Nursing Home Provider Sued by Attorney General for Falsly Claiming Medicaid

A for-profit nursing home provider is facing charges of deceiving the state by overstating Medicaid reimbursements for more than 20 facilities across one state, according to the Attorney General’s Office. The company received more Medicaid reimbursements than it was entitled for 21 nursing facilities from 2005 through this year, according to the complaint.

The inflated reimbursements came as a result of Medicaid costs reporting in 2003. “By artificially inflating its expenses, this company caused the State Medicaid Program to overpay for services,” said the Attorney General. “It is critical that Medicaid dollars are spent as intended and that we hold accountable those providers who try to take advantage of the system.”d

Medicaid providers like the facility in question are required by federal and state law to report their costs for supplying services to residents. The state then uses those reports to calculate daily rates for Medicaid reimbursements to a nursing facility for each day that a resident lives in the facility. The lawsuit seeks triple the amount of damages and requests reimbursement of $5,000 to $10,000 “for each deceptive act.” For more, read the story.


Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville,Charlottesville, and across Virginia.