Attorney General Jeff Jackson announces $584,000 Medicaid fraud settlement with Greensboro treatment center. May 5, 2026 Attorney General Jeff Jackson announced on May 5 that his office has secured a $584,000 settlement to resolve allegations of Medicaid fraud involving Crossroads, a treatment center for substance use disorders in Greensboro. The case highlights ongoing efforts to protect taxpayer dollars and maintain the integrity of the Medicaid program. The investigation was prompted when Trillium Health Resources, a managed care organization, identified irregular billing patterns and referred the matter to state authorities. "This is the best-case scenario for addressing fraud and waste in the Medicaid program," said Attorney General Jeff Jackson. "A managed care organization flagged something that was out of pattern, we worked with our federal partners and the U.S. Attorney's Office for the Middle District to investigate, and the facility cooperated with us to resolve the issues and repay the Medicaid program. We're going to protect every single dollar taxpayer dollar to ensure it goes to taxpayer healthcare." First Assistant United States Attorney Mike DeFranco said: "False claims undermine the integrity of the Medicaid program and waste valuable taxpayer dollars. It is the mission of this to identify and hold accountable providers that seek to enrich themselves and defraud taxpayers by submitting such claims. Together with our partners at the North Carolina Attorney General's Office, we will continue to identify fraud and pursue justice on behalf of Medicaid." The allegations centered on Crossroads submitting claims between 2019 and 2023 for urinary drug testing without allowing physicians an option for lower-level tests, resulting in more complex - and more expensive - testing than necessary. Crossroads voluntarily closed its clinical laboratory in 2024. The North Carolina State Executive Attorney General acts as a state government entity authorized to handle legal matters on behalf of North Carolina; it provides services including legal representation, criminal prosecution support, consumer protection across all counties in North Carolina; it aims to prevent crime while assisting law enforcement agencies according to its official website. Jeff Jackson currently heads this office as attorney general. The federal and state False Claims Acts allow governments involved in these cases to recover triple damages plus civil penalties per false claim submitted. Authorities emphasized that these are civil allegations only; there has been no judicial determination or admission of liability by Crossroads. This case was investigated jointly by several agencies including NCDOJ's Medicaid Investigations Division (MID), which recovers funds lost due to provider fraud or patient abuse within facilities funded by Medicaid programs. Since its inception MID has recovered over $1.2 billion for North Carolina through restitution or penalties - with more than $41 million since 2012 allocated directly toward public schools.