Showing posts sorted by relevance for query kiddy kickback. Sort by date Show all posts
Showing posts sorted by relevance for query kiddy kickback. Sort by date Show all posts

Wednesday, August 10, 2011

A CPS Anit-Kickback Scheme

There are similar schemes in child welfare which I prefer to call "kiddy kickbacks". The schemes may not deal with durable medical goods, but they do deal with child welfare services.

A good example of a child welfare anti-kickback scheme would be the Godboldo case.

A mother takes her child in to the Children's Center for services then the Children's Center refers the child for foster care services on the next floor. This is a self-referral. Once the child is in the foster care case management division, billing for Targeted Case Management Services goes through the roof.

In the area of child protective services (CPS), the structures operate on the county and municipal levels. What this means is that a county CPS agency will refer a child to its own county Child Placing Agency (CPA).

Even though we are not dealing with physician referrals under Stark's law, this is an indirect violation of the anti-kickback statute.

This child welfare scheme is a kiddy kickback and since there are no laws preventing it, Medicaid fraud will flourish.

If it happens in Medicare, trust and believe, it happens in Medicaid.

Recruiter in Multi-Million Dollar Health Care Fraud Scheme Pleads Guilty to Conspiracy to Violate the Anti-Kickback Statute

HOUSTON – An accused recruiter in a multi-million dollar health care fraud scheme scheduled for trial on Monday, has instead pleaded guilty to conspiracy to violate the Anti-Kickback Statute, United States Attorney José Angel Moreno announced today. Birdie Leroy Revis, 60, of Houston, pleaded guilty before United States District Judge David Hittner this morning to conspiracy to violate the Anti-Kickback Statute. Trial had been scheduled to begin with jury selection on Monday, Aug. 8, 2011.

Revis was a recruiter for Sefan Medical Supply (Sefan), a durable medical equipment provider, located in Houston. Based upon the joint investigative efforts of the agencies comprising the Medicare Fraud Strike Force into a $2.8 million scheme to defraud Medicare by Sefan, evidence was obtained proving that Revis’ role in the scheme was to provide Medicare beneficiary information to Sefan. Sefan, in turn, then billed Medicare for medically unnecessary durable medical equipment and supplies which were either not provided to Medicare beneficiaries or a lesser product from what was billed to Medicare was provided. The information was provided on a prescription form for arthritis kits. All the kits included a knee adjustment with air chamber, rigid frame back brace, elbow with joint, ankle gauntlet, flex glove with elastic finger, heat lamp with stand and a wrist brace. Sefan would order these items for both the left and right side. If the beneficiaries received any items, they did not receive the rigid brace items billed to Medicare, instead they would receive neoprene sleeves, which was not covered by Medicare.

Revis provided to Sefan information for more than 686 beneficiaries for which Sefan paid Revis approximately $400 per beneficiary for a total of more than $353,000. With the information provided by Revis, Sefan billed Medicare for more than $2.8 million worth of claims for arthritis kits and was paid more than $1.7 million for those fraudulent claims.

Revis remains on bond pending sentencing, which is set on Nov. 2, 2011. Revis faces a maximum of up to five years in prison to be followed by up to a three-year-term of supervised release and a fine of up to $250,000 for the kickback conspiracy conviction.

The owner of Sefan and the physician whose signature was on the prescriptions have also been convicted following their respective pleas of guilty to conspiracy to commit health care fraud. Kate Ose Olear, the owner of Sefan, was sentenced to 57 months in prison on Feb. 10, 2011, by United States District Judge David Hittner. John Edward Perry III, the physician, pleaded guilty in June 2010. He remains on bond pending his sentencing on Oct. 21, 2011, before United States District Judge Gray H. Miller.

The investigation leading to the charges in this case was conducted by the Medicare Fraud Strike Force comprised of agents with the Department of Health and Human Services, Drug Enforcement Administration Diversion Division, Texas Attorney General Medicaid Fraud Control Unit, United States Railroad Retirement Board and the FBI. Assistant United States Jennifer Lowery and Special Assistant United States Attorney Justin Blan are prosecuting the case.

Sunday, September 6, 2009

Kiddy Kickbacks

Before diving into the world of what I call "kiddy kickbacks", let's begin by understanding the term,Kickback.

A kickback, under the theories of fraud, is generally when when a person provides false information to benefit from federal funds.

Recently, the U.S. DHHS OIG and U.S. DOJ AG partnership to end health care fraud, Detroit H.E.A.T. identified another multi-million dollar Medicare Fraud scheme. This is an excellent example to apply to Medicaid Fraud profit-maximizing schemes in child welfare.

In this particular setup, the clinic routinely billed the Medicare program for services that were medically unnecessary or were never provided. Patients were prescribed medications at the clinic based not on medical need, but on what medications were likely to generate Medicare reimbursements. Falsified medical files were maintained by the clinic to make the treatments purportedly being given there appear legitimate, when in fact they were not.

Medicare beneficiaries were not referred to the clinic by their primary care physicians, or for any other legitimate medical purpose, but rather were recruited to come to the clinic through the payment of kickbacks. In exchange for those kickbacks, the Medicare beneficiaries would visit the clinic and sign documents indicating that they had received the services billed to Medicare. Kickbacks came in the form of cash and prescriptions for narcotic drugs.

Now, here is how it works in child welfare:

Targeted Case Management is a Medicaid funding source in foster care and adoption. Child Placing Agencies (CPA) routinely bill the Medicaid program for services that were unnecessary or were never provided. These services could range from individual therapy for the child to MRIs. Children referred to mental health clinics by a CPA are prescribed medications at the clinics, not based on medical need, but on what medications were likely to generate Medicaid reimbursements. Falsified medical files are maintained by the clinic, the CPA and the courts to make the treatments purportedly being given there appear legitimate, when in fact they were not. The higher the dosage of medication, the higher level of payment. This scheme was explained in the court transcripts of the adoptive father of Ricky Holland that was murdered in Michigan.

