AHCCCS Fraud Defense Lawyers in Phoenix

Representation for Healthcare & Medicaid Fraud Charges

If you own a rehab, mental health, or substance abuse treatment center that has received notice of a pending fraud investigation involving the Arizona Health Care Cost Containment System (AHCCCS) – the time to act is now.

Investigations initiated in response to suspected waste, fraud, and abuse in state and federal healthcare programs pose immense risks to providers and owners of medical businesses. From program suspensions and large civil penalties to federal criminal charges and serious prison time, these regulatory actions must be handled promptly with the help of experienced legal representation.

At MayesTelles PLLC, our Phoenix AHCCCS fraud defense attorneys have the experience and resources to help providers and medical business owners launch an immediate response to investigations and federal charges involving healthcare fraud. We’re available 24/7 and work with clients across Arizona.

Call for a FREE and confidential consultation: (602) 428-7104

Regulators Crack Down on Medicaid Fraud Involving Group Homes, Treatment Centers that Serve Native Americans

Legal Alert: MayesTelles is representing a growing number of providers and medical business owners who are facing investigations and criminal charges related to alleged fraud within the Arizona Health Care Cost Containment System (AHCCCS). If you’ve been notified of an investigation, enforcement action, or criminal indictment, call our firm for immediate representation: (602) 428-7104.

As reported in the media, authorities have targeted hundreds of sober home and substance abuse treatment facilities across Arizona for allegedly operating criminal enterprises that take advantage of vulnerable Native Americans and defraud the state’s Medicaid program out of millions of dollars.

Numerous providers have already been hit with regulatory actions that suspend or terminate their participation in the AHCCCS, and many are expected to face criminal indictments. Here’s what you need to know if you own a practice or facility in this space:

• The investigation targets rehabs and treatment facilities. State and federal authorities from the Arizona Office of Attorney General, HHS-OIG, FBI, and other agencies are targeting hundreds of sober living homes/rehabs catering to Native American patients, as well as facilities that bill Medicaid for substance abuse, mental health, and behavioral health treatment services.
• This is a statewide investigation, with federal involvement. Authorities have confirmed that their investigation spans the entirety of Arizona and includes victims who are members of Native American tribes located in and out of state. And because providers are accused of healthcare fraud violations such as billing for services not rendered and billing for unnecessary services, federal regulators and authorities are involved.
• This is a high-priority investigation. Officials have estimated that fraudulent providers have cost AHCCCS, the state’s Medicaid agency, hundreds of millions of dollars in federal payments – making this a high-priority action that will likely produce sweeping inquiries and aggressive enforcement actions.
• Providers face serious penalties and prison time. In addition to regulatory enforcement actions that include repayment, suspension, and termination from Medicaid program participation, providers implicated in this investigation face considerable exposure to criminal prosecution for crimes that can come with long prison sentences.

Healthcare investigations are serious matters that create the potential for career-altering penalties. Further, these regulatory actions can quickly blossom into federal criminal cases when authorities refer them for prosecution – if they haven’t been already.

If you own a rehab or substance abuse/mental health treatment facility, you need to take immediate action to speak with qualified legal counsel. Our team at MayesTelles is standing by to discuss your case, options, and what we can do to help.

Defense Against Criminal Healthcare Fraud Charges

MayesTelles is an award-winning criminal defense firm backed by attorneys who have successfully handled thousands of criminal cases in state and federal courts across Arizona.

If you have been implicated in an investigation involving healthcare fraud or have already been indicted on criminal charges for fraud within the AHCCCS/Medicaid program or another federal healthcare program, we have the experience to help.

We defend providers and medical business owners against:

• Investigations involving state and federal authorities, including the Arizona Office of Attorney General’s Medicaid Fraud Control Unit, Department of Health and Human Services Office of Inspector General (HHS-OIG), and FBI.
• Federal charges for healthcare fraud, including Medicaid / AHCCCS fraud.
• False Claims Act (FCA), Anti-Kickback Statute (AKS), and Stark Law violations
• Billing violations, including billing for unnecessary services, billing for services not rendered, double billing, and more.

MayesTelles fields a team of top-rated defense attorneys with extensive experience representing clients in high-stakes proceedings involving federal crimes.

In addition to federal healthcare and Medicaid fraud, we have the resources to represent clients facing other related offenses, including federal drug charges and charges involving white collar crimes, money laundering, RICO Act violations, elder fraud, and human trafficking.

Comprehensive Counsel for Providers Facing Medicaid Fraud Investigations

Federal healthcare and Medicaid investigations are serious matters that demand the immediate intervention of experienced lawyers.

At MayesTelles, our Phoenix Medicaid and AHCCCS fraud attorneys provide the comprehensive counsel clients need to navigate these complex proceedings. Examples of our services include:

• Immediate involvement and counsel for regulatory audits and civil investigations, with a focus on mitigating exposure to criminal liability.
• Handling all communications between you and investigating regulators or authorities, including requests for information, document production, and interviews.
• Support for negotiating alternative resolutions, including outcomes that settle alleged violations and bring your business into compliance, negotiating civil or regulatory penalties in lieu of criminal charges, or reducing criminal penalties.
• Representation in state and federal courts against criminal charges that have already been filed, and support to develop customized defense strategies.
• Representation at trial, when necessary.

Call Now For a FREE Consultation: (602) 428-7104

Healthcare fraud investigations and criminal charges are time-sensitive matters that demand an immediate response – especially when they arise from high-profile investigations like the one currently being conducted for fraudulent rehab facilities that bill AHCCCS.

If you are a medical provider or an owner of a rehab or substance abuse treatment facility, our team at MayesTelles is immediately available to discuss your rights and options. For a FREE consultation with one of our Phoenix Medicaid fraud attorneys, contact us today.