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State Enforcement Actions

State Enforcement Archive

May 2013

May 23, 2013; Alaska Attorney General: Anchorage Personal Care Attendants Convicted for Endangering the Welfare of a Vulnerable Adult
On May 22, 2013, 36 year old Sandy Marulanda of Anchorage was sentenced by the Anchorage District Court on a single count of endangering the welfare of a vulnerable adult. Her husband, 37 year old Maurice Marulanda, also of Anchorage, was sentenced by the Anchorage District Court on March 13, 2013 on two counts, one count of endangering the welfare of a vulnerable adult and a second count for medical assistance fraud.
May 21, 2013; Connecticut State Attorney's Office: New Haven Woman Charged In Scheme To Defraud Medicaid
A New Haven woman was arrested today for her role in a scheme to defraud the state's Personal Care Assistance (PCA) program. Keionna Narcisse, age 31, of Spring Street in New Haven, was charged with one count each of Larceny in the First Degree by Defrauding a Public Community, Criminal Attempt to Commit Larceny in the First Degree and Larceny in the Second Degree.
May 20, 2013; Alaska Attorney General: Anchorage Property Tax Assessor Charged for Fraudulently Billing Medicaid for Over $60,000
On May 20, 2013, 36 year old Lorie Nabong Batac of Anchorage, an Anchorage property tax assessor, was charged with two counts of medical assistance fraud for claiming to be providing personal care attendant services to two Medicaid recipients when she was allegedly working another job or the recipients were traveling alone outside of the United States. No arraignment date has been set by the court as of yet.
May 17, 2013; Louisiana Attorney General: Three Zachary Women Charged with Medicaid Fraud
Three Zachary women have been arrested and charged with Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell.
May 17, 2013; South Dakota Attorney General: Former Optometrist Case Ends with Apology to Citizens of South Dakota in Medicaid Fraud Case
PIERRE, S.D - Attorney General Marty Jackley announced today that Cary Stephen Feldman, Spearfish, has issued a public apology for committing Medicaid fraud.
May 16, 2013; Florida Attorney General: Attorney General Bondi's Office Arrests Day-Care Owner for $500,000 in Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit has arrested a 46-year-old Palm Beach County day-care owner for allegedly defrauding the Medicaid program out of more than $500,000. Maria Estela Edward is charged with Medicaid fraud and grand theft, both first-degree felonies. The investigation alleges that Edward was fraudulently billing the Florida Medicaid program for speech language pathology services that were never provided at Ismaelillo Learning Centers I and II. Edward's business partner, Irene Terrero, was arrested in March on the same charges.
May 16, 2013; Wisconsin Attorney General: Milwaukee Woman Sentenced for Medicaid Fraud and Theft
MADISON - Attorney General J.B. Van Hollen has announced that Yvette Harris, 50, of Milwaukee appeared before the Honorable Jean A. DiMotto in Milwaukee County Circuit Court today for sentencing on convictions related to her fraudulent billing of the Wisconsin Medicaid program. Following a five-day trial on March 8, a jury found Harris guilty of one count of medical assistance fraud and one count of theft. The verdicts resulted from claims filed by Harris from her employment as a Medicaid provider, certified as a registered nurse to provide in-home health care for Medicaid recipients.
May 15, 2013; New York Attorney General: A.G. Schneiderman Announces Indictment Of Aides Who Photographed Nursing Home Residents
SUFFOLK, N.Y. -- Attorney General Eric T. Schneiderman today announced a 15-count indictment charging two certified nurse aides (CNAs) with photographing eleven nursing home residents at three separate facilities, one of whom is also charged with texting one of the photographs to a friend. The pictures were taken without the knowledge or consent of the victims, many of whom were incapable of consenting and depicted bedsores and other disturbing images. Defendants David Rover and Thomas Mocera have each been charged with felony Unlawful Surveillance counts, among other charges, and face up to 4 years in prison.
May 15, 2013; Tennessee Department of Finance & Administration: Marshall Co. Woman Charged 2nd Time With TennCare "Doctor Shopping"
Nashville, TN - A Marshall County woman is charged a 2nd time with TennCare "doctor shopping," or going to multiple doctors in a short period of time to obtain the same or similar controlled substances.The Office of Inspector General today announced the arrest of 30-year old Amanda Tomas, of Lewisburg. A Giles County indictment charges her with two counts of fraudulently using TennCare to obtain a controlled substance by "doctor shopping" for prescriptions for controlled substances.
