NY Home Health Agencies to Pay $17.25M for Medicaid Fraud and Wage Theft Settlement

October 2, 2024
NY Home Health Agencies to Pay $17.25M for Medicaid Fraud and Wage Theft Settlement
  • Edison Home Health Care of New York LLC and Preferred Home Health Care of New York LLC will pay a combined total of $17.25 million to settle allegations of Medicaid fraud and wage underpayment.

  • The settlement includes $7.5 million in back wages owed to over 25,000 current and former employees, alongside a $9.75 million payment to the Medicaid program.

  • This settlement marks the largest secured under the Wage Parity Act by the New York Attorney General’s Office and the U.S. Attorney’s Office for the Eastern District of New York.

  • The companies were found to have violated the New York Wage Parity Act, which mandates minimum wage and benefits for home health aides serving Medicaid recipients in specific counties.

  • They were accused of violating both federal and New York State False Claims Acts by failing to provide minimum wages and benefits to their home health aides.

  • Under the Wage Parity Act, home health aides are entitled to a base wage of $18.55 per hour plus additional benefits.

  • Home health aides, who are primarily women and many of whom are immigrants and people of color, perform essential tasks such as bathing, dressing, and feeding patients.

  • Investigations revealed that Edison and Preferred misallocated funds intended for wages and benefits, using them for improper expenditures like insurance.

  • Whistleblowers alerted authorities about the companies' practices, prompting the investigation and leading to the admission of wrongdoing by Edison and Preferred.

  • As part of the settlement, the agencies must implement policy changes, conduct employee training, and submit compliance reports for three years to avoid further penalties.

  • Attorney General James emphasized the importance of fair pay for home health aides, stating that the companies defrauded both employees and taxpayers.

  • The joint investigation was conducted by the Office of the United States Attorney for the Eastern District of New York and the New York State Attorney General’s Office.

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