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Violation Tracker Individual Record

Company: CenCal Health
Penalty: $49,500,000
Year: 2023
Date: June 29, 2023
Offense Group: government-contracting-related offenses
Primary Offense: False Claims Act and related
Mega-Scandal: Healthcare Billing Abuses
Violation Description: California Attorney General Rob Bonta, in partnership with the U.S. Department of Justice (USDOJ), announced four settlements totaling $68 million against three health care providers and a public health agency, all based in Central and Southern California. The agency is CenCal Health and the providers are Community Health Centers of the Central Coast (CHC), Cottage Health System (Cottage), and Sansum Clinic (Sansum). The settlement resolves allegations that CHC, Cottage, Sansum and CenCal Health submitted or caused the submission of fraudulent claims to Medi-Cal in violation of the state and federal False Claims Acts. The submissions are alleged to be part of an organized scheme to wrongfully retain federal funds that funded Medi-Cal's Adult Expansion, a program to broaden Medi-Cal benefits that was made possible under the Affordable Care Act (ACA).
Level of Government: state
Action Type: agency action
Agency: California Attorney General
Civil or Criminal Case: civil
Facility State: California
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.