The next question on everyone's mind is, "Why haven't I heard about this before?"

The answer is quite simple: Freedom of Information Act (FOIA).

Quite simply, under FOIA, anything dealing with a child, especially a child under the auspices of the state in foster care are protected from review and disclosure. The best part is when a child in foster care is adopted out, those records are not just sequestered from public scrutiny, they are shredded forever. There is no possible way for a federal audit to detect the blatant false claims and fraud...until now.

Kiddy Kickbacks go deeper than the FBI Medicare investigation I presented. In foster care, the entire system operates on kiddy kickbacks. It is relatively easy to find the connections, just look at the board of directors.

Let's start with the Archdiocese of Detroit.

For example, Robert Asmussen, is Vice President of Strategic Planning at St. John Health and is the Chairman, Board of Directors, St. Vincent and Sarah Fisher Center, a residential institution for foster care youth, I shut down. (I dare anyone to challenge me on that one.) Children who were physically harmed while at St. Vincent and Sarah Fisher Center were taken to Providence, a health care facility of St. John Health. As mandatory reporters, the doctors would never, ever, ever file incident reports to the state of children who were harmed.

St. John would shoot the kids back to St. Vincent Sarah Fisher Center to be diagnosed by Psychiatrist Howard Weiner, M.D., to be in need of higher dosages of medication, generating more reason for the children to remain in care and opening the door to increases in funding for higher levels of special needs.

Services were never provided to the children in St. Vincent Sarah Fisher Center but they were documented, signed by Dr. Weiner and submitted into court.

It gets better.

Patricia M. Moylan, Ph.D. would conduct physicals for the children at St. Vincent Sarah Fisher and submit for billing. Dr. Moylan was signing physicals for children she had never seen because on one document, she conducted a physical for a 12 year old girl, who was a boy. (Yes, I have the documents stored in various locations.)

But wait, there is more.

Judge Michael J. Talbot sits on the Michigan Judicial Tenure Commission. This is the place where one would file a complaint against a Referee or Judge challenge conduct and procedure in a child protection case. Needless to say, the Commission has never found any fraud, wrong doing, or any transgressions by the those presiding over cases. The reason why is most judges sit on the boards of these CPAs.

Just look at Michigan Supreme Court Justice Maura Corrigan. She is a Director of Vista Maria, a Commissioner of the Pew Commission on Children in Foster Care, and participates in various child welfare task forces. In fact, she focuses on funding, or rather the construction of federal funding-maximizing schemes for foster care, because we all know, the Chief Justice of the Supreme Court is the overseer of the State Court Administration Office, which is in charge of child welfare funding. Justice Corrigan is the former Chief Justice who ran her campaign telling the public to thank her for everything she has done for foster care and adoption in Michigan.

Then there is Nancy J. Diehl who has worked as a prosecutor for over 24 years and currently heads the Felony Trial Division in the Wayne County Prosecutor's Office overseeing the Child and Family Abuse Bureau. She lectures extensively throughout the state and nationally on domestic violence and child abuse investigation, prosecution and related issues. Diehl is the coauthor of four booklets pertaining to children and the legal system.

Not one CPA has ever been prosecuted in Wayne County. Even more interesting, it is the Attorney General who prosecutes abuse and neglect in Wayne County and not the county prosecutor.

In the end, Kiddy Kickbacks are a great way of keeping a system functioning at peak performance, never giving any cause for alarm of fraud. CPAs refer children to contracted psychological service providers. In turn, the service providers known as therapists and psychologists, generate court reports that will have the child medicated for higher levels of billing and longer stays in the system. As the end goal is termination of parental rights, the service providers guarantee court reports that will support the CPA activities. The more the service providers support the CPA activities, the more clients are referred to them. And that is what is called a Kiddy Kickback.

Thursday, September 30, 2010

DOJ Makes Novartis Pay $420 Million For Kiddy Kickback Scheme

I cringe when I see the growing list of pharmaceutical corporations that not only drugged kids for cash, but drugged the entire industry of child welfare to believe that it was a good thing for kids.

When you look at the national statistics, you will see a category labeled as " physical neglect".  Physical neglect has 12 codes assigned to break down the different categories for purposes of research studies.

There are two specific codes which address issues of medical neglect:

Refusal to allow or provide needed care for diagnosed condition or impairment.
Unwarranted delay or failure to seek needed care

TRANSLATION: When a parent refuses psychotropic medication to the child, this constitutes medical neglect, a reportable condition to increase the national statistics of child abuse and neglect, and grounds for removal.

This is a classic Title IV-E funding training technique (usually billing at the improper higher rate of 75%) where a Child Welfare Worker will use the tactic of performing an Axis III diagnosis, without medical license, to support the placement of the child in foster care and to automatically classify the child as special needs, accessing Targeted Case Management funding benefits called kiddy kickbacks.

Novartis resolves its own kiddy kickback liabilities, generated from Social Security dollars while the States child welfare systems continue its pattern of practice of promoting the drugging of children.

Trileptal is a commonly prescribed as a psychotropic drug for foster children.

Wolverine Human Services of Michigan uses this drug liberally with foster children.

Novartis Pharmaceuticals Corp. to Pay More Than $420 Million to Resolve Off-label Promotion and Kickback Allegations

WASHINGTON – Novartis Pharmaceuticals Corporation has agreed to pay $422.5 million to resolve criminal and civil liability arising from the illegal marketing of certain pharmaceutical products, the Justice Department announced today.


