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Tag: Medicaid Fraud

Gabe Evans on his record, his opponent and a race inside the margin
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Rocky Mountain Voice, State, Top Stories

Gabe Evans on his record, his opponent and a race inside the margin

By Shaina Cole | Contributing Writer, Rocky Mountain Voice Gabe Evans still tells the story of his first annual review as a cop. His sergeant sat him down and said he'd had a great year. Forty-one arrests, putting him in the top half of the shift. More than 1,800 calls for service. "If you do the math, that means less than 2% of the time I'm there to actually criminally charge someone as a cop," Evans told RMV. "98% of the time, I'm involving non-criminal issues in the community. I'm de-escalating a problem or connecting someone to resources." Evans said that job shaped how he works in Washington, along with growing up around cattle and 12 years in the military. He said service runs in the family. His mother's father, he said, "was born in Mexico, came to the United States,...
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‘Wolves in White Coats’: HHS official warns of harms, profit behind gender medicine for minors
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Rocky Mountain Voice, State, Top Stories

‘Wolves in White Coats’: HHS official warns of harms, profit behind gender medicine for minors

By RMV Staff | Rocky Mountain Voice Assistant Secretary for Health Brian Christine joins Heidi Ganahl on ‘Unleashed’ to discuss a new federal report, detransitioner stories and what the findings could mean for Colorado families A new report from the U.S. Department of Health and Human Services is putting renewed scrutiny on medical interventions for minors experiencing gender dysphoria — and one of the nation's top public health officials says accountability may be coming. Admiral Brian Christine, the 18th Assistant Secretary for Health at HHS, joined Heidi Ganahl on the latest episode of Unleashed to discuss the department's new report, Wolves in White Coats, which examines medical treatments for minors, financial incentives within gender clinics and potentially improper medi...
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Aurora Congregation Under Review Following Reports Of Homeless Exploitation Scheme
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The Denver Gazette, Approved, Local

Aurora Congregation Under Review Following Reports Of Homeless Exploitation Scheme

By: David Migoya | The Denver Gazette Two regional Seventh-day Adventist conferences that oversee the activities of its member churches across several states have launched inquiries into an Aurora-based congregation tied to a Medicaid operation that exploited the homeless. The Rocky Mountain Conference and the Central States Conference of the Seventh-day Adventist church — based in Denver and Kansas City, Kansas, respectively, and representing about 150 congregations in six states — said revelations that a newly created Aurora church was part of that enterprise were troubling. A Denver Gazette investigation into “The Program” showed how the Maranatha Indonesian-American Seventh-day Adventist Church was connected to a home-health agency that over three years collec...
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Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program
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The Denver Gazette, Approved, Local

Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program

By: Matt Kyle | The Denver Gazette Two Jefferson County men have been indicted on a slew of charges alleging they fraudulently obtained $12 million from Medicaid. James Andrew Heath, 33 and Jared Parker Heath, 37, were indicted on June 12 in Denver District Court. They are accused of defrauding Colorado’s Medicaid optical program by falsely billing Medicaid for glasses and other materials through their business QuickSpex LLC, according to a news release from Attorney General Phil Weiser. READ THE FULL ARTICLE AT THE DENVER GAZETTE
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Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare
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kdvr.com, Approved, Local

Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare

By Adam Rosen | KDVR DENVER (KDVR) — A Colorado man faces 12 charges relating to a Medicaid fraud scheme concerning an Arapahoe County adult daycare center, according to a pair of releases. Attorney General Phil Weiser and Peter McNeilly, the U.S. Attorney for the District of Colorado, announced that Mohamed Elias Omer faces 12 counts of offering and paying illegal remuneration, or illegal kickbacks, to convince Medicaid beneficiaries to attend Nadina Adult Daycare Center LLC. READ THE FULL ARTICLE AT KDVR
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Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation
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Colorado Politics, Approved, State

Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation

By: David Migoya | Colorado Politics The agency overseeing Colorado’s federal Medicaid program has suspended an Aurora home-health agency that is the focus of an investigation into an enterprise that lured dozens of homeless people with promises of free housing and cash and reaped tens of millions of dollars in Medicaid reimbursements. Officials said it has stopped paying Medicaid claims filed by On Going Home Health Care pending the outcome of its inquiry into “The Program,” an elaborate and intertwined confederation of businesses that provided shelter, money and prescriptions to homeless participants in return for billing the federal program for administering the drugs. The Program was the center of a Denver Gazette investigation last month that exposed how On Going ...
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House Report Alleges Walz Administration Ignored Billions in Fraud Losses
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Just The News, Approved, National

House Report Alleges Walz Administration Ignored Billions in Fraud Losses

By John Solomon | Just the News Vance announced criminal referral in a social media post in which he raised concerns that Walz's administration tried to retaliate against whistleblowers. Vice President JD Vance has referred evidence gathered by Congress that Minnesota Gov. Tim Walz and Attorney General Keith Ellison failed to act against mass welfare fraud in their state to the Justice Department for possible criminal investigate. Vance announced the criminal referral in a social media post late Monday in which he raised concerns that Walz's administration also tried to retaliate against state workers who blew the whistle on the welfare fraud scams in Minnesota, estimated by the House Oversight Committee to have cost taxpayers more than $9 billion. "...
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Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents
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Colorado Politics, Approved, Local

Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents

By: David Migoya | Colorado Politics Editor’s Note: This story is part of a series. Read about how home health in Colorado is a complex setupand about the group On Going HHC. They call it “the program.” For the past four years, dozens of homeless people in the Denver metro area have been recruited to live rent-free in suburban houses sprinkled across Aurora — not the stereotypical homeless shelter-type housing one might think, but rather neat homes in middle-class communities with mortgages. But living there comes with a hitch: a requirement that participants be on Medicaid and have at least one prescribed medication — all must first visit the same doctor to get a cursory exam and a prescription — administered by a home health company for which the doctor ...
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Trump Task Force Uncovers Nationwide Web Of Welfare And Immigration Fraud
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Just The News, Approved, National

Trump Task Force Uncovers Nationwide Web Of Welfare And Immigration Fraud

By Steven Richards | Just the News The cost to taxpayers identified by Vice President JD Vance's task for targeting government benefit programs is mounting, and no plausible explanations are forthcoming. The Trump administration’s work to pare back waste, fraud, and abuse in the federal government has reportedly exposed a vast network of taxpayer-fleecing scams, abuses of immigration, and of the citizenship process across all corners of the United States.  The story involves resettled refugees soaking up federal paychecks to run home healthcare and childcare businesses, transnational criminal organizations exploiting food benefit programs, and scammers using fake student profiles to make off with millions in federal student loans. It also involves non-monetary f...
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Colorado saw red flags in autism therapy billing and approved higher rates anyway
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Rocky Mountain Voice, State, Top Stories

Colorado saw red flags in autism therapy billing and approved higher rates anyway

By Jen Schumann | Rocky Mountain Voice Federal auditors documented convicted staff working with autistic children. Colorado had no system to catch it. Every week, parents of autistic children in Colorado dropped their kids off with behavior therapists they trusted. What they didn't know—what the state never required anyone to verify—was whether those therapists had passed a background check. Many hadn't. Not because anyone failed a background check. Because Colorado never required one. HHS Office of Inspector General audit highlights—February 2026. Source: https://oig.hhs.gov/documents/audit/11494/A-09-24-02004-highlights.pdf The findings from federal auditors came out in February. At least $77.8 million in improper Medicaid payments for autism therapy in 20...
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