Probe Shows Regional Planned Parenthood Over-Billed Medicaid

An investigation by the Texas Attorney General's office has resulted in an order for Planned Parenthood Gulf Coast to pay $1.4 million for fraudulently over-billing Medicaid.

The agreement announced by the AG came as a result of a probe following a whistleblower lawsuit, one that the organization called "baseless" in a statement Wednesday, adding that they were ending the case "as a practical matter."

Planned Parenthood Gulf Coast is based in Houston and operates in numerous locations, including Bryan and Huntsville. Last week, its leaders announced an August closure of those operations.

According to the AG's office, investigators worked with the Texas Health and Human Services Commission's Office of the Inspector General. The findings: Planned Parenthood Gulf Coast failed to properly bill Texas Medicaid for services and products that weren't necessary, weren't covered, and weren't rendered. One example showed Planned Parenthood Gulf Coast falsified information in medical records to support fraudulent reimbursement claims, according to the AG's office.

The $1.4 million payment required by the agreement will, in part, go to the federal government, the AG's office noted. The whistleblower will also receive a portion.

“Planned Parenthood Gulf Coast is proud of the high quality health care we provide, and more than 50,000 Texans rely on us every year for essential, high quality prevention services," reads a statement provided by the organization. “The allegations in this complaint are baseless and we are ending this case as a practical matter. Continuing this litigation in the hostile environment for women’s health would have ensured a lengthy and costly process that would have distracted our energies and required us to share the private medical information of thousands of women. We are ending this lawsuit in order to devote all of our time and energy to delivering high-quality, affordable health care.”


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