According to the agreement reached with the government, the East Hanover, N.J.-based company will plead guilty to a misdemeanor and pay a $185 million combined criminal fine and forfeiture for the off-label promotion of Trileptal in violation of the Food, Drug and Cosmetic Act. The Food and Drug Administration (FDA) approved Trileptal as an anti-epileptic drug, for the treatment of partial seizures, but not for any psychiatric, pain or other uses. Once a pharmaceutical is approved by the FDA, a manufacturer may not market or promote it for any use not specified in its new drug application. The unauthorized uses are also known as "unapproved" or "off-label" uses.
In addition to the criminal fine and forfeiture, Novartis has agreed to pay $237.5 million to resolve civil allegations under the False Claims Act that the company unlawfully marketed Trileptal and five other drugs, and thereby caused false claims to be submitted to government health care programs. Specifically, the civil settlement resolves allegations that Novartis illegally promoted Trileptal for a variety of uses, including psychiatric and pain uses, which were not medically accepted indications and therefore not covered by those programs. In addition, the agreement resolves allegations that the company paid kickbacks to health care professionals to induce them to prescribe Trileptal and five other drugs, Diovan, Zelnorm, Sandostatin, Exforge and Tekturna. The federal share of the civil settlement is $149,241,306, and the state Medicaid share of the civil settlement is $88,258,694.


"This resolution demonstrates the Department of Justice’s ongoing dedication to taking action against pharmaceutical fraud in all its forms," said Tony West, Assistant Attorney General for the Civil Division of the Department of Justice. "Unlawful off-label promotion and providing illegal inducements to health care professionals undermine the integrity of our health care system and we will continue to pursue these types of violations."


"Off-label marketing can undermine the doctor-patient relationship and adversely influence the clear judgment that a doctor’s patients have come to rely on and trust," said Zane D. Memeger, U.S. Attorney for the Eastern District of Pennsylvania. "Pharmaceutical companies have a legal obligation to promote the drugs they manufacture only for uses that the Food and Drug Administration has deemed are safe and effective. That legal obligation takes priority over a company’s bottom line. This prosecution demonstrates our continuing commitment to ensure that pharmaceutical companies comply with the law."


The civil settlement resolves four lawsuits filed under the qui tam, or whistleblower, provisions of the False Claims Act, which allow private citizens with knowledge of fraud to bring civil actions on behalf of the United States and share in any recovery. The four cases are: U.S. ex rel. Austin v. Novartis Pharmaceuticals Corporation; U.S. ex rel. McKee v. Novartis Pharmaceuticals Corporation; U.S. ex rel. Copeland v. Novartis Pharmaceuticals Corporation; and U.S. ex rel. Garrity v. Novartis Pharmaceuticals Corporation. As part of today’s resolution, the whistleblowers, all former employees of Novartis, will receive payments totaling more than $25 million from the federal share of the civil recovery.


"This settlement represents a landmark victory in our district’s continuing battle against health care fraud. We intend to bring to justice any pharmaceutical company that attempts to cloud physicians’ medical judgment through kickback practices and illegal promotional activities," said A. Brian Albritton, U.S. Attorney for the Middle District of Florida.


Novartis also signed a Corporate Integrity Agreement (CIA) with the Department of Health and Human Services, Office of Inspector General (HHS-OIG). The company is subject to exclusion from Federal health care programs, including Medicare and Medicaid, for a material breach of this CIA and subject to monetary penalties for less significant breaches. Among other things, the CIA requires the board of directors (or a committee of the board) to annually review the company’s compliance program with the help of an outside expert and certify its effectiveness; that certain senior executives annually certify that their departments or functional areas are compliant; that Novartis send doctors a letter notifying them about the settlement; and that the company posts on its website information about payments to doctors, such as honoraria, travel or lodging. The five-year agreement further requires the implementation of a compliance program addressing promotional activities.


"OIG will carefully monitor the Corporate Integrity Agreement to ensure that Novartis is more transparent in its business transactions, that its Board of Directors is held more accountable, and that the names of physicians receiving payments are publicly disclosed," said Department of Health and Human Services Inspector General Daniel R. Levinson. "The result will be stronger protections for patients and the nation's taxpayers."


The U.S. Attorney’s Office for the Eastern District of Pennsylvania and the Justice Department’s Office of Consumer Litigation prosecuted the criminal case. The Justice Department’s Civil Division, the U.S. Attorney’s Office for the Eastern District of Pennsylvania, and the U.S. Attorney’s Office for the Middle District of Florida handled the civil lawsuit, with assistance from the National Association of Medicaid Fraud Control Units and the offices of various state attorneys general.


This settlement is part of the government’s emphasis on combating health care fraud and another step for the HEAT initiative, which was announced by Attorney General Eric Holder and HHS Secretary Kathleen Sebelius in May 2009. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid fraud through enhanced cooperation. One of the most powerful tools in that effort is the False Claims Act, which the Justice Department has used to recover approximately $3.445 billion since January 2009 in cases involving fraud against federal health care programs. The Justice Department’s total recoveries in False Claims Act cases since January 2009 have topped $4.595 billion.

HHS OIG Corporate Integrity Agreement with Novartis Pharmaceuticals Corporation

Wednesday, February 9, 2011

Feds Sentence Novartis For Drugging Kids

Trileptal is a common drug that was readily prescribed to foster children and other low income children for false claims and false diagnoses.  Novartis paid off doctors to ghostwrite reports to drug kids.

Children in foster care are still being prescribed Trileptal as mood stabilizers and not was it was approved for.  Someone needs to ask Maura Corrigan about this.
Novartis Pharmaceuticals Sentenced For Off-Label Drug Marketing

DOJ Makes Novartis Pay $420 Million For Kiddy Kickback Scheme

I cringe when I see the growing list of pharmaceutical corporations that not only drugged kids for cash, but drugged the entire industry of child welfare to believe that it was a good thing for kids.

