Prism Behavioral Solutions has paid $650,000 to resolve allegations that it billed the state's Medi-Cal program for services to children with autism without actually providing care to the children.
SAN DIEGO — Prism Behavioral Solutions has paid $650,000 to resolve allegations that it billed the state's Medi-Cal program for services to autistic children without actually providing care to the children, according to a San Diego settlement agreement announced Monday.
The U.S. government and the State of California alleged that Prism violated the federal False Claims Act and the California False Claims Act by knowingly submitting false claims to Medi-Cal for medical services that Prism Behavioral Solutions did not perform from September 2016 through December 2019.
Under the settlement, Prism will pay a total of $650,000 to the state and federal governments, with California receiving a gross share of $390,000. The settlement is based on Prism's ability to pay, according to the U.S. Attorney's Office. "These allegations are shameful and these families deserved respect and dignity, not to be used to cheat state resources," he said."I am grateful to the U.S. Attorney's Office for their involvement in this investigation, which helped bring justice to these families and California taxpayers. My office will continue to hold accountable bad actors who hurt the health and well-being of Californians.
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