A Bend, Oregon resident and his residential care company have agreed to pay $2.9 million to settle allegations by United States and the State of Oregon that the company submitted false reimbursement claims to the Oregon Medicaid program. Kevin Cox, 51, and At Home Care LLC, doing business as At Home Care Group (AHCG), will pay $1.86 million to the United States and $1.04 million to the State of Oregon. AHCG also waived indictment and pleaded guilty in Deschutes County Circuit Court to two counts of making a false claim for healthcare payment. AHCG provided in-home medical and non-medical care to individuals in Oregon. The United States and State of Oregon contend that, between March 2013 and September 2018, AHCG altered caregiver scheduling calendars and billed the Oregon Medicaid program for hours of in-home care not actually performed. As part of the settlement, AHCG and Cox will be excluded from participating in Medicare, Medicaid, and all other federal healthcare programs for 15 and 8 years, respectively.