When you look at the national statistics, you will see a category labeled as " physical neglect".  Physical neglect has 12 codes assigned to break down the different categories for purposes of research studies.
There are two specific codes which address issues of medical neglect:

  1. Refusal to allow or provide needed care for diagnosed condition or impairment.
  2. Unwarranted delay or failure to seek needed care
TRANSLATION: When a parent refuses psychotropic medication to the child, this constitutes medical neglect, a reportable condition to increase the national statistics of child abuse and neglect, and grounds for removal.

This is a classic Title IV-E funding training technique (usually billing at the improper higher rate of 75%) where a Child Welfare Worker will use the tactic of performing an Axis III diagnosis, without medical license, to support the placement of the child in foster care and to automatically classify the child as special needs, accessing Targeted Case Management funding benefits called kiddy kickbacks.

Novartis resolves its own kiddy kickback liabilities, generated from Social Securitydollars while the States child welfare systems continue its pattern of practice of promoting the drugging of children.

Trileptal is a commonly prescribed as a psychotropic drug for foster children.

Wolverine Human Services of Michigan uses this drug liberally with foster children.

Here are two physicians who participated in the illegal and wrongful marketing of Trileptal.


Trileptal Illegal Marketing Material

Thursday, May 12, 2016

Child Poverty In Detroit Brings Opulence And The FBI

"But the FBI caught on."

Yes, the FBI did catch on to child welfare fraud in Detroit Public Schools and it only took them...let's see...when did I start my blog?

But then again, there were signs to tip off the FBI like that time when ghetto fab went horribly wrong or,

Former Detroit Public Schools Executive, Several Others Named in Superseding Indictment; or,

DOJ Busts Detroit Public Schools Kiddy Kickback Racket ; or,

Southfield doctor to plead guilty in fraud case ; or,

Are Michigan Children's Educational and Medical Programs Joining Forces? ; or,

Feds accuse retired DPS official in $6M tutoring fraud ;or,

Federal Probe of Privatization in Michigan Child Welfare Fraud Widens .


This is a start, but there is more, so much more to do. 

My question is: "When is the FBI going to end Medicaid Fraud in Child Welfare, nationally?"

I want everyone to look at how someone lived off the impoverishment of an entire system for the welfare of the child.

This same mentality of opulent self-indulgence is reason why on one will speak upon ending child poverty.

Vendor in DPS corruption case lived like a king

635956578550579210-houseenvy1.jpg


In 2002, Norman Shy was settling into his new, custom-built mansion in Farmington Hills — complete with an indoor lap pool, massive marble foyer, paneled library, movie theater and nine bathrooms.

Life was good for the school supply vendor.

But behind the glamour was a scammer, prosecutors allege in a federal criminal case, and he would go undetected for years.

Here, in this 11,000-square-foot estate, public records show, is where the central figure in a Detroit school corruption case lived for years  while allegedly cheating the Detroit Public Schools out of millions of dollars with the help of 12 principals and one administrator. Shy's home was featured in a Michigan House Envy article in the Detroit Free Press in 2013.  He sold the home in November 2014.
According to court documents, principals used Shy as their school supply vendor for items such as chairs, workbooks and paper, but the supplies rarely made it to the classrooms.  In return for their help, the principals allegedly received $1 million in kickbacks that came in all forms: payments made to sham companies that the principals had created, cash, gift cards and house repairs, including a new roof and gutter work for one administrator.

DPS unknowingly paid for it all, prosecutors allege, claiming Shy was the biggest benefactor of all. Over 13 years, he billed DPS $5 million, of which $2.7 million was ill-gotten, they say.

But the FBI caught on.

On March 29, weeks after another Detroit principal and vendor pleaded guilty in a kickback scheme, Shy was charged with bribery and tax evasion in U.S. District Court. Prosecutors said a school corruption investigation into the state's embattled Education Achievement Authority reform school district led them to Shy, who allegedly ran a kickback scheme from 2002 through 2015.

He has since cut a deal in the criminal case and is waiting for a guilty-plea hearing to be rescheduled.

 A May 12 hearing was postponed.

Almost the entire time he was allegedly bilking the struggling Detroit school system, Shy was living in his Farmington Hills estate, which he sold for $2.4 million before moving to Franklin.

When contractors who built the house learned of the criminal case against Shy, they were outraged and claimed Shy had caused them plenty of legal grief over the years. After the house was built, Shy sued eight contractors for more than $500,000, claiming poor workmanship. The cases settled for significantly less.

"It touched a raw nerve," marble contractor Harry Ashbaugh said of the federal case.  "To live like lords and pretend they are great business people turns my stomach."
Ashbaugh's company, Glenn's Tile & Carpet,  installed the marble, tile and granite at Shy's house. Shy sued Ashbaugh for $400,000, claiming poor workmanship. Ashbaugh settled the case for less than $20,000.

Donald Worthington, the general contractor who oversaw the entire construction project of Shy's house, said Shy forced him out of business after 40 years of building houses. Shy sued Worthington's West Bloomfield company, Affinity Building, in 2005, alleging shoddy work. Worthington settled the case for $25,000, and then shut down his business.

"I certainly didn't like him. He was using attorneys to break me," said Worthington. "This was the only house I ever had any problems with."

According to Worthington, Shy rarely wrote checks and paid him $5,000 a month in cash, which he would deliver to him in wads of hundreds, bound together with a rubber band. According to Shy's lawsuit against Worthington, he paid the contractor more than $125,000 in cash for the work he did on his home.

Shy's website says he teaches "interactive, communication seminars." He has a bachelor's degree in television and radio from Michigan State University in 1966 and a master's degree from Wayne State.
According to records filed in Oakland County Circuit Court, Shy often used intermediaries — or middleman — in doing business with DPS, where for years he was on an approved list of vendors.