May 15, 2013; Tennessee Department of Finance & Administration: Nurse From Henry County Charged With TennCare Fraud
Nashville, TN - A registered nurse from Henry County is charged with TennCare fraud for illegally dispensing medication, costing the healthcare program nearly $10,000 in payments for the drugs. The Office of Inspector General today announced the arrest of Gene Gaylor Dougherty, 31, or Paris, TN. The McKenzie Police Department assisted in the arrest.
May 14, 2013; Florida Attorney General: Attorney General Bondi Enters $350 Million National Settlement with Ranbaxy Resolving Adulterated Drug Claims
TALLAHASSEE, Fla.-Attorney General Pam Bondi announced today that Florida has entered a $350 million national settlement with Ranbaxy Laboratories Limited and its subsidiaries resolving claims of drug adulteration. The settlement entered by all 50 states, the District of Columbia and the federal government resolves allegations that Ranbaxy knowingly manufactured, distributed and sold generic pharmaceutical products whose strength, purity and/or quality fell below the standards required by the Food and Drug Administration. The products consisted of 26 generic pharmaceuticals manufactured between 2003 and 2010 at two of Ranbaxy's facilities in India. Florida will receive more than $3 million as a result of the settlement.
May 14, 2013; Georgia Attorney General: Medicaid Provider Sentenced to Prison for Failing to Provide Adequate Nursing Services to Patients
On May 9, 2013, Michelle Maylene Cooper pleaded guilty to Medicaid fraud (O.C.G.A. § 49-4-146.1(b)(1)) in DeKalb County Superior Court. Judge Gregory Adams sentenced Cooper to one year in prison, followed by nine years on probation, and ordered her to pay restitution to the Georgia Department of Community Health in the amount of $641,350.00.
May 13, 2013; Indiana Attorney General: Former Gibson Co. Doctor Faces State Action For Rx Fraud, Inappropriate Relationship With Patient
Indianapolis - A former Gibson County physician is now the target of a licensing complaint filed by Indiana Attorney General Greg Zoeller's office.
May 13, 2013; Louisiana Attorney General: Owner of Personal Care Services Agency in Baker Charged with Medicaid Fraud
The owner of Heavenly Hands Personal Care Services, located at 3615 Groom Road in Baker, has been charged with defrauding the state's Medicaid program, announced Attorney General Buddy Caldwell.
May 13, 2013; Tennessee Department of Finance & Administration: Two Rutherford Co. Women Charged With TennCare Drug Fraud
Nashville, TN - Two Rutherford County women are charged with TennCare fraud for selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Eva Boutwell, 24, of LaVergne and Brittany King, 22, of Murfreesboro, after a joint investigation with the Smyrna Police Department Narcotics Division.
May 13, 2013; Tennessee Department of Finance & Administration: Carroll Co. Drug Sting Nets Two TennCare Fraud Arrests
Nashville, TN - Two people in Carroll County are charged with TennCare drug fraud, after a round-up that netted 25 arrests of people from Henry, Benton and Carroll Counties. They're all charged with drug offenses in an investigation involving the 24th Judicial District Drug Task Force, the Carroll County Sheriff's Office and the Office of Inspector General. The TennCare fraud charges involve people trying to sell their prescription drugs, paid for by TennCare, to an undercover informant.
May 8, 2013; Tennessee Department of Finance & Administration: Mississippi Woman Charged in Shelby Co. with TennCare Fraud
Nashville, TN - A Mississippi woman is charged with making false statements in order to obtain TennCare benefits. The Office of Inspector General today announced the arrest of Ana F. Rios, 38, of Olive Branch, Mississippi.
May 7, 2013; Nevada Attorney General: Attorney General Masto Announces Medical Equipment Provider Sentenced in Connection with 2 Million in Fraudulent Medicaid Claims
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced that Ini Odong, 34, Las Vegas, has been sentenced for Medicaid Fraud in a case involving approximately $2 million in fraudulent claims.
May 3, 2013; Tennessee Department of Finance & Administration: Dickson Co. Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A Dickson County man is charged with TennCare fraud for selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Brandon D. Bissinger, 34, of Dickson, after a joint investigation with the 23rd Judicial District Drug Task Force.
May 2, 2013; Connecticut State Attorney Office: Wethersfield Man Charged in Illegal Drug Scheme
A Wethersfield man was arrested today and charged with scheming with a former doctor to have Medicaid recipients obtain prescription drugs that were paid for by the government health program and then sold illegally on the streets.

