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A newly unsealed lawsuit shows that Attorney General Dave Yost accuses health-care giant Centene and two subsidiaries of taking part in a conspiracy to wrongfully and unlawfully obtain . tens of millions of dollars in Medicaid payments meant to help the most vulnerable Ohioans.
Aside from seeking damages triple what Yost said was improperly taken, Yost proposes a potentially bigger blow: barring the three companies from participating in Ohio s federal-state Medicaid program, which could cost them hundreds of millions of dollars.
It s the most serious accusation yet in Ohio s drive to go after pharmacy benefit managers and related entities that have caused financial and legal headaches in Ohio for years especially related to the $3.9 billion allocated for prescription drugs under Medicaid, which provides health-care coverage for the poor and disabled.
Statehouse News Bureau
Parents advocate for more funding into multi-system youth programs in 2019. Ohio has started the OhioRISE program to meet the needs of those with serious mental health and behavioral health issues.
Ohio is launching a new program aimed at coordinating care for kids with complex mental and behavioral health issues. It s part of a plan to keep families intact while seeking treatment.
Children, teenagers, and young adults with severe mental health issues can often bounce from one agency or provider to another for the care they need. This is known as multi-system youth.
In some cases, parents have had to relinquish custody to qualify for funds needed for care or they had to send their children to a congregate care setting, like a group home.
Kris Tripplaar/Sipa USA
Centene Corp. criticized the Ohio attorney general for lacking a basic understanding of the state s $26 billion Medicaid program, claiming he wasted taxpayer time and money accusing Centene of overcharging the state by millions in drug costs. There are no secrets here; there is nothing that needs to be hidden or, in fact, that even justifies the filing of this lawsuit, Centene wrote in a federal court filing in Ohio on Friday.
In March, Ohio Attorney General Dave Yost sued Centene, alleging its Buckeye Health Plan subsidiary used a web of subcontractors to obscure drug costs and fleece the state s Medicaid program out of millions of dollars in pharmacy benefits. The suit was filed in the Franklin County Court of Common Pleas and is sealed.
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