$950M Medicaid Billing Fraud Investigation in NJ Senior Care Facilities

• •Honor Health Network billed $950 million in questionable Medicaid claims.
• •Broadway Respite and Care billed $157 million for 89,000 patients in a county with only 20,000 elderly recipients.
• •Allegations of inadequate care and substandard workers have been reported by former clients.

An investigation reveals that Honor Health Network, a New Jersey-based medical group, has engaged in $950 million of questionable Medicaid billing for health care and adult day care services. The Broadway Respite and Care facility alone billed $157 million for 89,000 patients over six years, despite the county having only about 20,000 elderly Medicaid recipients. Allegations from former clients describe inadequate care and substandard workers. The billing practices, which used only one code for over 2 million claims, raise red flags for potential fraud. Honor Health Network and its affiliates have not been formally accused of wrongdoing, and their representatives have not responded to requests for comment. The investigation highlights systemic issues in the Medicaid funding process, which is often targeted for fraud.