State of Alabama et al v. Oxford Emergency Medical Services Inc et al

In October 2018, the State of Alabama resolved a lawsuit against Oxford Emergency Medical Services, Inc. for allegedly submitting false claims to the Alabama Medicaid program. The state contended that from 2013 to 2017, Oxford EMS billed Medicaid for emergency ambulance transports when the patients did not meet medical necessity criteria for emergency-level service, thereby receiving higher reimbursements. The case was brought under the Alabama Medicaid False Claims Act. On October 19, 2018, the Alabama Attorney General announced that Oxford EMS agreed to pay $1.6 million to settle the allegations. The settlement recovered taxpayer funds and underscored the state's commitment to combating healthcare fraud.

The case was settled on October 19, 2018, with Oxford Emergency Medical Services agreeing to pay $1.6 million to the State of Alabama. The settlement included no admission of liability by the defendant.

Whether Oxford Emergency Medical Services knowingly submitted false claims for non-emergency transports by misrepresenting the level of service in order to obtain inflated Medicaid reimbursements.

The settlement reaffirmed Alabama's enforcement of false claims laws in the healthcare sector, served as a deterrent to ambulance providers against fraudulent billing practices, and ensured the recovery of taxpayer dollars for the state Medicaid program.