His company was Allstate Sales, which he ran out of his Farmington Hills estate. But sometimes, the middlemen wouldn't pay Shy, so he would sue them — in some cases, winning judgments against them.

So far, Shy has remained silent about the school corruption case.  Days after getting charged, he answered the door of his Franklin home with a Chihuahua under his right arm, but declined to answer questions about the case.  He said the FBI  and  his lawyers told him not to discuss his case while it's pending.

Shy's attorney, Christopher Andreoff, said his client feels bad about what has transpired and that he is cooperating with the government to resolve the case. He mentioned restitution, but didn't elaborate.
"We are attempting to resolve the manner to minimize any expense on behalf of the government, and there are issues that we are trying to resolve relating to any indebtedness to DPS," Andreoff has previously said, noting his client is accepting responsibility for his actions.

"He’s an older man;  he’s 74 years old. He has some major health considerations. This will be a horrible financial setback for him and his family."

Voting is beautiful, be beautiful ~ vote.©

Thursday, June 30, 2011

DOJ Busts Detroit Public Schools Kiddy Kickback Racket

Shout out to Barbara McQuade:
Image may contain: one or more people, people standing and suit
Barbara McQuade

You go, girl!!!!!!

Detroit Businesswoman Convicted of Defrauding the Detroit Public Schools 
A federal jury in Detroit returned guilty verdicts yesterday against a Detroit businesswoman for conspiracy to defraud the Detroit Public Schools (DPS) of $3.3 million and money laundering conspiracy, announced United States Attorney Barbara McQuade.
Ms. McQuade was joined in the announcement by Special Agent in Charge Andrew G. Arena, Federal Bureau of Investigation, and Special Agent in Charge Erick Martinez, Internal Revenue Service, Criminal Investigation.
Found guilty was Sherry Washington, 54, a partner in an entity doing business as “Associates For Learning.” The jury deliberated for about one hour and 20 minutes before returning the guilty verdicts after a two-week jury trial conducted before United States District Judge Paul D. Borman.
“These defendants exploited the Detroit Public Schools system and essentially stole $3 million that could have been spent on school children,” McQuade said. “We hope that this prosecution will discourage others from taking money that is intended to benefit students.”
According to the superseding indictment, Associates for Learning contracted with Stephen Hill, the former Executive Director of the Risk Management Department at DPS, to facilitate a wellness program for DPS employees, despite the lack of any bidding process or a written contract, in violation of DPS policies. The original proposal was for $150,000 for a six month pilot program. However, in 2005 and 2006 Associates for Learning submitted three inflated, fraudulent invoices to DPS, each for approximately $1 million, which DPS paid by electronic wire transfers. As part of the conspiracy, Hill was paid five percent cash kickbacks by members of Associates For Learning. Washington was also convicted of money laundering in an attempt to conceal the kickbacks.
Seven others charged in this case have all pleaded guilty for their roles in the conspiracy to commit program fraud by submitting fraudulent invoices to DPS for services and thereafter participating in making kickbacks to Hill. Those include Gwendolyn Washington, Marilyn White, and Sally Jo Bond, who were business partners of Sherry Washington’s; Duane Polk, Valerie Polk, Thomas Ray Taylor, and Stephen Hill The original indictment, returned on April 18, 2010, had also named former DPS Risk Management executive Christina Polk-Osumah, who died of natural causes on September 2, 2010.
Sentencings for the defendants are set for July and August.
The case was investigated by special agents of the FBI and IRS with the cooperation of Detroit Public Schools, Office of Inspector General. The case is being investigated and prosecuted by Assistant United States Attorney J. Michael Buckley of the Public Corruption Unit.

Tuesday, October 19, 2010

Beverly Tran Will Be Awarded With The Oveta Cup Hobby Award

Awards Recognize Accomplishments of Inspector General Community
Council of the Inspectors General on Integrity and Efficiency News
Release
October 19, 2010

Washington, DC - Eighty-five individuals and groups will be receiving
awards from the IG community for outstanding accomplishments. The
Council of the Inspectors General on Integrity and Efficiency (CIGIE),
which is bestowing the awards, will hold the ceremony on October 19,
2010. Pierre Thomas, ABC News Senior Justice Department Correspondent,
will deliver the keynote address.

The Honorable Jeffrey Zients, CIGIE Executive Chair and Deputy Director
for Management and Chief Performance Officer, Office of Management and
Budget, will present the IG community's most prestigious awards. The
Honorable Phyllis K. Fong, CIGIE Chair, and Mr. Carl A. Clinefelter,
CIGIE Vice Chair, will present the Awards for Excellence.

The 2010 Alexander Hamilton Award goes to the Department of Defense in
recognition of exceptional performance on a series of audits to
determine whether the Afghanistan Security Forces Fund was properly
accounted for and whether goods and services purchased with the fund
were properly delivered to the security forces. The award acknowledges
achievements in improving the integrity, efficiency, and effectiveness
of executive branch operations. It is considered the highest form of
recognition that the IG community can bestow.

Other special awards include the following:

* The Gaston L. Gianni, Jr., Better Government Award goes to the
Bernard L. Madoff Ponzi Scheme Investigative Team, Securities and
Exchange Commission, for their extraordinary efforts in expeditiously
conducting this investigation, which was critical to the improvements of
financial regulation and the protection of investors.

* The Glenn/Roth Award for Exemplary Service goes to the 2010
Census Oversight Team, Department of Commerce, for outstanding service
to Congress and the United States through exemplary planning,
coordination, and execution of a comprehensive review of the 2010
Decennial Census.

