An investigation by The Post has found that a New Jersey-based medical group engaged in questionable Medicaid billing worth $950 million. This involves home health care and adult day care services. Honor Health Network, which owns Broadway Respite and Home Care in Fair Lawn, reportedly billed $157 million from Medicaid for 89,000 unique patients over six years, per federal spending data. However, the county in question has approximately 20,000 elderly Medicaid recipients, based on data from Georgetown University.
One facility, Broadway Adult Day Care, allegedly billed Medicaid $40 million between 2018 and 2024 for 28,000 patients. A former Medicaid fraud investigator, who remained anonymous, reviewed the numbers and expressed concern, finding the billing patterns suspicious.
The home care industry consumes billions of Medicaid dollars yearly, funding care for homebound seniors. Federal authorities, including past Post investigations, indicate frequent scams. Two entities operated by Honor Health Network — Quality Healthcare and Quality Family Care in Brooklyn — allegedly billed $396 million from 2018 to 2024. Serena Abekassis, a former client, described substandard treatment from these agencies.
Concerns arise from observations that Broadway Adult Day Care and other entities use singular billing codes for massive numbers of claims, which could suggest fraudulent activity. Other organizations use multiple codes for various services, like transportation and memory care.
Broadway Respite and Home Care and its associated agencies have not been accused of any crimes. They did not respond to The Post’s repeated requests for comment.
Looking at Fair Lawn, the socioeconomic setting complicates the Medicaid eligibility narrative. Located in affluent Bergen County, the median household income here doubles that of typical Medicaid-eligible areas, like Flushing, Queens. The investigator pointed out that applicants are expected to meet low-income criteria, suggesting most would need to relinquish assets to qualify.
Honor Health Network asserts its operations encompass 20 agencies and multiple centers, serving over 15,000 patients across eight states. Yet, similar shady billing activities were found elsewhere in the network. First Horizons Home Health Care in Indianapolis billed $16.4 million using a single code, much higher than the median for that area. Families expressed concern about transparency in billing, with some claiming personal anecdotes of inadequate service.
During a visit to Broadway Adult Day Care, The Post noted healthy seniors actively engaging, contrasting with candid interviews of administrators empty on specifics of alleged mismanagement. The Post’s Chadwick Moore reported comments from Errol Seltzer, a former owner of the day care facilities, suggesting cash-driven motives over service provision.
Federal agents recently conducted raids targeting over 100 providers implicated in Medicaid fraud across Brooklyn, Queens, and Staten Island. These operations focused on suspected laundering and improper billing practices. Charges have surfaced against operators accused of fraudulently billing Medicaid for deceased or absent clients.