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Hard fraudState · ArizonaCharged

$2.8 billion: Fake addiction treatment billed to Arizona Medicaid

Sham sober-living operators billed Arizona's Medicaid program for treatment that never happened, mostly targeting Native American patients.

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Arizona
  1. Fraudulent billing since 2021≈$2.8B1
  2. State indictments so far≈1401
  3. Convictions or settlements≈891
  4. Open investigations≈2001
  5. Victims in a class-action suit≈7,0001
  6. Behavioral health billing after the crackdownDown 92%2
  7. Recovered████████████████
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What happened

Operators recruited people, mostly Native Americans enrolled in Arizona's Medicaid program, with promises of housing and treatment. Then they billed for care that never happened. Some victims were kept from leaving.

Billing also listed people who didn't exist, people who had died, and children.

Why nobody caught it

  • After the state cracked down, billing under the behavioral health code fell 92 percent in two years, the attorney general said.

How sure are we?

Charged

Prosecutors filed charges. These are accusations; everyone charged is presumed innocent until proven guilty.

About 89 cases have ended in convictions or settlements. The rest are charges or open investigations. The $2.8 billion is the estimate officials have reported.

Sources

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