All tagged medicaid

Jackson, Sangvai defend NC Medicaid fraud enforcement before House oversight panel

North Carolina Attorney General Jeff Jackson and Health and Human Services Secretary Dev Sangvai appeared before a House oversight committee Thursday as Republican lawmakers pressed state officials over fraud, waste and abuse in the Medicaid program and questioned whether existing safeguards are keeping pace with the program’s size and cost. The hearing put one of the state’s largest spending areas under a sharper political spotlight as lawmakers weigh broader budget demands and oversight priorities.

Attorney General Josh Stein Reaches $2.5 Million Medicaid Fraud Settlement

(RALEIGH) Attorney General Josh Stein today announced a $2,505,000 settlement to resolve allegations that Southeastern Behavioral Healthcare Services, LLC, a behavioral health business in Lumberton and Maxton, and its owners, Bertha Hutchinson and Virgil Hutchinson, submitted false claims to the North Carolina Medicaid program. The settlement was reached in partnership with the U.S. Attorney’s Office for the Eastern District of North Carolina. 

Innovative healthcare payment and delivery to be piloted in North Carolina

To improve the health of Medicaid beneficiaries, and to reduce costs, the North Carolina Department of Health and Human Services is building an innovative health care delivery system with a payment structure that rewards better health outcomes, integrates physical and behavioral health, and invests in non-medical interventions. The effort is part of Managed Care Transformation.