Greensboro treatment center to pay $584,143 over Medicaid claims allegations

A Greensboro opioid treatment provider will pay $584,143 to resolve allegations that it submitted false claims to Medicaid, a settlement that sends money back into two public systems: Medicaid and North Carolina public schools. State Attorney General Jeff Jackson and federal prosecutors announced the civil agreement with Crossroads Treatment Center of Greensboro, P.C., turning a local billing dispute into a broader question about oversight in the Triad’s behavioral-health market.

The case does not involve a criminal conviction, but it does signal that public funders are watching how treatment centers document and bill services. Half of the settlement will go back to Medicaid, and the other half will help fund public schools in North Carolina, underscoring that inaccurate claims can ripple well beyond one provider’s ledger and into the budgets of taxpayers, patients and classrooms.

Crossroads Treatment Center of Greensboro is located at 2706 North Church Street in Greensboro. State records list the site as an outpatient opioid treatment program in Guilford County, and CARF International says the location first received accreditation in 2010. That makes the settlement especially notable in a county where people often depend on stable, accessible addiction treatment as well as strict public oversight of how those services are paid for.

Officials said the resolution stems from allegations that the clinic billed Medicaid improperly. While the announcement did not describe a criminal case, the size of the payment and the involvement of both state and federal authorities indicate that investigators viewed the billing issues as serious enough to merit a formal civil recovery.

The Greensboro agreement also fits a larger enforcement pattern. In July 2024, federal prosecutors announced an $863,934 civil settlement involving other Crossroads clinics in a separate Medicaid billing matter. The U.S. Department of Justice later said that case involved claims for treatment services that were not provided as billed. Together, the two settlements suggest that Crossroads has faced repeated scrutiny over Medicaid reimbursement practices.

North Carolina officials say the state’s Medicaid Investigations Division has recovered more than $1 billion in restitution and penalties for North Carolina and works with federal partners on provider-fraud cases. For Guilford County, the Greensboro settlement raises a familiar local concern: whether this was an isolated billing failure or another sign that controls in the behavioral-health market are not keeping pace with the public dollars flowing through it.