Violation Tracker Individual Record

Company: 
WellCare Health Plans Inc.
Current Parent Company: 
WellCare Health Plans
Penalty: 
$137,500,000
Year: 
2012
Date: 
April 3, 2012
Primary Offense: 
False Claims Act
Violation Description: 

WellCare Health Plans Inc. agreed to pay $137.5 million to the federal government and nine states to resolve four lawsuits alleging violations of the False Claims Act by falsely inflating the amount it claimed to be spending on medical care in order to avoid returning money to Medicaid and other programs in various states, including the Florida Medicaid and Florida Healthy Kids programs; knowingly retaining overpayments it had received from Florida Medicaid for infant care; and falsifying data that misrepresented the medical conditions of patients and the treatments they received.

Level of Government: 
federal
Action Type: 
agency action
Agency: 
Justice Department Civil Division
Civil or Criminal Case: 
civil
HQ Country of Parent: 
USA
HQ State of Parent: 
Florida
Ownership Structure of Parent: 
publicly traded
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
insurance; managed care
Source Notes: 
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.