Swing-state's fraud reckoning raises Minnesota-style alarm as wild schemes exposed
Swing-state's fraud reckoning raises Minnesota-style alarm as wild schemes exposed
The DOJs expanded anti-fraud task force made its first sweeping bust of Medicaid scofflaws in Pennsylvania this month, drawing comparisons to the massive fraud scandals that rocked Minnesota — but with one major difference.
Republicans and Democrats in the state united in outrage after nearly two dozen people were charged in Philadelphia and elsewhere. The DOJ noted Pennsylvania spends $8 billion on Medicaid home-care services, more than almost any other state, and those services were the target of the busts.
"The allegations are really disturbing just as they are in Minnesota and other places where we've seen this," House Ways & Means Committee member Lloyd Smucker, R-Pa., told Fox News Digital in an exclusive interview.
PENNSYLVANIA AG EXPLAINS WHY STATE LEADS NATION IN MEDICAID FRAUD CONVICTIONS WHILE OTHERS BATTLE MASS SCHEMES
"It's criminal activity that is taking money from individuals who really need it. And this is this is Medicaid — It's not Medicare, which is more for seniors. But this is for people who truly need help, who are disabled — these are individuals who are relying on Medicaid to help them get through every day. And these are criminals who are taking that money and lining their pockets with it," said Smucker, whose Lancaster-area district has an older population and has anywhere from two in 10 to four in 10 constituents enrolled in Medicare, Medicaid or both, according to reports.
The DOJs anti-fraud chief echoed those sentiments while describing some of the most egregious cases among the 19 Pennsylvania defendants charged as of last week.
One suspect billed Medicaid for services that supposedly occurred while police had pulled him over for a moving violation and charged him on suspicion of marijuana possession, according to the DOJ.
Another suspect billed Medicaid for services during a period when he was in court watching a family member get sentenced for Medicaid fraud-related offenses, according to Colin McDonald.
I'M OHIO'S STATE AUDITOR — MEDICAID FRAUD IS NOT JUST A WASHINGTON PROBLEM
Another suspect billed Medicaid for home-care services that McDonald said were supposedly provided while the suspect was driving for a rideshare company. Another billed for services while in prison, according to McDonald.
Smucker said Pennsylvania welcomes fellow Keystone Stater and CMS Administrator Mehmet Oz and his investigators, adding that he is grateful state officials in Harrisburg are also taking note.
That cooperation sets the Pennsylvania busts apart from those in Minnesota, where Gov. Tim Walz has faced accusations of inaction over what has become a multibillion-dollar scandal.
Pennsylvania Gov. Josh Shapiro signaled cooperation and collaboration with Republicans in going after Medicaid fraudsters in remarks his office made to Fox News Digital.
TIM WALZ BECOMES GOP PUNCHLINE IN SWEEPING NEW WAR ON WELFARE FRAUD
Shapiro, a Democ




26.2c




