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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Failing to Promptly Report Medicaid Fraud or Abuse

The Florida Agency for Health Care Administration fined Humana Medical Plan $3.4 million for violating a state law requiring the prompt reporting of Medicaid fraud or abuse. The fines included $2.7 million, at a rate of $1,000 each day per violation, for not disclosing the alleged fraud or abuse within 15 days, as required under the state’s HMO regulations. The second fine of $660,400, at a rate of $200 a day, was for violating the terms of its HMO contract with the state. The agency sent Humana two letters accusing the company of failing to disclose information it knew about suspected fraud and abuse by Medicaid providers dating back to September 2009. The state is reportedly investigating possible improper loans or financial assistance made by Humana to Florida providers and improper relationships among providers and company officials.

Misconduct Type
Other
Enforcement Agency
State/Local
Contracting Party
None
Court Type
Administrative
Disposition
Fine
Date of AHCA Letters
8/9/2011
Contractors Involved Penalty
Total
Humana $3,360,000
Further Information Released
AHCA Letters to Humana 8/26/2011

Federal Contractor Misconduct Database