Prism Behavioral Solutions has paid $650,000 to resolve allegations that it billed the state’s Medi-Cal program for services to autistic children without actually providing care to the children, according to a San Diego settlement agreement announced Monday.
Prism provides treatment to children diagnosed with autism and other related disorders through therapy called Applied Behavioral Analysis. The company maintains a corporate address in Woodland Hills and provides services to patients throughout Southern California.
The U.S. government and the State of California alleged that Prism violated the federal False Claims Act and the California False Claims Act by knowingly submitting false claims to Medi-Cal for medical services that Prism Behavioral Solutions did not perform from September 2016 through December 2019.
According to a whistleblower’s complaint, filed in San Diego federal court in 2019, this included Prism Behavioral Solutions billing Medi-Cal for cancelled appointments.
Under the settlement, Prism will pay a total of $650,000 to the state and federal governments, with California receiving a gross share of $390,000. The settlement is based on Prism’s ability to pay, according to the U.S. Attorney’s Office.
“Prism had the important responsibility of supporting and caring for children and young adults with autism spectrum disorders,” said Attorney General Rob Bonta. “Instead of fulfilling its obligation to the families under its care, Prism is alleged to have...
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