Here’s how the billing system works — and how state officials now claim NUWAY misused it. Under Medicaid rules, Group Treatment for Substance Use Disorder (SUD) is billed in one-hour units.

The company used a billing code that is for antigen testing ... Morrisey credited his office’s Medicaid Fraud Control Unit (MFCU) for chasing down the fraud. He recognized Investigator Kelley ...

A Virginia businessman was convicted of two counts of healthcare fraud related to a Medicaid billing scheme ... to bill the maximum allowable service units per day for Medicaid recipients.

"Companies are billing Medicaid for fake rides and ... the last year for which statistics were available, the Medicaid Fraud Control Unit in James' office recovered $73.2 million in settlements ...