CA-AG v. Prism Enterprises, Inc.

Prism Enterprises, Inc. allegedly filed false claims for payment to the Medi-Cal Program in relation to services for children and young adults with autism spectrum disorders; allegedly submitted claims for canceled appointments, no-shows, and rescheduled appointments from September 2016 to December 2019; according to CA-AG, Prism submitted claims for caregiver training sessions while the comment section in the patient’s medical record noted that the autistic child’s caregiver was out of the country on the dates the services were supposedly rendered.

Summary generated from official California Attorney General press release