* The Sentner Award for Dedication and Courage goes to the
Treasury Inspector General for Tax Administration, in recognition of
dedication and courage in identifying, interdicting, and mitigating
potential threats directed at the Internal Revenue Service and its
employees. The award was named for William "Buddy" Sentner, III, a
special agent who was fatally shot in the line of duty

* The June Gibbs Brown Career Achievement Award goes posthumously
to Laurence A. Froehlich, Federal Reserve Board, in recognition of over
33 years of sustained exemplary service and dedication to the IG
community that enhanced the community's mission and values.

* The Award for Individual Accomplishment goes to Mark D. Jones,
Department of Agriculture, in recognition of outstanding service to
CIGIE for work in building a unified IG Council.

* The Barry R. Snyder Joint Award goes to the Introductory
Auditory Training Team for outstanding cooperative efforts in developing
and executing Introductory Auditor Training for the Inspector General
community.

*The Oveta Culp Hobby Award goes to Beverly Tran for her outstanding 
dedication and exemplary work in bringing Medicaid fraud in child 
welfare to the national agenda.

[This award, from what I have gathered, has not been handed out since the restructuring of the U.S. Department of Health and Human Services (formally known as Department of Health, Education and Welfare). I claimed it in hopes that CIGIE will honor me with it upon publication of my book.  I just decided to nominate myself to keep shoving the issues of Medicaid fraud in child welfare in the faces of the U.S. Department of Justice Office of Attorney General, U.S. Department of Health and Human Services Office of Inspector General, and the legal community to make it stop.]

In fiscal year 2009, the Inspector General community identified
potential savings of almost $44 billion as well as program efficiencies
and enhancements.  Could have been more if they went after Medicaid fraud in 
child welfare.

It successfully investigated individuals and entities
that threatened Government integrity and the public trust.  It is just now scraping the surface of Medicaid fraud in child welfare.


Cumulatively, these efforts resulted in $34.9 billion in potential
savings from audit recommendations; $8.9.billion from investigative
recoveries and receivables; more than 5,900 successful criminal
prosecutions; 6,201 indictments and criminal informations; 1,102
successful civil actions; more than 7,000 audit, inspection, and
evaluation reports issued; 4,485 suspensions or debarments; and 417,349
hotline complaints processed.  Everyone knows you do not get prosecuted and never contractually debarred for Medicaid fraud in child welfare, you just keep the money.  If you enter into a settlement agreement, those penalties are paid off the illegal profit of the Medicaid fraud in the first place.  So, any Corporate Integrity Agreement, in actuality, is nothing but a kiddy kickback through the DOJ because they stay in business, doing the same ol' thing, under a different name.  It's the too big to nail, too big to fail syndrome. 

The Inspector General Act of 1978 established units within many Federal
agencies to combat fraud, waste, and abuse and to improve the economy
and efficiency of program operations. The IG community has more than
12,600 audit, investigation, inspection, and other professionals at 69
OIGs.  Bring back the junkyard dogs!

CIGIE is composed of all IGs whose offices are established under section
2 or section 8G of the Inspector General Act of 1978 (5 U.S.C. App.),
those that are Presidentially appointed/Senate confirmed, and those that
are appointed by agency heads (designated Federal entities). Prior to
the establishment of CIGIE, the Federal IGs operated under the auspices
of two councils, the President's Council on Integrity and Efficiency and
the Executive Council on Integrity and Efficiency.

The ceremony will take place at the Andrew W. Mellon Auditorium, 13th
Street and Constitution Avenue NW, Washington, DC, at 10 am. The public
is invited; there is no charge to attend.  My award ceremony needs to take place next year.

For more information on the IG community, visit http://www.ignet.gov .
To obtain additional information on the awards or the ceremony or to
arrange interviews, please contact Don White, Office of Inspector
General, Department of Health & Human Services at 202-619-0088 or
donald.white@oig.hhs.gov .

For more information on the child welfare industry, visit Legally Kidnapped.


For more information on Medicaid fraud in child welfare, keep coming back...

Tuesday, January 3, 2012

Kiddy Kickbacks Is A Safe Harbor Of Stark's Law

Kiddy Kickbacks: n. The "safe harbor" provision of the federal anti-kickback statute which allows a contractor of a child welfare program to get away scott free when engaging in a Medicaid fraud scheme.



Sunday, October 27, 2019

Another Classic Michigan Model Of Stealin' - StoneCrest

StoneCrest Center
https://www.stonecrestcenter.com/
Why stop at Stonecrest?

Stonecrest is a classic, textbook example of a Corporate Shape Shifter.

Why not ask the privateers who issue "Marques of Quality Care"?



As seen here, in LARA, this operation would always slap a new sign on front of the building all the time.
Jason Foundation Inc.
http://jasonfoundation.com/
https://pdf.guidestar.org/PDF_Images/2018/621/714/2018-621714715-10853fd6-9.pdf

I used to talk to the administration of all the shell, foreign corporations that used to set up shop at that revolving  psychiatric institution which is known in dealing with youth.
CS  34976            The Jason Foundation, Inc.

Mailing Address: The Jason Foundation, Inc.
18 Volunteer Dr.
Hendersonville, TN 37075
Phone: (615)264-2323
Email: info@jasonfoundation.com
Website: www.jasonfoundation.com

ORGANIZATIONAL INFORMATION

Entity Type: Corporation State Established: TN Date Created: 10/01/1997
501(c)(3): Yes EIN: 62-1714715
Purpose Statement: PROVIDE EDUCATION AND AWARENESS PROGRAMS TO SUPPORT IN THE AID OF YOUTH SUICIDE PREVENTION.

FILING STATUS

Solicitation Registration Status Charitable Trust Registration Status
Registered - Expiration Date: 7/31/2020 Exempt

FINANCIAL INFORMATION
Data is taken from the organization's IRS return or, if no return
was filed, from its solicitation registration or financial statements.

