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Between September 2006 and July 2010, in the Eastern District of New York and elsewhere, Oleg Kheyson and others participated in a scheme to defraud Medicare, a U.S. Government-sponsored health care program. It is alleged that during the time of the conspiracy and scheme to defraud Medicare, Best Equipment submitted fraudulent claims in the amount of approximately $1.28 million.

An Ohio man pleaded guilty yesterday to laundering approximately $3.4 million in illicit health care fraud proceeds through multiple regional banks on behalf of a transnational criminal organization (Organization). Read more on www.justice.gov Date:Aug. 14, 2026 Agency:U.S. Department of Justice Enforcement Types: Criminal and Civil Actions

HARRISBURG — Attorney General Dave Sunday announced that a Northampton County woman has been charged with neglecting a care-dependent woman under her care, which ultimately led to the victim’s death. Read more on www.attorneygeneral.gov Date:Aug. 10, 2026 Agency:State of Pennsylvania Enforcement Types: State Enforcement Agencies

(COLUMBIA, S.C.) – South Carolina Attorney General Alan Wilson announced that his office’s Vulnerable Adults and Medicaid Provider Fraud unit (VAMPF) has arrested Shelia L. Peeler, 51 years old, of Spartanburg, S.C. Read more on www.scag.gov Date:Aug. 10, 2026 Agency:State of South Carolina Enforcement Types: State Enforcement Agencies

(COLUMBUS, Ohio) — Indictments filed this week by the office of Ohio Attorney General Andy Wilson accuse six Medicaid providers of stealing a combined $558,383 from the government healthcare program for the needy. Read more on www.ohioattorneygeneral.gov Date:Aug. 13, 2026 Agency:State of Ohio Enforcement Types: State Enforcement Agencies

26-A-02-092.01 to CMS - Open Unimplemented Update expected on 02/12/2027 We recommend that the State agency improve its policies and procedures for monitoring MCOs' compliance with parity requirements, including: (1) collecting and reviewing supporting data from MCOs for their comparative analyses; (2) providing clear, uniform guidance to MCOs regarding maintaining and providing accurate and consistent data to support and complete their comparative analyses, and correcting issues of...

AGREEMENT PRESS RELEASE August 10, 2026 Published by the United States Department of Justice | View article on www.justice.gov Published by the United States Department of Justice | View article on www.justice.gov Veloxis Pharmaceuticals Inc., a drug manufacturer based in Cary, North Carolina, has agreed to pay over $46 million to resolve criminal and civil allegations that it paid kickbacks to induce prescriptions and purchases of Envarsus XR, a kidney transplant immunosuppression drug.

Why OIG Did This Audit Individuals seeking care for mental health and substance use disorder (MH/SUD) conditions often find that treatment operates in a separate, and often very disparate, system than treatment for medical and surgical (M/S) care, even under the same health insurance coverage. Federal statute and regulations prohibit coverage limitations that apply more restrictively to MH/SUD benefits than to M/S benefits; these are called parity requirements.

Why OIG Did This Review When Congress established average sales price (ASP) as the basis for reimbursement for Medicare Part B drugs (generally, drugs that are injected or infused in physicians’ offices or hospital outpatient settings), it also provided a mechanism for monitoring market prices and limiting potentially excessive payment amounts. The Social Security Act (the Act) mandates that OIG compare ASPs with average manufacturer prices (AMPs).

A Brooklyn man was sentenced yesterday to 18 months in prison for conspiring to launder more than $8 million in health care fraud proceeds through a U.S. bank on behalf of a transnational criminal organization (TCO). Read more on www.justice.gov Date:Aug. 12, 2026 Agency:U.S. Department of Justice Enforcement Types: Criminal and Civil Actions