A Virginia behavioral health services provider and its owner will pay $918,000 to settle allegations it submitted false claims to Medicaid and Tricare.
According to a Sept. 29 news release from the Justice Department, two former employees of Connex Family Services in Warrenton, Va., filed whistleblower lawsuits against the practice and its owner, Bianca Riddle.
The lawsuit alleged that between 2019 and 2021, the practice and Ms. Riddle submitted claims to Tricare and Medicaid for applied behavioral analysis services that were not provided. Connex provided behavioral analysis services to children with autism spectrum disorder.
As part of the settlement, Connex and Ms. Riddle will pay up to an additional $2.1 million if the company is sold within five years.
The claims resolved by the settlement are allegations only, and no determination of liability was made as part of the agreement.