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Inglewood women charged in $2 million scam involving Lancaster, Long Beach and Carson drug treatment facilities

Two executives at a South Los Angeles company that offered substance abuse treatment were arrested Tuesday on nearly two dozen federal charges alleging they defrauded Medi-Cal by billing at least $2 million for ineligible services. Mesbel Mohamoud, 45, and her mother-in-law, Erlinda Abella, 63, were taken into custody without incident, according to the U.S. Attorney’s Office. A 23-count indictment returned by a Los Angeles federal grand jury last Thursday charges both Inglewood women with 21 counts of health care fraud and two counts of aggravated identity theft stemming from the scheme that allegedly ran from 2009 through 2015. Mohamoud is the owner and executive director of The New You Center, while her mother-in-law, who co-founded the company, is the firm’s program director. TNYC had contracts to provide medically necessary substance abuse treatment services through the Drug Medi-Cal program to adults and teenagers in Los Angeles County. The indictment alleges that TNYC submitted bogus bills for counseling sessions that weren’t conducted at all, were not conducted at authorized locations, or did not comply with Drug Medi-Cal regulations regarding the length of sessions or the number of patients. Mohamoud and Abella caused TNYC to bill for clients who didn’t have a substance abuse problem, to falsify documents related to services supposedly provided to clients, and to forge client signatures on documents such as sign-in sheets, the indictment alleges. The charges primarily involve services provided to girls residing at Dimondale Adolescent Care Facility group homes in Lancaster, Long Beach and Carson — facilities where TNYC was not authorized to provide counseling, according to the U.S. Attorney’s Office. Prosecutors allege that TNYC submitted more than $2 million in false and fraudulent claims for group and individual substance abuse counseling services and was paid more than $1.8 million based on those bills. Both defendants were expected to be arraigned Tuesday afternoon in Los Angeles federal court. If convicted as charged, Mohamoud and Abella each would face up to 10 years in prison for each of the 21 health care fraud charges. Additionally, there is a two-year mandatory sentence associated with each of the aggravated identity theft counts, prosecutors said. The Southern California News Group probed the insurer-funded, private-pay segment of addiction treatment and found that destitute and homeless addicts can be worth hundreds of thousands of dollars to unscrupulous rehab centers. Addicts often are bought, sold and exploited for their insurance payments, and the addiction industry is rife with kickbacks, drug use and fraud that bleeds millions from insurers’ and private pockets, the probe found. Some addicts are imported from other states with free travel and treatment “scholarships,” only to die in non-medical centers that would not be allowed to open in other states. Some are signed up for health insurance via Covered California with false information; treatment centers then pay the addicts’ premiums and bill insurance companies hundreds of thousands of dollars.

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The researchers adjusted their analyses of the impact of the gene variant to allow for these effects and those of other factors known to affect NAS. Dr. Wachman says, “We think that the newborns with the protective rs1799971 allele tolerate opioids better because the allele results in the production of fewer receptors to which the drugs can bind.” Previous studies have disclosed that the allele produces μ-opioid receptors that bind relatively strongly to one of the body’s natural opioids, β-endorphin. Because this binding reduces the number of receptors required to achieve adequate signaling strength within the brain’s opioid system, the brain produces fewer receptors. As a result, the fetal brain with the protective allele may be less affected by the drugs the mother takes during pregnancy. Accordingly, less morphine or methadone may be needed to manage neonatal withdrawal symptoms. The researchers’ analyses also discovered associations between an allele of SNP rs4680 in the COMT gene, reduced need for medical treatment for NAS, and shorter length of hospital stay. The protective COMT allele conferred roughly the same degree of protection against NAS as the protective OPRM1 variant. The researchers suggest that the allele, which substitutes guanine for adenine, eases infants’ transition from opioid dependence by increasing their tolerance for stress. Figure 2. Newborns With the rs1799971 SNP in OPRM1 Had Shorter Hospital Stays and Were Less Likely to Require NAS Treatment Newborns carrying at least one copy of the rs1799971 rare variant (G) of the OPRM1 gene required shorter hospital stays and fewer medications for NAS treatment than those carrying only the common variant (A). Genetic Markers for Individualized Treatments Dr. Jamie Biswas, Chief of NIDA’s Medications Research Grants Branch , says that both studies highlight the importance of genetic factors in determining the outcomes of treatments for substance abuse: “The findings could help explain why some people respond well to treatment while others do not. They could provide a rationale in clinical trials of substance abuse treatments for dividing subjects into groups based on the subjects’ genetic variants.” Dr. Jonathan M. Davis, lead investigator of the Tufts study, explains, “The incidence and severity of NAS symptoms vary widely among newborns and are not always related to the type and amount of drugs their mothers use.” If genetic variations can reliably predict whether an infant will have NAS, and its severity, then clinicians can use genetic testing to prepare appropriate treatment for opioid-exposed newborns. It might also inform adjustments in the treatment of expectant mothers’ opioid addiction to reduce the potential for severe NAS. Dr. Biswas notes that the large population size in the study by Dr. Clarke and colleagues adds to the reliability of its findings, whereas the smaller size of the NAS study by Dr. Wachman makes its findings only preliminary. private alcohol rehab near me

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Dr. Redonna Chandler Home » News & Events » News Releases » Dr. Redonna Chandler selected to lead AIDS Research Program at NIDA Dr. Redonna Chandler selected to lead AIDS Research Program at NIDA Dr. Redonna Chandler has been named director of the AIDS Research Program at the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health (NIH). In this role, she will be responsible for the development, planning, and coordination of high priority research on HIV and AIDS and drug use within NIDA and across other NIH Institutes. She will also oversee NIDA's annual Avant-Garde Award competition, which stimulates high-impact research that may lead to groundbreaking opportunities for the prevention and treatment of HIV/AIDS in drug users. Dr. mentalhealth Chandler’s new position marks a return to NIDA, where she previously served as the Acting Director for the Division of Epidemiology, Services and Prevention Research, as well as the Chief of the Services Research Branch. Most recently, Dr. Chandler was Deputy Director for the Division of Clinical Innovation (DCI) at the National Center for Advancing Translational Sciences, providing executive leadership for the Division’s scientific, financial, managerial, and administrative components. She also served as Senior Advisor at DCI where she led the formation and coordination of scientific initiatives and special projects within the Division designed to fulfill its translational science research mission. Dr. Chandler worked for the Department of Justice from 1996-2002, directing large drug treatment programs. Her areas of expertise include research with criminal justice system populations, clinical trials, improving adherence to drug use treatment and HIV care, and implementing evidence based treatments into routine practice settings. Dr. Chandler earned her Ph.D. in psychology from the University of Kentucky and is a licensed psychologist. As a clinician, she has treated those struggling with addiction use disorder and serious mental health issues.   Dr.