D1-00002 Glendale, CA

This is a group of six home health agencies, five of them listed in Burbank, California, and one listed in Los Angeles, California. Three of the companies were incorporated between December 11, 2020 and December 23, 2020, and two of the providers were formed in 2021 or later, giving a median company age of 5.7 years. As many as five of them share a single address, and one of them, Medaid Home Health, sits in the same building as Glencare Hospice Services, Inc, which appears on the Medicare revocation list with an action dated September 4, 2024. The providers took in 1,673,694 dollars in Medicare hospice and home health payments in 2023 and submitted no Medicaid billing in 2024, so the money seen so far is on the Medicare side. The county already has 21.2 providers of this kind per 10,000 Medicare fee for service beneficiaries, above the national norm, and that saturation rose 40 percent over three years.

1. 01The cluster consists of six providers around Burbank, California, all six of them home health agencies, with a network score of 89 of 100 and a national rank of 2. records 1
2. 02Three separate companies in the group were incorporated within one 90 day window, between December 11, 2020 and December 23, 2020, and one named member, Horizon Aid Inc, is recorded with an incorporation date of December 23, 2020. records 2, 18
3. 03Up to five providers share one address, and the measure for most providers at one building is 5, placing the network in the top 8 percent in the risky direction. records 3, 11
4. 04Medaid Home Health is in the same building as Glencare Hospice Services, Inc, which appears on the Medicare revocation list with an action dated September 4, 2024, and in all five providers here share an address with a revoked or excluded entity; the related factor reading is 2.5, in the top 8 percent in the risky direction. records 4, 9
5. 05Two of the providers were formed in 2021 or later, the median company age is 5.7 years, in the top 4 percent in the risky direction, and named member Expert Care is recorded with an incorporation date of June 29, 2021. records 5, 7, 15
6. 06The county has 21.2 providers of this kind per 10,000 Medicare fee for service beneficiaries, above the national norm, a reading in the top 5 percent in the risky direction, and county saturation changed 40 percent over three years, in the top 8 percent in the risky direction. records 6, 8, 10, 13
7. 07The providers received 1,673,694 dollars in Medicare hospice and home health payments in 2023 and billed no Medicaid in 2024. records 14
8. 08Each of the six named members is recorded with no Medicaid billing in 2024: Expert Care, Medaid Home Health, Glencare Home Health Services Llc, Horizon Aid Inc, Alameda Home Care Inc and Glenwood Home Inc. records 15, 16, 17, 18, 19, 20
9. 09One member, Glencare Home Health Services Llc, is listed in Los Angeles, California, with an incorporation date of January 5, 2017, while the other five named members are listed in Burbank, California. records 15, 16, 17, 18, 19, 20
10. 10Momentum across the rate of change factors is rising, with a robust z reading of 0.41, described in the record as an indicative reading and not a validated forecast. records 12

Refer for screening and verification review, not for any finding of wrongdoing. First, consider pre enrollment and post enrollment site visits at the shared building and at each listed practice location under 42 CFR 455.432, since the site visit is the tool for confirming that the submitted information is accurate and that enrollment requirements are met. Second, confirm the applicable screening level for each agency under 42 CFR 455.450 and 42 CFR 424.518, which place newly enrolling home health agencies and hospices at the high risk level with fingerprint background checks and site visits, given that two providers were formed in 2021 or later. Third, run each entity, owner and managing employee against the termination and exclusion databases described in 42 CFR 455.416(c), because five providers share an address with a revoked or excluded entity and the co located hospice carries a revocation action dated September 4, 2024. Fourth, verify identity, ownership and control disclosures and the accuracy of application information under 42 CFR 455.416(g). Because the group shows no Medicaid billing in 2024 and Medicare payments in 2023, coordinate with the Medicare contractor and the Unified Program Integrity Contractor before any state level action.

• A shared address can be a legitimate medical office building, an executive suite or a shared administrative or billing office; suite level detail should be pulled before treating the addresses as identical.
• Common ownership or a management services organization operating several licensed agencies is lawful; verify ownership disclosures rather than inferring a relationship from proximity.
• Incorporation dates clustered in December 2020 may reflect a single filing agent, a corporate restructuring, or market entry timed to a licensing or moratorium change, and are not by themselves irregular.
• The revocation action dated September 4, 2024 applies to Glencare Hospice Services, Inc as named in the record; co located providers are not implicated by that action, and any similarity of names must be checked against actual ownership records.
• No Medicaid billing in 2024 may simply mean the agencies are Medicare only enrollees, are newly enrolled, or bill through a managed care arrangement or another payer, and absence of claims is not itself a concern.
• High county saturation and a 40 percent three year change may reflect local demographics, referral patterns or population growth rather than any provider conduct.
• The network score, the percentile factor readings and the rising momentum reading with robust z of 0.41 are described as indicative and not a validated forecast, so they should not be treated as evidence of any violation.
• Provider names, incorporation dates, addresses and identifier records may be stale, mismatched or duplicated in the source data; confirm each item against primary enrollment and licensing records before any action.