April 2013

April 30, 2013 - New Jersey Attorney General: New Jersey Is Paid $600,000-Plus from Separate Settlements Resolving Allegations of Wrongdoing by Two Pharmaceutical Manufacturers
Trenton - Attorney General Jeffrey S. Chiesa announced today that the State has been paid a total of $610,381 as a result of its participation in separate national settlements with two major pharmaceutical manufacturers - Par Pharmaceutical Companies, Inc., and Amgen, Inc. The separate settlements resolve allegations that the two companies illegally promoted their drugs and committed other violations of state and federal law.
April 29, 2013; New York Attorney General: A.G. Schneiderman Announces $11 Million National Settlement with Biotech Giant That Inflated Medicaid Bills
NEW YORK - Attorney General Eric T. Schneiderman announced today that New York along with 35 other states reached an $11 million settlement with the drug manufacturer Amgen, Inc. The agreement resolves claims that the company inflated pricing data for six of its prescription drugs in a way that caused New York and the other settling states' Medicaid programs to overpay for those drugs.
April 26, 2013; New Jersey Attorney General: Hunterdon County Pediatrician Indicted for Allegedly Stealing More Than $73,000 by Billing Medicaid for Services Not Provided
Trenton - Attorney General Jeffrey S. Chiesa announced that a Hunterdon County pediatrician has been charged in a state grand jury indictment for allegedly stealing more than $73,000 by overbilling the Medicaid program. Ibilola Ighama-Amegor, M.D., 51, of Hampton, was charged yesterday (April 25) with 17 counts of second-degree health care claims fraud and one count each of third-degree Medicaid fraud and third-degree theft by deception.
April 26, 2013; Oklahoma Attorney General: AG Charges Owner of two Oklahoma City Metro Clinics with Medicaid Fraud
Oklahoma City - Attorney General Scott Pruitt's Medicaid Fraud Control has filed charges against the owner of medical clinics in Del City and Shawnee. Deanna Williams, 49, owner of Fast Care Medical Clinics, was charged with two counts of Medicaid fraud in Oklahoma County District Court for allegedly sending the Oklahoma Health Care Authority (OHCA) more than 940 duplicate claims for payments between January and December of 2011.
April 26, 2013; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged With TennCare Fraud & Id Theft
Nashville, TN - A Davidson County woman is charged with using her sister's TennCare card in order to obtain medical benefits she otherwise was not entitled to receive. The Office of Inspector General, with the assistance of Metro Nashville Police, today announced the arrest of Brenda Joyce Steele, also known as Brenda Joy Steele, 39, of Nashville.
April 25, 2013; New York Attorney General: A.G. Schneiderman Announces Arrest Of Nurse On Charges Of Endangerment And Falsifying Business Records And Two Home Health Aides For Stealing Thousands From Medicaid By Falsifying Time Sheets
Nurse Failed To Provide Medication To Sick And Elderly Residents
WATERTOWN -- Attorney General Eric T. Schneiderman announced today the arrest of licensed practical nurse Krysta Davis on charges that she failed to provide medications to four residents of the Maplewood Health Care and Rehabilitation Center in Canton, and falsified the medical records of those residents indicating she had dispensed the medications. The charges against Davis include Falsifying Business Records in the First degree, Falsifying business Records in the Second degree, Endangering the Welfare of an Incompetent or Physically Disabled Person, and Willful Violation of Health Laws and carry a potential sentence of up to 4 years imprisonment.
April 25, 2013; Missouri Attorney General: Attorney General Koster reaches $149,000 settlement with Medicaid provider
Jefferson City, Mo. - Attorney General Chris Koster today said a St. Louis personal care services provider will pay the state of Missouri $149,414 for fraudulently billing for Medicaid services that it did not provide. Angel's Care Inc., doing business as Angel's Care Home Health Services, and its owner-operator, Tawanda Gregory, participates in a Medicaid program that allows qualified Medicaid recipients to receive personal care services in their own homes. The Attorney General's investigation revealed that Angel's Care Inc. failed to provide several of its elderly and disabled clients the personal care services for which the company billed Medicaid.
April 25, 2013; Rhode Island Attorney General: Two Attleboro Residents Charged with Medicaid Fraud
Attorney General Peter F. Kilmartin today announced that the Office has charged Galinda Daniels (DOB: 05/14/1974), and Bertha Daniels (DOB: 05/30/1978), both with a last known address of 54 Roberts St., Attleboro, MA, each with three counts of Medicaid Fraud.
April 24, 2013; Tennessee Department of Finance & Administration: Georgia Woman Charged With TennCare Fraud Must Repay State For TennCare Benefits
NASHVILLE, TN - A Georgia woman who had been charged with falsifying statements in order to make herself eligible for TennCare, must now repay the state almost $10,000. Sandra Morelli, 50, of Norcross, Georgia, has been ordered to repay the state for benefits she received while she was on the program. Shelby County Criminal Court ordered her to repay a total of $9,830.75 as part of her sentence for charges brought in November 2012 by the Office of Inspector General.
