Journal: Idaho Provider Billed Medicaid For Phantom Services


Saying an eastern Idaho caregiver improperly billed the state for more than $400,000, the Idaho Department of Health and Welfare has pulled the plug on Medicaid payments to Chubbuck-based Seasons of Hope.

The Idaho State Journal reports that the mental health provider—with offices in Chubbuck, American Falls, Burley, Blackfoot, Idaho Falls, Preston and Twin Falls—laid off 100 employees this past week after its Medicaid provider status was suspended by the state.

The Journal reports that Health and Welfare began investigating Seasons of Hope's billings from June 2010 through January of this year. The probe concluded that the provider had billed for noncovered services, billed for services not provided, billed for medically unnecessary services and did not provide proper documentation.

Most importantly, Seasons of Hope has been ordered to pay back $439,000 to the state, in addition to a $110,000 penalty.