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Massachusetts Adopts Tough Policy on Medicaid Fraud
A Massachusetts nursing home has agreed to pay $660,000 to settle a lawsuit alleging neglect of Medicaid patients. The Massachusetts Attorney General''s office charged Pioneer Health Care, Inc. (PHC) and its subsidiary Franvale Nursing Home with fraud for delivering inadequate services to 80 Medicaid patients and then seeking reimbursement of $227,000 per month from Medicaid for those services.
A two-year investigation of the companies by the Attorney General''s office revealed that the nursing home''s staffing levels were too low to meet the health and safety needs of residents. These inadequate staffing levels resulted in medication errors, accidents, dehydration, malnutrition, and bed sores.
Commenting on the lawsuit, Attorney General Thomas F. Reilly said his office "will take every step necessary to protect our elderly and disabled citizens and will hold accountable those who fail to provide for their care." Medicaid pays 70 percent of the long-term care services provided in Massachusetts.