April 24, 2013; Tennessee Department of Finance & Administration: Shelby County Woman Must Repay State After TennCare Fraud Conviction
NASHVILLE, TN - A Shelby County woman accused of "doctor shopping" for drugs must now repay the state for healthcare benefits. Tiffany R. Pittman, 34, of Memphis, was ordered to repay the state's TennCare healthcare insurance program $17,108.79, after pleading guilty to TennCare fraud, a Class E felony. She also received a four-year suspended sentence.
April 24, 2013; Tennessee Department of Finance & Administration: Robertson County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Robertson County woman is charged with TennCare fraud for using the state's healthcare insurance program to pay for a fraudulent prescription. The Office of Inspector General, with assistance from the Robertson County Sheriff's Office, today announced the arrest of Jessi Hall-Norrod, 26, of Springfield. She is accused of using TennCare healthcare insurance benefits to pay for a fraudulent prescription for the painkiller Hydrocodone, which is a Schedule III controlled substance.
April 23, 2013; Tennessee Department of Finance & Administration: Mississippi Woman Charged In Memphis With TennCare Fraud
NASHVILLE, TN - A Mississippi woman is charged in Memphis with TennCare fraud. A Shelby County Grand Jury has charged Angel Brown, 32, of Horn Lake, Mississippi, with three counts of TennCare fraud and one count of theft of property. The Office of Inspector General and Shelby County Sheriff's Office today announced the arrest. Charges say that Brown unlawfully and knowingly obtained TennCare healthcare insurance benefits, even though she was not actually eligible for the program.
April 19, 2013; Georgia Attorney General: Youth Counselors Charged with Defrauding Georgia Medicaid of More than $600K
On April 17, 2013, the Gwinnett County Grand Jury indicted co-defendants Derrell Jackson and Shayla Darrington Jackson for violation of the Georgia Racketeer Influenced and Corrupt Organizations Act, Medicaid Fraud, and Theft by Taking. Derrell Jackson and Shayla D. Jackson, husband and wife, obtained over $600,000.00 of Medicaid funds by submitting false billing to the Georgia Medicaid program over the course of three years. Their company, Project Focus, LLC, was enrolled in the Medicaid program known as Intensive Family Intervention, which provides in-home mental health
April 19, 2013; Tennessee Department of Finance & Administration: Marshall County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Marshall County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain controlled substances. The Office of Inspector General today announced the arrest of Amanda Gayle Tomas, 30, of Lewisburg. Tomas is charged with three counts of "doctor shopping," using TennCare to pay for doctor's office visits.
April 18, 2013; Florida Attorney General: Attorney General Bondi's Medicaid Fraud Control Unit Arrests Colombia County Woman for $160,000 in Medicaid Fraud
TALLAHASSEE, Fla.-Today, Attorney General Pam Bondi's Medicaid Fraud Control Unit arrested a Columbia County woman on a felony warrant for nearly $160,000 of Medicaid fraud. The Medicaid Fraud Control Unit (MFCU) arrested Michelle Caroline Hatton Broach, 39, after an investigation revealed that she was overbilling the Medicaid program.
April 17, 2013; Tennessee Department of Finance & Administration: Wilson County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Wilson County woman is charged with TennCare fraud for filling fraudulent prescriptions and using TennCare to pay for them. The Office of Inspector General, along with the Wilson County Sheriff's Office, today announced the arrest of Tiffany N. Ferguson, 27, of Lebanon.
April 17, 2013; Tennessee Department of Finance & Administration: Shelby Co. Women Charged In Separate TennCare Fraud Cases
NASHVILLE, TN - Two women in Shelby County are charged in separate TennCare fraud cases, at least one involving prescription drugs. The Office of Inspector General today announced the arrests, in part aided by the Shelby County Sheriff's Office. Monique L. Neeley, 29, of Memphis, is charged with TennCare fraud for filling fraudulent prescriptions and using TennCare to pay for them. She is charged with four counts of TennCare fraud, four counts of identity theft, four counts of obtaining possession of a controlled substance by fraud and one count of theft of property. In the other case, 31-year old Ashley Mayes of Memphis is charged with two counts of TennCare fraud and one count of theft of property. She is accused of knowingly receiving TennCare medical assistance benefits to which she was not entitled to receive by means of willfully making a false statement or other fraudulent means.
