DENVER — Colorado Attorney General Phil Weiser announced a settlement Jan. 15 with Greeley-based Apex Vision and Wellness to resolve allegations that the eye-care clinic illegally billed the state’s Medicaid program for thousands of corrective lenses for children and young adults.
As part of the settlement, Apex will pay a fine totaling $280,000. Another clinic, Just for Grins Vision in Fountain, will pay $240,000 under the agreement.
“We all pay the costs of Medicaid fraud,” Weiser said in a prepared statement. “In these cases, the eye clinics regularly overbilled Medicaid for two sets of lenses — including sets of unnecessary special lenses — but delivered only one set to child patients. “I am committed to protecting the integrity of the state Medicaid program, holding accountable any providers that fail to follow Colorado’s Medicaid laws, and protecting patients.”
Medicaid provides eligible Coloradans and their dependents with health-care coverage, including vision coverage for children and young adults younger than 20. Vision benefits include one pair of frames and two lenses. This includes lower-cost spherical lenses, which are for people with relatively lower prescriptions, and more expensive aspherical lenses, which are prescribed for those with higher prescriptions.
The investigation by the Medicaid Fraud Abuse and Neglect Unit within the Colorado Attorney General’s Office found that, from 2019 to 2025, Apex billed the state for two sets of lenses for more than 1,800 claims but provided only one set to patients. While the clinic did provide aspherical lenses for children, it also billed the state for spherical lenses that were never created.
Under the terms of the settlement agreement, Apex will pay the state $65,000 immediately and then follow up with four $53,750 payments, plus interest, on the anniversaries of the agreement.
The Colorado Medicaid Fraud Abuse and Neglect Unit receives 75% of its funding from the U.S. Department of Health and Human Services under a grant award totaling $3,858,544 for federal fiscal year 2024. The remaining 25%, totaling $1,286,181, is funded by the state of Colorado for the federal fiscal year.
According to a news release from Weiser’s office, those who have knowledge of or suspect Medicaid fraud are encouraged to file a complaint with the attorney general at StopFraudColorado.gov.
This article was first published by BizWest, an independent news organization, and is published under a license agreement. © 2026 BizWest Media LLC.
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