Back to Top Skip to main content
Alert Arrow ALERT!!

There are emergency procedures in place for parts of world due to weather.

Get the latest information on emergency prescription refills and PCM referral waivers. 

Ten defendants charged in $100 Million TRICARE fraud scheme

Official TRICARE logo Official TRICARE Logo

Recommended Content:

TRICARE Health Program | TRICARE Pharmacy Program | Program Integrity

DALLAS — Special agents with the Federal Bureau of Investigation and the Defense Criminal Investigative Service (DCIS) arrested nine defendants this week in connection with their roles in a $100 million health care fraud conspiracy perpetrated against TRICARE, the health insurance program for members of the military and their families. A tenth defendant surrendered to the FBI. The defendants, including doctors, pharmacy owners, and marketers were charged in a 35-count superseding indictment returned last week in Dallas and unsealed this afternoon, announced U.S. Attorney John Parker of the Northern District of Texas.

"Exhaustive investigative work by FBI and DCIS special agents and investigators not only led to today’s arrests, but to the identification and seizure of millions in assets that these defendants derived from their participation in this massive scheme that caused the TRICARE health insurance program -- designed for our military personnel, veterans and their families -- to suffer more than $100 million in actual losses," said Parker.

"Today’s arrests helped to alleviate the burden on the American taxpayers from an organized group determined to commit fraud within the healthcare industry, principally, the TRICARE system," said Acting Special Agent in Charge Michael A. Costanzi of FBI Dallas. "This joint effort by the Dallas FBI and DCIS is one of many successful law enforcement partnerships forged to dismantle healthcare fraud groups."

"The indictments and arrests in this investigation highlight another step forward by DCIS and its law enforcement partners to protect the integrity of the Department of Defense (DoD) health care program known as TRICARE," said Special Agent in Charge Janice M. Flores, of the DCIS Southwest Field Office. "Fraud and abuse by pharmacies and medical providers that bill for compounded prescriptions and/or medications is a significant threat to the DoD health care system. With DoD’s limited resources and budgets, DCIS must continue to aggressively investigate fraud, waste and abuse to preserve and recover precious taxpayer dollars for our most vulnerable programs."

Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

You also may be interested in...

TRICARE Open Season 2018

Video
9/19/2018
TRICARE Open Season 2018

TRICARE is establishing an open enrollment season. Watch this video to learn more about what this means for your TRICARE benefit.

Recommended Content:

TRICARE Health Program

Join TRICARE for September 27 webinar on new dental, vision coverage

Article
9/17/2018
Retirees, retiree families, and active duty families are eligible for FEDVIP vision coverage. (U.S. Air Force photo by Senior Airman Jason J. Brown)

Retirees, retiree families, and active duty families are eligible for FEDVIP vision coverage

Recommended Content:

TRICARE Health Program

TRICARE DisasterKit 2018

Infographic
9/14/2018
This infographic provides suggestions on items you'll need in the event you have to evacuate your home during a disaster

This infographic provides suggestions on items you'll need in the event you have to evacuate your home during a disaster

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

Voluntary drug recall alert: Valsartan

Article
9/14/2018
Take Command of your health

In July, the FDA issued a voluntary recall of Valsartan, which is used to treat high blood pressure and heart failure

Recommended Content:

TRICARE Health Program

TRICARE Disaster Resources 2018

Infographic
9/12/2018
This infographic provides links to various resources you might need in the event of a disaster.

This infographic provides links to various resources you might need in the event of a disaster.

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

MHS Before A Disaster 2018

Infographic
9/11/2018
This infographic provides a list of items you should have on hand in your basic disaster supplies kit in the event a disaster does strike.

This infographic describes the items you should have on hand in a basic disaster supplies kit, in the event that a disaster should strike.

