AI used in alleged Medicaid fraud scheme
An Arizona behavioral health provider is accused of using artificial intelligence to fake clinical documents while billing the state. FOX 10 Investigator Justin Lum reports.
An Arizona behavioral health provider is accused of using artificial intelligence to fake clinical documents while billing the state. FOX 10 Investigator Justin Lum reports.
Arizona behavioral health clinic suspended for allegations of Medicaid fraud, ties to terminated provider
Sacred Circles of Healing and Wellness faces an FBI investigation and suspension by AHCCCS over credible allegations of fraud, that include using AI to generate clinical notes and offering bonuses for client recruitment.
Sacred Circles of Healing and Wellness faces an FBI investigation and suspension by AHCCCS over credible allegations of fraud, that include using AI to generate clinical notes and offering bonuses for client recruitment.
Heard Health Care owner sent to prison
Arizona state authorities sentenced a healthcare business owner to prison for his involvement in a massive sober living fraud scheme that cost taxpayers billions of dollars.
Arizona state authorities sentenced a healthcare business owner to prison for his involvement in a massive sober living fraud scheme that cost taxpayers billions of dollars.
FBI investigating AZ behavioral health provider with alleged ties to CEO who ran suspended clinic
Internal emails reveal the FBI is probing Sacred Circles of Healing and Wellness, a provider on tribal land allegedly linked to a previously suspended operator.
Internal emails reveal the FBI is probing Sacred Circles of Healing and Wellness, a provider on tribal land allegedly linked to a previously suspended operator.
FBI probes Arizona behavioral health clinic
An FBI investigation is focused on a behavioral health provider on tribal land called Sacred Circles of Healing and Wellness. FOX 10's Justin Lum has the details.
An FBI investigation is focused on a behavioral health provider on tribal land called Sacred Circles of Healing and Wellness. FOX 10's Justin Lum has the details.
Arizona sober living fraud targets children, a dead tribal member
An advocate for victimized tribal members says Arizona officials missed major red flags in a multi-billion dollar scam. FOX 10's Justin Lum has the details.
An advocate for victimized tribal members says Arizona officials missed major red flags in a multi-billion dollar scam. FOX 10's Justin Lum has the details.
Sober living scandal: After $2.5B stolen, Arizona turns to AI to stop Medicaid fraud
Arizona officials launched the Alivia 360 AI tool to proactively block fraudulent billing after a predatory sober living scheme targeted Native American communities and defrauded taxpayers. FOX 10 Investigator Justin Lum learns more about what the tool can do, and when it can be expected to roll out.
Arizona officials launched the Alivia 360 AI tool to proactively block fraudulent billing after a predatory sober living scheme targeted Native American communities and defrauded taxpayers. FOX 10 Investigator Justin Lum learns more about what the tool can do, and when it can be expected to roll out.
Arizona Medicaid fraud: State deploys new AI tool to fight sober-living scheme
Arizona state officials have launched a new artificial intelligence tool called Alivia 360 to target behavioral health fraud that has cost taxpayers billions of dollars since 2020.
Arizona state officials have launched a new artificial intelligence tool called Alivia 360 to target behavioral health fraud that has cost taxpayers billions of dollars since 2020.
Arizona sober living crisis: 140 indicted in billion-dollar Medicaid scheme
Arizona Attorney General Kris Mayes announced 140 indictments in a massive sober living fraud scheme that targeted Native Americans and stole billions in taxpayer funds.
Arizona Attorney General Kris Mayes announced 140 indictments in a massive sober living fraud scheme that targeted Native Americans and stole billions in taxpayer funds.
Embattled Arizona health agency faces leadership change
Virginia "Ginny" Rountree announced her resignation Monday as director of the Arizona Health Care Cost Containment System, effective Feb. 13, citing personal health concerns just months after her September appointment by Gov. Katie Hobbs.
Virginia "Ginny" Rountree announced her resignation Monday as director of the Arizona Health Care Cost Containment System, effective Feb. 13, citing personal health concerns just months after her September appointment by Gov. Katie Hobbs.
AHCCCS Director steps down citing personal health concerns
The Arizona Health Care Cost Containment System (AHCCCS) Director, Virginia “Ginny" Rountree, has resigned after just months of being appointed to her position by Gov. Katie Hobbs.
The Arizona Health Care Cost Containment System (AHCCCS) Director, Virginia “Ginny" Rountree, has resigned after just months of being appointed to her position by Gov. Katie Hobbs.
