Department of Justice Files Suit to Stop Ongoing Medicaid Fraud Related to New York’s $10 Billion Home-Care Program

excalibur

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How much fraud in total has run through Medicaid alone?

Just an outrageous amount.

I expect criminal charges will follow this civil lawsuit.


[indentThe Justice Department announced today that it has filed a lawsuit in the U.S. District Court for the Eastern District of New York against the State of New York Department of Health, New York State Medicaid Director Amir Bassiri, and Public Partnerships LLC (PPL), an Alpharetta, Georgia-based company that has managed New York’s Consumer Directed Personal Assistant Program (CDPAP) since 2025.

“New York’s backroom deal with PPL has cost taxpayers millions of dollars and cast countless Medicaid patients to the curb,” said Assistant Attorney General Colin M. McDonald for the Justice Department’s National Fraud Enforcement Division. “Today’s action is the latest reminder that the Justice Department is mobilizing every available tool to protect taxpayer-funded programs from fraud and corruption.”

“One of the Justice Department’s key priorities is protecting the public fisc and delivering savings to American taxpayers,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “New York’s failure to police a favored vendor that unlawfully siphoned millions of dollars of Medicaid funding is egregious and betrays the public trust. The Justice Department is acting to ensure that federal laws regarding truthful statements and fair dealing in federal health care programs are upheld and to prevent additional harm from being exacted against the public by Public Partnerships LLC and New York.”

The lawsuit aims to stop an alleged fraud scheme by which PPL has generated millions of dollars in unauthorized profits funded by federal taxpayers in connection with its takeover of New York’s $10 billion-dollar CDPAP program. The lawsuit alleges that the New York Department of Health awarded PPL the lucrative CDPAP contract after conducting a sham bid process, and then, despite learning of PPL’s intent to deviate from the representations made in its bid and violate the financial terms of the contract, failed to take action to hold PPL accountable and to protect public funds from misuse, resulting in a fraud scheme that remains unchecked to this day. The lawsuit seeks to enjoin all defendants from making further misrepresentations about the CDPAP program and from charging American taxpayers millions of dollars unauthorized by the contract.

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