Period Ending 12/31/2018
 
Total Revenue    $1,442,068.00
Total Expenses    $1,339,493.00
Revenue Less Expenses $102,575.00
Reports Filed    990/CPA Audit
 
Total Assets    $3,470,240.00
Net Assets    $3,298,092.00
 

Expense breakdown
                          % of Total
Expenses
      Charitable Programs
           Program Services $1,189,655.00 89.00 %
     
      Supporting Services      
           Mgt & General* $118,363.00 9.00 %
           Fundraising* $31,475.00 2.00 %
      Total Supporting Services $149,838.00 11.19 %    
=====================================================================
https://accreditnet2.urac.org//uracportal/Directory/CompanyView/2678

http://tmsearch.uspto.gov/bin/showfield?f=doc&state=4807:iwo4h.2.1

Approved US Government Supplier
This information appears* to relate to
URAC Approved Supplier For
US Government Supplier 
Ref
4LWF8 (CAGE code)
This is a unique identifier, and can also be accessed using the url https://opencorporates.com/identifiers/cage/4LWF8

Source US Federal Central Contractor Registration, http://www.acquisition.gov/
RELATED DATA
Company Addresses
COMPANY ADDRESS
1220 L ST NW STE 400, WASHINGTON, DC, 200054013

https://www.urac.org/



Interestingly enough, it seems URAC just activated its CAGE#.

I also like the fact that its Purpose of Registration is for All Award$.

Your registration was activated on Oct 07, 2019. It expires on Oct 06, 2020 which is one year after you submitted it for processing.
================================================================

ID Number: 801868371  
Summary for:  BCA OF DETROIT, LLC           
The name of the FOREIGN LIMITED LIABILITY COMPANY:   BCA OF DETROIT, LLC
   
Entity type:   FOREIGN LIMITED LIABILITY COMPANY
Identification Number: 801868371 Old ID Number: B94531

Date of Qualification in Michigan:   09/11/2008

Organized under the laws of: the state of Delaware
Purpose:

Term: Perpetual
           
The name and address of the Resident Agent:
Resident Agent Name: THE CORPORATION COMPANY <=== a foreign agent not registered under FARA because everyone is stealin' the children, land and votes in Michigan and attorneys have immunity...but not for much longer.
Street Address: 40600 ANN ARBOR RD E STE 201
Apt/Suite/Other:
City: PLYMOUTH State: MI Zip Code: 48170
Registered Office Mailing address:
P.O. Box or Street Address:
Apt/Suite/Other:
City: State: Zip Code:

When a youth would file one of those Recipient Rights Complaints, it was always tossed.

I know.

I used to talk to them.

Then I would file a grievance with Michigan, strictly for documentational purposes, only, because all they did was toss, or send me a gratuitous phone call, or dismissive missive, letting me know everything was status quo.

See, there are no civil rights in child welfare because it is all privatized under foreign corporate shape shifters who like to use LLCs because it is easy to dissolve, or bankrupt, or sell, gift, trust or something, right after you get the state grants. contracts and the fake ass Medicaid cost reimbursements because, more than likely, they took out some mortgages, DLA Small Business loan, TARP, then quiet titled, then mortgaged again, or some stealin' like that.

Let me check right quickly.

Yippers. 

I told you so.

Wayne County Treasury Property Tax Results <===Hot mess

01 01211831.01 15000 GRATIOT DETROIT A & H PHRMACY SERVICES INC
01 01211831.02 15000 GRATIOT DETROIT BERGEN BRUNSWIG DRUG COMPANY / LEASED TO:SCCI HOSPITAL OF DETROIT
01 01211831.10 15000 GRATIOT DETROIT ST. JOHN HOSPITAL
01 01211832.00 15000 GRATIOT DETROIT SARATOGA GENERAL HOSPITAL
01 01211832.01 15000 GRATIOT DETROIT UNIVERSAL HOSPITAL SVCS INC / SCCI HOSPITAL
01 01211834.01 15000 GRATIOT DETROIT SARATOGA MGMT INC
01 01211834.10 15000 GRATIOT DETROIT SKYTEL CORPORATION / PROPERTY TAX DEPT <=== Hey, what the hell is that?




01 21028489. 15000 GRATIOT DETROIT BCA REAL ESTATE HOLDING LLC
01 21028489-90 15000 GRATIOT DETROIT BCA REAL ESTATE HOLDING LLC
01 21991831.01 15000 GRATIOT DETROIT A & H PHARMACY SERVICES INC
01 21991831.02 15000 GRATIOT DETROIT BERGEN BRUNSWIG DRUG COMPANY / PMB 308,LEASED TO:SCCI HOSPITAL OF DETROIT
01 21991831.03 15000 GRATIOT DETROIT ZEVEX INC
01 21991831.04 15000 GRATIOT DETROIT ABRAMSON, SAMUEL M MD PC / A/K/A ST JOHN GRATIOT CENTER
01 21991831.05 15000 GRATIOT DETROIT SARATOGA URGENT CARE PC
01 21991831.10 15000 GRATIOT DETROIT ST JOHN HOSPITAL
01 21991831.15 15000 GRATIOT DETROIT TRIUMPH HEALTH CARE,TRIUMPH HOSPITAL OF DETROIT
01 21991832.00 15000 GRATIOT DETROIT SARATOGA GENERAL HOSPITAL
01 21991832.01 15000 GRATIOT DETROIT UNIVERSAL HOSPITAL SERVICES INC
01 21991833.10 15000 GRATIOT DETROIT COMPUTER SCIENCES CORPORATION / DBA: COMPUTER SCIENCES <====Dyncorp
01 21991834.01 15000 GRATIOT DETROIT SARATOGA MGMT INC

All they ever want is to turn a profit.

How is it one can turn a profit when engaging in the healing of a child?

Medicaid Fraud in Child Welfare, of course.

Oh, there are so many fraudulent billing scams that go on in child welfare.

