WellCare to pay $80 million to Florida Medicaid, Healthy Kids

WellCare Health Plans, Inc., Florida ’s largest managed care provider, has agreed to pay $80 million in forfeiture and restitution to Florida’s Medicaid program. WellCare also entered into an agreement for compliance and monitoring in a deferred prosecution agreement with the United States. Under a deferred prosecution agreement, the company would not be prosecuted for fraud if it complies with all the provisions of the agreement.
WellCare was charged in a scheme to defraud the Florida Medicaid program and the Florida Healthy Kids Corp., the U.S. Attorney’s office said in a press release. The scheme alleged by the government was that Wellcare charged the Medicaid program for services it claimed were paid to another entity, Harmony Behavioral Health, Inc. Harmony was wholly owned by Wellcare and did not provide the services claimed.
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