Secured Qui Tam Recovery Under New York False Claims Act

Represented a financial services client as the qui tam relator in a coordinated federal-state action against a multi-state Medicaid contractor. The matter combined New York's broad False Claims Act (State Finance Law § 187 et seq.) with parallel federal proceedings under 31 U.S.C. § 3729. The Government's intervention produced a coordinated settlement, substantial recovery for the client, and confirmation of the client's whistleblower status for related actions.

Investigation and Filing

The team led the relator-side investigation, building a documentary and witness record sufficient to support qui tam complaints in two jurisdictions. The work traced the defendant's claim submission patterns across multiple state Medicaid programs and reconciled internal documentation against publicly available billing data. Parallel complaints were filed under seal in state and federal court, with coordinated service on the New York Attorney General and the United States Department of Justice.

Coordinated Federal-State Proceedings

The matter required parallel coordination across federal and state investigative tracks. The team supported the Government's investigation across jurisdictions through targeted document production, witness preparation, and ongoing factual development. The client's institutional position provided a vantage point on the defendant's conduct that supported the Government's broader enforcement record.

Government Intervention and Settlement

The United States and the State of New York intervened in the qui tam action following the investigative period. The intervened proceedings produced a coordinated settlement resolving the defendant's federal and New York liability, with substantial recovery distributed to the relator under both statutory schemes. The settlement also confirmed the relator's whistleblower status for related actions, preserving standing on parallel claims arising from the same defendant's broader scheme.