A staggering $1.5 billion in school-based Medicaid claims is under fire across states like New Jersey, Pennsylvania, and New York—raising alarms over inflated service reports tied to a consulting firm whose pay spiked with federal payouts. Audits reveal dramatic jumps in reported staff time for health services, casting doubt on legitimacy, with hundreds of millions flagged as improper and still unpaid—potentially forcing taxpayers to cover the tab.

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