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Feds reach huge settlements with Ventura County, providers over charges of false Medi-Cal claims

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Alexander Grey
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Unsplash
Department of Justice reaches huge settlement with Ventura County, three medical care providers over allegations of false Medi-Cal claims.

The U.S. Justice Department has announced $70 million in settlements with Ventura County and three major health care providers over allegations of false Medi-Cal claims being submitted.

In 2014, Medi-Cal was expanded to cover previously uninsured low-income adults without children. But, federal prosecutors say that the agencies in Ventura County received funding well beyond eligibility guidelines.

There were three separate settlement agreements. Ventura County will pay $29 million to the federal government. The Gold Coast Health Plan will pay $17.2 million. Clinicas del Camino Real will pay $11.25 million to the federal government, and $1.25 million to the state. And, Dignity Health will return $10.8 million to the federal government, and $1.2 million to the state.

Prosecutors say the learned of the issue through two former Gold Coast officials, who notified state and federal authorities.

Lance Orozco has been News Director of KCLU since 2001, providing award-winning coverage of some of the biggest news events in the region, including the Thomas and Woolsey brush fires, the deadly Montecito debris flow, the Borderline Bar and Grill attack, and Ronald Reagan's funeral.