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Medicaid & Medicare Fraud

Inves­ti­ga­tion by Paxton’s Med­ic­aid Fraud Con­trol Unit Leads to 17-Year Prison Sen­tence for Fraud­ster Phar­ma­cist and $4 Mil­lion in Resti­tu­tion for Opi­oid Diver­sion Scheme

Attorney General Paxton’s Medicaid Fraud Control Unit has successfully concluded an investigation that led to the conviction and sentencing of Anthony Obute, the owner and pharmacist in charge of Keystone Pharmacy in Houston.

April 20, 2023 | Press Release

Paxton’s Med­ic­aid Fraud Con­trol Unit Charges Hous­ton Cou­ple with $8.7 Mil­lion Fraud Scheme

Efforts by Attorney General Paxton’s Medicaid Fraud Control Unit have led to a Houston couple being charged in a multimillion-dollar health care fraud scheme.  

April 13, 2023 | Press Release

Paxton’s Office Inves­ti­gates and Suc­cess­ful­ly Pros­e­cutes Woman Who Attempt­ed to Defraud Med­ic­aid of Over $615,000

Attorney General Paxton’s Medicaid Fraud Control Unit secured a conviction for a woman who attempted to steal over $615,000 by submitting fraudulent reimbursement claims for services that were never provided.  

April 12, 2023 | Press Release

Paxton’s Med­ic­aid Fraud Con­trol Unit Helps Sen­tence For­mer Nurs­ing Facil­i­ty Man­ag­er to Ten Years in Prison for Steal­ing Over $300,000

An investigation by Attorney General Paxton’s Medicaid Fraud Control Unit has led to the sentencing, to ten years in prison, of Robyn Nicole Calica, a former business office manager at the Heights on Huebner nursing facility in San Antonio.

March 20, 2023 | Press Release

Inves­ti­ga­tion by Paxton’s Med­ic­aid Fraud Unit Results in $1.1M in Resti­tu­tion to Health Care Programs

An investigation by Attorney General Paxton’s Medicaid Fraud Control Unit has led to the sentencing for health care fraud of two individuals in federal court in Del Rio, Texas.  

February 27, 2023 | Press Release

Inves­ti­ga­tion by Paxton’s Med­ic­aid Fraud Unit Helps Lead to Arrest of Nine Indi­vid­u­als Accused of Dis­trib­ut­ing 1.5 Mil­lion Opi­oid Pills

As a result of a joint investigation by Texas Attorney General Ken Paxton’s Medicaid Fraud Control Unit, the DEA, FBI, the US Postal Service-Office of Inspector General, and the US Postal Inspection Service, nine individuals have been arrested in Houston for the unlawful distribution of 1.5 million opioid pills and other controlled substances.

February 13, 2023 | Press Release

Appeals Court Affirms Vic­to­ry for Paxton’s Med­ic­aid Fraud Divi­sion, Deliv­ers More Than $11 Mil­lion in Reme­dies for the State of Texas

Attorney General Ken Paxton has announced that the El Paso-based Texas Eighth Court of Appeals affirmed a lower court’s judgment against Dr. Richard Malouf, former owner of All Smiles Dental Center, for violations of the Texas Medicaid Fraud Prevention Act (TMFPA).

October 27, 2022 | Press Release

Pax­ton Recov­ers Over $165 Mil­lion in Tax­pay­er Funds, Pro­tects the Integri­ty of the Texas Med­ic­aid Program

Attorney General Ken Paxton announced the finalization of a substantial settlement with Centene Corporation and its subsidiaries that provide services to the Texas Medicaid program.

September 19, 2022 | Press Release

Paxton’s Med­ic­aid Fraud Con­trol Unit Helps Secure Indict­ment Against Two Indi­vid­u­als Accused of $6.9 Mil­lion Med­ic­aid Fraud and Kick­back Scheme

An investigation by the Texas Attorney General’s Medicaid Fraud Control Unit, the FBI, Department of Health and Human Services - Office of the Inspector General, and Customs and Border Protection has led to charges being brought against two Houstonians for their role in a nearly $6.9 million Medicaid fraud and kickback scheme.

August 29, 2022 | Press Release

AG Pax­ton Recov­ers $12.9 Mil­lion for the State of Texas Against Phar­ma Com­pa­ny for its Fraud­u­lent Reporting

Attorney General Ken Paxton resolved an enforcement action against pharmaceutical manufacturer Dr. Reddy’s Laboratories (DRL) for reporting inflated drug prices to the Texas Medicaid program. DRL will pay $12.9 million to settle the claims against it.

June 08, 2022 | Press Release