Boston-based Public Consulting Group LLC (PCG) will pay $2.5 million to resolve allegations that it violated the False Claims Act. The case stemmed from a qui tam whistleblower complaint filed back in 2012; as part of the settlement, the whistleblower will receive 21% of the settlement amount from the U.S. government and $275,000 from PCG.
According to the settlement agreement, PCG is a company that “provides consulting and operational services for public sector health, education, and human service agencies and authorities.” The document states that as part of a contract with the State of New Jersey, PCG “provided administrative support for New Jersey’s Special Education Medicaid Initiative (“SEMI”) program. According to New Jersey’s website, “SEMI…and MAC (Medicaid Administrative Claiming) are school-based federal Medicaid Title XIX reimbursement programs.” Through these two programs, “participating public school districts are reimbursed a portion of the costs associated with providing health-related services to Medicaid-eligible students in their Special Education programs.”
The settlement agreement states that around the end of April 2012, the qui tam whistleblower filed a complaint alleging “that PCG and various New Jersey school districts made or caused to be made false claims in connection” with the SEMI program. The whistleblower alleged that “PCG caused local school districts to submit claims to the Centers for Medicare and Medicaid Services (“CMS”) for evaluation...
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