Recommended Content:

TRICARE Health Program | Emergency Preparedness and Response

Retiring from active duty 2018

Video
9/10/2018
Retiring from active duty 2018

Watch this video to learn more about your TRICARE options when you retire from active duty

Recommended Content:

TRICARE Health Program

2019 Monthly Premium Rates for TRS, TRR, and TYA

Policy

Policy Memorandum to Establish 2019 Monthly Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, and TRICARE Young Adult

Retiring from active duty? Take action, make an enrollment choice

Article
8/29/2018
When you retire from active duty, you and your family have a change in status. (U.S. Marine Corps photos by Cpl. Cristian L. Ricardo)

When you retire from active duty, your TRICARE plan options will change

Recommended Content:

TRICARE Health Program

TRICARE Access during an evacuation or natural disaster

Article
8/23/2018
Take Command of your health

Having a disaster preparedness plan for you and your family is a great way to help keep you safe

Recommended Content:

TRICARE Health Program | Humanitarian Assistance and Disaster Relief | Emergency Preparedness and Response

How to choose or change your TRICARE provider

Article
8/17/2018
Take Command of your health

When you enroll in TRICARE Prime, you either choose or get assigned a PCM who will manage all of your routine, non-emergency, and urgent health care.

Recommended Content:

TRICARE Health Program

DHA PI 6025.08: Pharmacy Enterprise Activity EA

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI): a. Based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (g), establishes the Defense Health Agency’s (DHA) procedures to: (1) Exercise management responsibilities for Pharmacy Shared Service/EA functions in the Military Health System (MHS). This DHA-PI is binding on the MHS and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by DHA. (2) Recognize the Pharmacy Work Group (PWG) as the operational body to implement pharmacy strategies and programs per the Director’s, DHA, guidance. Also, develop strategic initiatives and business process models to optimize pharmacy operations and programs in accordance with Reference (e). (3) Promulgate guidance, define roles, assign responsibilities, and prescribe procedures for the development, coordination, execution, and implementation of standardized Pharmacy Operations and EA procedures within the MHS and Military Departments (MILDEPs). (4) Execute Pharmacy EA assigned responsibilities and functions, and in accordance with Reference (b), when needed, rely on advice and assistance of governance councils established by the Under Secretary of Defense for Personnel and Readiness and the Assistant Secretary of Defense for Health Affairs (ASD(HA)), including senior representatives of the MILDEPs. (5) Provide DHA combat support agency pharmacy functions, in accordance with Reference (b), specifically involving support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. National Security. The Pharmacy EA innovatively manages and standardizes DoD pharmacy operations in a fiscally responsible manner to optimize readiness, improve health, and lower costs through better care. (6) Support baseline knowledge, skills, and abilities for each wartime pharmacy specialty, addressing gaps between peacetime and deployed operational requirements, in collaboration with the MILDEPs, and military Medical Treatment Facility (MTF) pharmacies. (7) Support programs for skills and knowledge assessments and provide for training/retraining opportunities, as needed, for each wartime pharmacy specialty for military MTF pharmacies. (8) Empower enterprise-level pharmacy clinical communities to define, prioritize, and implement “best-in-class” High Reliability Organization practices to enable readiness through decreasing variation, improving outcomes, and positively impacting healthcare in the MHS. (9) Support the scaling and reconfiguring of pharmacy capabilities required to support the forward operating environment; e.g., hospital ship, combat support hospitals, Expeditionary Medical Support. The Services’ Surgeons General will have deployed medical mission command over health services support of pharmacy resources and capabilities at various levels of command and at diverse locations. b. Transforms varied Tri-Service Pharmacy Operations approaches into a single, integrated DHA Pharmacy Program that standardizes pharmacy shared services and optimizes business processes as directed by the National Defense Authorization Act for Fiscal Year 2017, Section 702 (Reference (c)). c. Drives standardization of institutional and operational commands, sustains and improves medical readiness, creates value within the MHS, and achieves interoperability across platforms to deliver better health care to the warfighter, MHS beneficiaries, and build a medically ready force.

Protect your family from Lyme disease this summer

Article
8/3/2018
Every year, roughly 30,000 Americans contract Lyme disease from a blacklegged tick. (CDC photo)

The best way to prevent Lyme disease is by avoiding ticks.

Recommended Content:

TRICARE Health Program | Bug Week 2018: What's the Buzz All About?

TRICARE Open Season 2018

Infographic
8/2/2018
This infographic provides detailed information about TRICARE's upcoming Open Season

This infographic provides detailed information about the upcoming TRICARE Open Season

Recommended Content:

TRICARE Health Program

Print PSA: Did You Know? TRICARE Open Season

Infographic
8/2/2018
Did you know that TRICARE's Open Season begins November 12?

Did you know that TRICARE's Open Season starts November 12?

Recommended Content:

TRICARE Health Program
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 17

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.