© 2024 Lakeshore Public Media
8625 Indiana Place
Merrillville, IN 46410
(219)756-5656
Public Broadcasting for Northwest Indiana & Chicagoland since 1987
Play Live Radio
Next Up:
0:00
0:00
0:00 0:00
Available On Air Stations
Click here for LIVE Election Night coverage

Edgewater Systems agrees to pay $1.25 million in settlement over improper Medicaid claims

www.uscourts.gov

A Gary health care provider has agreed to pay the state and federal government $1.25 million, in a settlement over improper Medicaid claims.

The U.S. Attorney's Office says Edgewater Systems for Balanced Living repeatedly billed Indiana Medicaid for mental health counseling sessions without having an individualized integrated care Plan that had been signed by a physician or health service provider in psychology. That's despite the fact that Edgewater had been called out on that requirement during prior audits.

The U.S. Attorney's Office says Edgewater did provide the services, but claims that don't meet billing requirements are considered fraudulent claims under the False Claims Act.

Michael Gallenberger is a news reporter and producer that hosts All Things Considered on 89.1 FM | Lakeshore Public Media.