settlements regarding the alleged submission of false claims to Medi-Cal related to Medicaid Adult Expansion under the Patient Protection and Affordable Care Act, the Department of Justice announced Thursday.

The defendants allegedly submitted or knowingly caused the submission of false claims to Medi-Cal between Jan. 1, 2014, and May 31, 2015, for “Additional Services” provided to Adult Expansion Medi-Cal members, which would violate the False Claims Act and the California False Claims ...