Sober Living scandal: GOP state lawmaker proposes changes to American Indian Health Plan
"AHCCCS is not equipped to safely and effectively serve as an operational health plan for the American Indian Health Plan," said a Republican state lawmaker who made a big proposal.
"AHCCCS is not equipped to safely and effectively serve as an operational health plan for the American Indian Health Plan," said a Republican state lawmaker who made a big proposal.
Sober Living: AZ state senator proposes reform
In recent years, we have been covering the multi-billion dollar sober living scheme, and now, a member of the Arizona State Senate has proposed a bill that aims to combat waste. Not all, however, agree with the bill. FOX 10 Investigator Justin Lum reports.
In recent years, we have been covering the multi-billion dollar sober living scheme, and now, a member of the Arizona State Senate has proposed a bill that aims to combat waste. Not all, however, agree with the bill. FOX 10 Investigator Justin Lum reports.
Lawmakers press AHCCCS officials as behavioral health providers await payments
State lawmakers held a third oversight hearing with the new AHCCCS director regarding the recent massive Medicaid fraud crackdown.
State lawmakers held a third oversight hearing with the new AHCCCS director regarding the recent massive Medicaid fraud crackdown.
Full interview: Carmen Heredia of AHCCCS on massive Medicaid fraud scandal
The cabinet executive officer of Arizona?s Medicaid agency is opening up about the AHCCCS fraud scandal plaguing our state. It?s been nearly a year since Carmen Heredia took over as the head of the agency and she has spent the majority of that time trying to crack down on the fake rehab scheme targeting vulnerable people while bilking the state for nearly a billion dollars.
The cabinet executive officer of Arizona?s Medicaid agency is opening up about the AHCCCS fraud scandal plaguing our state. It?s been nearly a year since Carmen Heredia took over as the head of the agency and she has spent the majority of that time trying to crack down on the fake rehab scheme targeting vulnerable people while bilking the state for nearly a billion dollars.
The Sober Truth: Inside AZ's Medicaid scandal | Trailer
The Sober Truth: Inside Arizona's Medicaid scandal - streaming exclusively on FOX10Phoenix.com, Tubi, and FOX Local on Dec. 3 at 7pm MST. Get a preview of @jlumfox10's 30-minute special report, which includes exclusive stories that shed light on a scheme that transformed into a full blown sober living crisis.
The Sober Truth: Inside Arizona's Medicaid scandal - streaming exclusively on FOX10Phoenix.com, Tubi, and FOX Local on Dec. 3 at 7pm MST. Get a preview of @jlumfox10's 30-minute special report, which includes exclusive stories that shed light on a scheme that transformed into a full blown sober living crisis.
Fallout of sober living crisis on Phoenix streets
A sober living Medicaid scheme victimizes as many as 8,000 tribal members, leaving many displaced as fake rehab centers shut down. FOX 10 Investigator Justin Lum went on a ride-along with Navajo Nation Police for "Operation Rainbow Bridge" to confront the crisis head on.
A sober living Medicaid scheme victimizes as many as 8,000 tribal members, leaving many displaced as fake rehab centers shut down. FOX 10 Investigator Justin Lum went on a ride-along with Navajo Nation Police for "Operation Rainbow Bridge" to confront the crisis head on.
Sober living scheme: AHCCCS fallout continues as lawmakers question state officials on fraud
"People in these homes were being recruited off the streets and being supplied with drugs just so that they could keep billing. Many people that I was there with did not survive," said one woman during a state legislature hearing over the sober living scheme.
"People in these homes were being recruited off the streets and being supplied with drugs just so that they could keep billing. Many people that I was there with did not survive," said one woman during a state legislature hearing over the sober living scheme.
Sober Living Scheme: AZ fraud fallout continues
The sober living scheme that reportedly defrauded Arizona out of an estimated $2.8 billion was under scrutiny at the state capitol, as state politicians try to hold Arizona's Medicaid agency accountable. FOX 10 Investigator Justin Lum reports.
The sober living scheme that reportedly defrauded Arizona out of an estimated $2.8 billion was under scrutiny at the state capitol, as state politicians try to hold Arizona's Medicaid agency accountable. FOX 10 Investigator Justin Lum reports.
Sober Living Scheme: Patient broker sentenced
A man has been sentenced for funneling vulnerable Arizonans into behavioral health facilities in exchange for money.
A man has been sentenced for funneling vulnerable Arizonans into behavioral health facilities in exchange for money.