Welcome

Molina Healthcare Fraud Allegations Will Go Back to Trial Court

Aug. 19, 2021, 6:15 PM

A whistleblower will have another chance to allege Molina Healthcare of Illinois Inc. violated the False Claims Act by misrepresenting that it was providing skilled nursing facility services under a contract with Illinois Medicaid, the Seventh Circuit ruled Thursday.

Thomas Prose, the founder of Molina subcontractor GenMed, showed that a district court improperly concluded that his complaint lacked sufficient detail, Judge Diane P. Wood of the U.S. Court of Appeals for the Seventh Circuit said in a split decision to reverse and remand.

Prose provided numerous details indicating when, where, how, and to whom allegedly false representations were made, the ...

To read the full article log in.

Learn more about a Bloomberg Law subscription.