Deschutes courthouse

Deschutes County Circuit Court

A Bend man and a residential care company he operated will repay the government $2.9 million for years of submitting false reimbursement claims to the Oregon Medicaid program.

Kevin Cox, 51, and At Home Care Group appeared recently in Deschutes County Circuit Court to settle allegations that for years the company altered caregiver schedules so the Oregon Department of Health and Human Services was billed for more hours of in-home care than were actually performed.

According to the indictment, between March 2013 and September 2018, a “high managerial agent” of At Home Care Group filed health care claims with the government that contained falsehoods.

Though the company was run by Cox, it was his business entity that pleaded guilty last month to two counts of the felony of making a false claim for a health care payment.

It agreed to serve 18 months probation. A more extreme penalty, however, is turning over the $2.9 million within 60 days. Of the total owed, $1.8 million will go to the federal government, and the remainder to the state.

At Home Care Group provided in-home medical and nonmedical care in the Bend area. The business was purchased by Onyx in January.

Corporate pleas are not unusual when a prosecutor cannot clearly show one person committed a crime, but can show that the company as a whole did, said Neil Evans, lawyer for Cox and At Home Care Group.

Under the terms of the civil agreement, Cox does not admit wrongdoing.

“Mr. Cox stepped up and took responsibility for acknowledging there was some money due to the state and ultimately, the feds,” Evans said.

The case was investigated by the Department of Justice’s Medicaid Fraud Unit. As part of the settlement, Cox and At Home Care Group will be excluded from participating in Medicare, Medicaid, and all other federal health care programs for eight years and 15 years, respectively.

On Aug. 26, a single hearing was held including arraignment, entry of plea and sentencing.

In a statement announcing the settlement, Attorney General Ellen Rosenblum said the COVID pandemic has placed an unprecedented strain on the health care system.

“There is never a time for Medicaid providers to enrich themselves with fraudulent schemes—but now is certainly not the time. This case shows you that we will work aggressively with our federal law enforcement partners to investigate and prosecute providers that victimize our most vulnerable Oregonians and the programs that serve them.”

Sign up for our Daily Headlines newsletter

Reporter: 541-383-0325,

(0) comments

Welcome to the discussion.

Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us. We'd love to hear eyewitness accounts, the history behind an article.