Thursday, August 17, 2023

Couple to Repay $315,380 in Medicaid Claims

 The Justice Department issued the following statement. 

U.S. Attorney Darren J. LaMarca announced today that Manjit Kaur (Kaur) and Gurmej Singh (Singh) have agreed to pay $315,380 to resolve allegations that they knowingly falsified their income to unlawfully create eligibility for Mississippi Medicaid health care benefits for their dependents. 

The Medicaid Program is a state and federally funded health benefit program intended to assist low-income individuals and families. The Mississippi Division of Medicaid (MDOM) is the single state agency responsible for administering these health care benefits for eligible Mississippians.  Eligible members do not directly receive money from Medicaid for health benefits.  Instead, enrolled and qualified Medicaid providers are reimbursed for health services. 

The United States contends that Kaur and Singh did not meet Medicaid’s low-income requirements and thus were not eligible to receive Medicaid reimbursed health benefits for their dependents.  According to the United States, husband and wife Kaur and Singh collectively owned and/or were associated with at least 15 convenience store/gas station/wine stores located in Mississippi.  Kaur and/or Singh intentionally omitted these multiple businesses from their health benefit applications.  Kaur and Singh also own an 8,804 square foot home located in Madison, Mississippi, most recently valued at 2.25 million dollars. 

Despite these assets, the United States alleges that Kaur and/or Singh represented on various Mississippi Medicaid health care benefit applications and renewals that Kaur was the sole source of income from one business receiving approximately $1,500 per month.  In addition, Kaur and/or Singh represented that Singh was not residing in the home or contributing to the household income.  As such, the United States alleges that from January 1, 2016, to December 22, 2022, Kaur and Singh caused the MDOM to pay $157,690 in federal health care coverage benefits on behalf of ineligible recipients.  

“The Medicaid Program is intended to provide access to quality health coverage for our most vulnerable populations in Mississippi,” said U.S. Attorney Darren LaMarca.  “Our office is committed to uncovering individual fraudsters and protecting the funding for eligible Mississippians and their families.” 

The FCA claims settled are allegations only, and there has been no determination of liability.  This case was investigated by the U.S. Department of Health and Human Services, Office of the Inspector General, and supported by the MDOM and the Mississippi Attorney General’s Office, Medicaid Fraud Control Unit.

 

12 comments:

Anonymous said...

So that's it? They repay and all is forgiven? This flunks the smell test.

Anonymous said...

Also this kind of seems similar but a different convenience store mogul but also with a big house in Madison:



"Jackson, Miss. - Darren J. LaMarca, United States Attorney for the Southern District of Mississippi, announced today that Manpreet Kamboj and Gurdev Kamboj (aka David Singh) have agreed to pay $130,000 to resolve allegations that they knowingly falsified income to unlawfully create eligibility for Mississippi Medicaid health care benefits for their dependents.

The Medicaid Program is a state and federally funded health benefit program intended to assist low-income individuals and families. The Mississippi Division of Medicaid (MDOM) is the single state agency responsible for administering health care benefits for eligible, low-income individuals in Mississippi.

Despite Medicaid’s low-income requirement, the United States contends that Manpreet Kamboj and Gurdev Kamboj collectively owned and/or were associated with 48 convenience store/gas stations located in Mississippi and Louisiana. The Kambojs also own a five-bedroom 7,850 square foot home located in Madison, Mississippi, most recently valued at 1.3 million dollars.

According to the United States, the Kambojs falsely represented on various Mississippi Medicaid health care benefit applications and renewals that one of them was unemployed and that the household derived income from one convenience store/gas station. As such, the United States alleges that from August 29, 2011, to February 28, 2022, the Kambojs caused the MDOM to pay over $70,000 in health care coverage benefits to which they were not entitled. "

https://www.justice.gov/usao-sdms/pr/medicaid-recipients-agree-pay-130000-resolve-false-claims-act-allegations-health-care

Anonymous said...

I notice no mention of criminal prosecution- what gives?

Anonymous said...

waiting for the article on the Zoo finally (hopefully) closing. Cmon KF

Anonymous said...

The state frauditor charges Medicaid one million per year for sham single audit. Sue for that waste and abuse back

Anonymous said...

Once again, El Kingfisher refuses to allow an open, honest, truthful post about this broader cartel.

These people are all about cash, unreported income, money laundering, wage-hour and other federal law violations and running multiple sets of books in venues of multiple industrial classifications - Hotels, motels, fast food, gas stations, convenience stores, health care, restaurants.

It's not only a local, but a nationwide network.

Anonymous said...

That’s not much of a deterrent to fraud crimes. Steal $300,000+ and the worst thing that happens if you get caught is you have to pay it back.

Kingfish said...

Feds do this all the time, especially at the SEC. File charges or sue, demand repayment, work out settlement, no admission of guilt nor prosecution.

Anonymous said...

5:26 110% correct. I won't do business with them as they are all about gaming the system. They buy and sell said businesses every few years to family or friends in the same circle for the tax breaks.

Anonymous said...

Read it again August 18, 2023 at 8:36 AM. They stole "$157,690 in federal health care coverage benefits" yet had to pay back $315,380. That means Uncle Sam spanked them with civil penalties too. Hit that wallet hard. A criminal trial would possibly have cost taxpayers way more than what they stole. I'll take giving the $315,380 back to the US Treasury any day.

Anonymous said...

Not only that 9:23, but they also come in suddenly, having 'acquired' a gas station, failing motel or restaurant, take inventory, set up, run off all the long-time employees, install family members of the cartel, put up iron bars on the windows, trash the bathrooms and never speak to a customer.

I suppose they consider it 'the American dream'.

They despise Anglo Saxon European White Americans but feast on our customer base. I won't stop there either.

Anonymous said...

@ 3:37 - Since when is pursuing the administration of Justice determined by the cost of the process?

You seem to advocate abandoning the process if it costs money to prosecute.

So, to summarize: The same people who favor building a scaffold for an ex-governor and ex-football player...advocate letting these cartel members off with a monetary penalty.

Surely you know 'the cartel' has unlimited financial resources here and abroad. It's akin to fining Mexican drug-runners half a mil for inundating this country with fentanyl - while knowing they're making billions.

This crap will never get the attention of the Indian Cartel unless they are put in federal prisons.


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