Categories: Pennsylvania News

Medicaid Fraud: Where does Pennsylvania rank for charging suspects, prosecuting cases

HARRISBURG, Pa. (WHTM) — Every year, millions of dollars are stolen from Medicaid programs across the country, and states have been doing their best at cracking down and trying to catch those suspects.

Meanwhile, a recent report shows Pennsylvania seems to be among the best at cracking down.

An annual report from the Pennsylvania Attorney General shows that Pennsylvania is number one with the most charges filed in Medicaid fraud cases. Thanks to Attorney General Dave Sunday’s Medicaid Fraud Control Section, the state also was ranked third in convictions in those kinds of cases, according to the AG’s Office.

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“Those who defraud our Medicaid program take vital services away from those in need while violating taxpayers who help fund the program,” Attorney General Sunday said in a statement. “I am proud of our unit’s ranking among peers, and assure Pennsylvanians that our commitment to expose waste, fraud and abuse, and to prosecute offenders will not stop. These are not victimless crimes, as people in need of medicine and personal care are harmed the most by fraudsters.”

Medicaid Fraud Control Section is housed in the AG’s Office and prosecutes criminals who defraud the program through unlawful billing or failure to provide services. It also prosecutes those who take neglect or abuse care-dependent Pennsylvanians, and those who financially exploit older adults or care-dependent people.

Last year, more than 110 people were charged with fraud, six people with neglect, abuse, and endangerment, and had 74 convictions on charges filed in prior years by the AG’s Office, the release shows. More than $11.3 million in misused Medicaid funding was also recovered last year.

One recent case where charges were filed for Medicaid fraud; Dana Mason, 63, of Philadelphia County. was charged recently after the AG’s Office said she received more than $33,000 after she made claims for a person who was dead, stealing from a Medicaid-funded managed care organization for services that were alleged to have never been provided.

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