• The California Department of Justice has sued Inland Empire Health Plan for allegedly submitting false claims to Medicaid.
• The lawsuit alleges IEHP misused funds and knowingly retained overpayments from California's Medicaid program, Medi-Cal.
• Prosecutors claim the organization wrongfully kept at least $320 million in federal funding that should have been returned.

The California Department of Justice filed a lawsuit Wednesday, Sept. 17, against Inland Empire Health Plan alleging the organization submitted false claims to Medi-Cal.

The complaint, filed in the Central District of California, alleges violation of the federal False Claims Act, according to the DOJ.

The organization contracts with California’s Department of Health Care Services to provide services to residents of San Bernardino and Riverside counties under state's Medicaid program, known as Medi-Cal.

"Today’s lawsuit against IEHP shows our steadfast commitment to hold accountable insurers that brazenly compromise the Medicaid system," Acting United States Attorney Bill Essayli said. "We will take every measure to restore integrity and accountability to the Medicaid system and ensure that patient care – not financial gain – is the primary focus of our health care system."

IEHP representatives could not immediately be reached for comment Wednesday.

What does the lawsuit against IEHP allege?

The federal lawsuit contends that IEHP submitted false statement to Medi-Cal and knowingly retaining overpayments,...

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