$7.5 Million to Go Back to 25,000 Current and Former Home Health Aides — Some of Whom from Long Island — Who Were Allegedly Cheated out of Wages, Benefits
Two Brooklyn-based licensed home care services agencies (LHCSAs) – NAE Edison d/b/a Edison Home Health Care of New York, LLC and Assistcare Home Health Services, LLC d/b/a Preferred Home Healthcare of New York, LLC – and their former operators (Edison and Preferred) will settle with the New York Attorney General’s Office (OAG) and the U.S. Attorney’s office for $17 million for allegedly cheating more than 25,000 current and former home health aides from Long Island, New York City and Westchester out of their wages and benefits — a violation of the Wage Parity Act — and defrauding Medicaid.
As a result of the OAG settlement, Edison and Preferred will pay $7.5 million in unpaid wages to the employees and pay $9.75 million to the Medicaid program. Edison and Preferred have also entered into an agreement with the United States Attorney’s Office for the Eastern District of New York (EDNY) to resolve federal Medicaid fraud liability. This settlement is the largest reached by OAG for violations of the Wage Parity Act to date.
According to the OAG, the home health aide workforce is predominantly comprised of women who are often immigrants or people of color. Aides provide comprehensive in-home care to sick or homebound patients, doing everything from bathing, dressing, and grooming to feeding, lifting, and transporting patients who cannot do so themselves. The AOG also states that home health aides work long hours and at times can be subject to emotionally taxing treatment from patients struggling with their physical and mental health.
The New York Wage Parity Act was created to ensure home health aides receive fair compensation and benefits for their hard work. It sets wage and benefit minimums that LHCSAs are required to pay to staff who perform home health aide and personal care services to Medicaid recipients. Under the current law, LHCSAs must pay workers in New York City and Nassau, Suffolk, and Westchester counties a base wage of $18.55 per hour plus an additional $1.67 (in Nassau, Suffolk, and Westchester) or $2.54 (in New York City). The additional amount per hour can be paid in cash wages or in benefits such as paid vacation time. In order for LHCSAs to get Medicaid reimbursements for home care services provided to Medicaid recipients, they must comply with these minimum wage and benefit requirements.
The joint OAG and EDNY investigation found that Edison and Preferred failed to pay their home health aides the full benefits owed to them under the Wage Parity Act. Edison and Preferred used the wage parity funds required by law to benefit aides to instead purchase medical “stop loss” insurance, which is a type of insurance that acts as a safety net for employers that are paying for their employees’ medical claims. The joint investigation also revealed that individuals and entities related to Edison and Preferred received millions of dollars in dividend payments from this “stop loss” insurance, which effectively served as a means of siphoning away funds intended for employees. Edison and Preferred then continued to seek and receive payments from Medicaid for care performed by home health aides, while falsely representing that they were in compliance with the Wage Parity Act.
“Home health aides provide crucial care to our most vulnerable neighbors and loved ones, and they deserve to be paid for their hard work,” said Attorney General Letitia James. “Edison and Preferred cheated employees out of years of pay and cheated New York taxpayers by defrauding Medicaid for their own benefit. This is a tremendous victory for our ongoing efforts to protect hardworking New Yorkers’ rightfully earned wages. My office will do everything in our power to ensure that companies cannot steal wages and take advantage of the system. Thank you to U.S. Attorney Breon Peace for his continued partnership in rooting out Medicaid fraud.”
“Home health aides work long hours at difficult, often thankless tasks to ensure that the vulnerable individuals who they provide services to are properly cared for,” said U.S. Attorney Breon Peace. “These aides deserve the hard-earned benefits guaranteed them under the law and my office will ensure that they are accurately compensated.”