I used to let them take me in their offices and show me everything, including voicing their grievances that Michigan will not do a damn thing for these children.

Many of the staff should not even be in the field of human services, ever, seriously, there should be some form of ethics involved when it comes to hiring practices in human resources... when it comes to human asset management for foreign, privatized, entities.

Remember, there are no civil rights in child welfare because it is privatized, where the foreign entity comes up with its own, self-reporting, of all the wonderful things they do for kids.

Luay Haddad & The Academic Journalism Secret Society Sucks

You can run fake ass studies.

You can run human lab rat experiments.

You can run kiddy kickback ops for your buddies who like to Praise the Lord alot.

Heck, you can even help run a fake ass mortgage program in Detroit to profit off human trafficking, funded by Medicaid Fraud in Child Welfare.

Just ask Bill Clinton.

As for LARA and the Corporate Shape Shifters, well, only Bill *Smooches* Schuette can tell that tale because Mike Cox was always up to something else.

You know what, what the heck, let's bring back the entire crew!

Janet Olszewski
Marianne Udow
Steve Yager
Verlie Ruffin
Jennifer Granholm
John Engler
Pete Hoekstra
Bill Johnson
Mary Rossman
Bruce Hoffman
Teri Tekai, <===DoD and of course, the Greatest State Attorney General in the world, because he restructured the office to be the most powerful Office of Attorney General in the United States, so bow down when you say, Frank Kelly, because I do.

Please note that these are just the first names that popped up after suffering from an episode of Post Traumatic Fraud Disorder.

State didn't investigate psych patient deaths after release from Detroit hospital

Lawmakers call for more review of post-release deaths


Notification of Death Report
LANSING (WXYZ) — Since 2017, at least four patients have died within two days of being released from StoneCrest Hospital, a private inpatient psychiatric facility in Detroit. Despite being notified of each of the deaths, state officials never investigated.

Officials with LARA, the Department of Licensing and Regulatory Affairs, say they’re not legally required to follow up on deaths like these, nor are they empowered to by statute. Today, in response to an investigation by 7 Action News, two state senators are calling for changes to ensure that post-release deaths are investigated.

RELATED: A Detroit psychiatric hospital released him Thursday, he took his life Friday

At 162 beds, StoneCrest is one of the largest private psychiatric facilities in the state. 7 Action News first investigated the hospital earlier this year, after one of its patients, Joe Sadlak, admitted to murder only two days after he was discharged.

He had been treated at StoneCrest for less than a week.

“You put my son on four different kinds of medication and knew his drug history,” said Pamela Rowley, Joe’s mother, “and you let him go.”

In Michigan, when a psychiatric patient dies within two days of being released from a hospital, the state requires the hospital to report it. Those reports come to the Department of Licensing and Regulatory Affairs.

In September 2017, StoneCrest reported that a patient came to its hospital after stating he “was not happy in his life and wanted to die.” After treatment, he was released and died shortly thereafter. StoneCrest reported the death to the state, listing the cause as “not known.”

Less than a month later, another patient came to Stonecrest after saying he wanted to “jump off a bridge.” Within 2 days of release, he was found dead in his bathtub with his throat cut. State officials from LARA didn’t investigate.

A third death would be reported the following July. A woman came to Stonecrest with a history of suicidal behavior. She was treated, released and—the next day—found dead in a river. The cause of death was listed as “unknown.” Again, state officials didn’t investigate.

Then, this past June, a 29-year-old Detroit man came to Stonecrest after displaying severe psychotic behavior. He was deemed well enough to be released, but took his life the next day.

“Did your office ask any questions about that?” asked Channel 7’s Ross Jones.

“Again, we’ve been doing our statutory requirement,” said Larry Horvath, the Director of the Bureau of Community and Health System at LARA

“Did you ask any questions about that?” Jones asked again.

“We required the report to be filled out,” Horvath said.

“And that’s it,” Jones replied.

“Yes,” Horvath said.

Officials asked no questions, according to a spokesman, because “LARA is not by law or rule required to follow up on these reported deaths,” nor—they say— does the law give them the express authority to. State watchdogs are empowered to investigate only deaths that occur in restraints, Horvath said.

The death reports are reviewed during regular inspections, but no investigations are launched. Horvath said he hopes hospitals use the reports to guide their treatment.

"If they're starting to notice a pattern with a cause of death that occurs have discharge, hopefully they're starting to work with their medical directors, their nursing staff, their social workers to put corrections in place to address it," he said.

“It’s inexcusable,” said Mark Reinstein, President and CEO of the Mental Health Association in Michigan. “To hide behind, ‘It’s not our legal responsibility.’ Well then whose is it?”

By law, LARA is required to report all psychiatric deaths reported to them to the state legislature. But they haven’t been, 7 Action News has learned, for at least the last three years. In August, prompted by our reporting, the state submitted reports for 2016, 2017 and 2018, though they did not include post-release deaths.

Following our questions, LARA changed the reporting requirements for post-release deaths—no longer requiring that deaths occurring within 48 hours of discharge be reported. Spokesman Jason Moon said changing the policy aligns LARA with state law, which doesn’t require notification of post-release deaths.

The decision stunned multiple mental health advocates, including Andrea Rizor, the Director of Advocacy for Michigan Protection and Advocacy Services,.

“It looks like they don’t want to know if it’s a suspicious death or not,” she said. "It doesn't make sense."

This week, in response to 7 Action News' findings, the Democratic leader in the state senate is calling for changes.

“Stories like these are deeply concerning, and as a state we should be doing all that we can to help stop these preventable deaths,” said Senate Minority Leader Jim Ananich (D-Flint). “The department should have the ability to identify concerning patterns, and if it requires a legislative fix to make sure they are empowered to do so, we will write the bill.”

Voting is beautiful, be beautiful ~ vote.©