APS Healthcare of White Plains, NY, settled false claims allegations on February 22 that they failed to provide services to Georgia’s Medicaid population, reaching a $13 million settlement with the Federal Government and the state of Georgia.  The government alleged that APS Healthcare submitted claims to the Georgia Medicaid Management Program (GAMMP) for specialty services related to disease management and case management that they did not perform, in addition to overbilling the Georgia Department of Community Health.

APS Healthcare has agreed to a stringent compliance program, executing a Corporate Integrity Agreement with the Department of Health and Human Services, office of the Inspector General. This requires the company to undergo training, implement policies and procedures that comply with federal care programs, and undergo review of its compliance of state Medicaid contracts.

Read the entire press release, “APS Healthcare Pays $13 Million to Settle False Claims Act Case”