Federal Contractor Misconduct Database (FCMD)
Failing to Promptly Report Medicaid Fraud or Abuse
The Florida Agency for Health Care Administration fined Humana Medical Plan $3.4 million for violating a state law requiring the prompt reporting of Medicaid fraud or abuse. The fines included $2.7 million, at a rate of $1,000 each day per violation, for not disclosing the alleged fraud or abuse within 15 days, as required under the state’s HMO regulations. The second fine of $660,400, at a rate of $200 a day, was for violating the terms of its HMO contract with the state. The agency sent Humana two letters accusing the company of failing to disclose information it knew about suspected fraud and abuse by Medicaid providers dating back to September 2009. The state is reportedly investigating possible improper loans or financial assistance made by Humana to Florida providers and improper relationships among providers and company officials.
- Misconduct Type
- Enforcement Agency
- Contracting Party
- Court Type
- Date of AHCA Letters