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In Ohio, a single adult making less than $20,783 per year qualifies for Medicaid. Any more, and they have to find private coverage. Any more, and they have to find private coverage.
A case of Medicaid fraud was carried out in 2010 by an Armenian-American organized crime group called the Mirzoyan–Terdjanian organization. [1] [2] The scam involved a crime syndicate which created 118 fake clinics in 25 states and used stolen medical license numbers of real doctors and matched them to legitimate Medicare patients whose names and billing information were also stolen.
Aug. 28—Three principals of Phinaliz Communications LLC, a company based in Otsego County, were arrested Thursday, Aug. 24 in connection with a long-running scheme to steal more than $1 million ...
Prior to July 2013, ODJFS was also the state agency responsible for the administration of Ohio's Medicaid program. In July 2013, a new state agency was created, the Ohio Department of Medicaid (ODM), Ohio’s first Executive-level Medicaid agency. ODJFS employs about 2,300 full time employees and has an annual budget of $3.3 billion. [2]
In addition, the department examines the financial soundness of insurance companies, as well as investigates consumer complaints and insurance fraud. The department also determines if services and benefits offered by companies are consistent with insurance policy provisions and Ohio law, reviews and approves more than 6,200 company filings per ...
Aug. 3—A recent Dayton Daily News investigation revealed that the state of Ohio has collected more than $366 million through the estate recovery program since 2017, including about $87.5 million ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
Nearly 40% of Ohio's budget is spent on Medicaid, insuring low-income residents, but is that investment reflected in how healthy its residents are?