Important Reforms to Indiana Medicaid Addiction Recovery Programs

Important Reforms to Indiana Medicaid Addiction Recovery Programs

Fraud allegations against an Indianapolis drug rehab are prompting important reforms in Medicaid funding for addiction treatment.

Prosecutors have charged Kevin Calver of TRUTH Treatment Centers with 43 counts of fraud and one count of theft. They allege that Calvert fraudulently billed Indiana Medicaid for more than $2.7 million in addiction recovery and mental health services.

The allegations are inspiring legislators, industry regulators and healthcare providers to make significant and much-needed improvements to Medicaid-funded mental health and addiction treatment programs. 

Suspicious Activity Raises Alarms

On January 17th, 2024, the Family and Social Services Administration (FSSA) made a report to Indiana’s Medicaid Fraud Control Unit (MFCU). The FSSA had identified certain irregularities in the fraudulent bills Mr Calvert had allegedly filed, most notably that the listed physician in charge is an anesthesiologist from outside the state of Indiana

The anesthesiologist told investigators that he was surprised to see his name attached to the TRUTH Treatment Center claims and confirmed that the signature on these documents was not his.

Indiana Attorney General (AG) Todd Rokita directed the MFCU to investigate further and Mr Calvert was subsequently charged. His first appearance was held on October 29th, 2025.

Protecting Vulnerable Patients and Medicaid Integrity

AG Rokita explained that the aggressive action taken by the investigative unit was driven by a responsibility to protect Indiana’s resources from fraud. He highlighted that Medicaid funds are meant to help individuals from low income households get the medical and mental health care they need. This includes access to life saving addiction treatment

Rokita concluded by affirming that his team would continue to protect the vulnerable by ensuring that Indiana’s tax dollars go where they’re supposed to and called on the public to report suspected fraud to his office.

How Medicaid Oversight Protects Treatment Access

The MCFU’s investigation centered mainly on documentary evidence. Medicaid claims in Indiana have several requirements an applicant must fulfill, one of which is that treatment plans for mental health or addiction must be approved by a licensed professional (e.g, physicians, psychologists, etc.). 

These standards protect the integrity of the Medicaid claims process by requiring applicants to work with professionals with official recognition.

Not only was the physician’s information in the impugned documents allegedly falsified, but investigators also found that TRUTH had employed its own unlicensed graduates as counselors. In the wake of these events, those reliant on Medicaid can be assured that the AG’s office is involved in protecting the program from exploitation.

Affordable, Accredited Treatment Is Still Available

Despite isolated cases of fraud, Medicaid remains an essential pathway to low cost addiction treatment in Indiana and throughout the US. If you or a loved one needs help, affordable programs are available.

Explore accredited Medicaid funded addiction treatment centers in Indiana or call 800-914-7089 (Info iconSponsored) for immediate support.

Cost doesn’t have to stand in the way of recovery. High quality, low cost care is within reach. Start today.

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