April 17, 2013; Tennessee Department of Finance & Administration: Giles County Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A Giles County man is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short time period to obtain controlled substances. The Office of Inspector General today announced the arrest of Joseph E. Bowen, 25, of Lynnville. Bowen is charged with two counts of fraudulently obtaining TennCare benefits he was not entitled to by "doctor shopping" for prescription drugs, using TennCare as payment.
April 17, 2013; Tennessee Department of Finance & Administration: Giles County Man Charged With TennCare Fraud For 2nd Time
NASHVILLE, TN - A Giles County man is charged with TennCare fraud related to prescription drugs, and it's the 2nd time he's been charged with TennCare fraud. The Office of Inspector General with the assistance of the Giles County Sheriff's Office and the 22nd Judicial Drug Task Force today announced the arrest of Lonnie Miller, 38, of Pulaski. Miller is accused of using TennCare state healthcare insurance benefits to obtain a prescription for the painkiller Hydrocodone while planning to sell a portion of the drugs.
April 17, 2013; Tennessee Department of Finance & Administration: Fayette Co. Woman Charged In Memphis With TennCare Fraud
NASHVILLE, TN - A Fayette County woman is charged in nearby Shelby County with TennCare fraud and theft of property after receiving healthcare insurance benefits through TennCare, even though she was not eligible for the state program. The Office of Inspector General today announced the arrest of Morgan Myers, 26, of Somerville. She is charged with three counts of TennCare fraud and one count of theft of property. Charges against Myers accuse her of knowingly receiving TennCare medical assistance benefits she did not qualify for, by means of a willfully false statement or other fraudulent means.
April 15, 2013; Tennessee Department of Finance & Administration: Dyer County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Dyer County woman is charged with TennCare fraud for apparently selling prescription drugs that had been obtained using TennCare healthcare insurance benefits. The Office of Inspector General today announced the arrest of Jacklynn Gayle Biggers, also known as Jacklynn Bailey, of Dyersburg, after a joint investigation with the Dyersburg Police Department.
April 11, 2013; Wisconsin Attorney General: Janesville Woman Convicted of Medicaid Fraud
MADISON - Attorney General J.B.Van Hollen announced today that a Janesville woman has been convicted and sentenced for Medicaid fraud.
April 11, 2013; Wisconsin Attorney General: Janesville Woman Convicted of Medicaid Fraud
Madison - Attorney General J.B.Van Hollen announced today that a Janesville woman has been convicted and sentenced for Medicaid fraud. Meshelle Settles appeared in Rock County Circuit Court on February 5 and entered a plea of guilty to Medicaid fraud, a felony.
April 10, 2013; Florida Attorney General: Putnam County Woman Arrested for Stealing More than $20,000 from 13 Disabled Adults
TALLAHASSEE, Fla.-Attorney General Pam Bondi today announced that a Putnam County woman has been arrested on 14 charges relating to stealing more than $20,000 from 13 disabled adults.
April 8, 2013; Tennessee Department of Finance & Administration: Rutherford Co. Woman Charged With TennCare Drug Fraud
Nashville, TN - A Rutherford County woman is charged with TennCare fraud for using the public healthcare insurance program to obtain prescription drugs, which she later apparently sold. The Office of Inspector General, with the assistance of narcotics officers with Smyrna Police and the Rutherford County Sheriff's Department, today announced the arrest of Tabitha Pendergrast also known as Tabitha Nagy, 20, of Murfreesboro.
April 4, 2013; New York Attorney General: A.G. Schneiderman And Comptroller Dinapoli Announce Prison Sentence For Brooklyn Dentist Who Defrauded Medicaid Dentist Illegally Paid Recruiters To Solicit Homeless Medicaid Patients From Soup Kitchens, Billed In His Son's Name And Failed To Pay Taxes
NEW YORK - Attorney General Eric T. Schneiderman and Comptroller Thomas P. DiNapoli today announced the sentencing of Lawrence J. Bruckner, a Brooklyn dentist on charges he defrauded the Medicaid program by unlawfully paying recruiters to solicit homeless Medicaid patients with cash and billing taxpayers under his son's name for services the son never provided. Bruckner failed to pay taxes on payments he received from other dentists who worked at his clinics. He has paid nearly $700,000 in restitution and today received a state prison term of 1 to 3 years as a result of this joint investigation by the offices of the state Attorney General and Comptroller.
April 4, 2013; Tennessee Department of Finance & Administration: Smith County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Smith County woman is charged with TennCare fraud in an indictment accusing her of falsely reporting her income in order to qualify for TennCare healthcare insurance benefits. The Office of Inspector General, with the assistance of the Smith County Sheriff's Office, today announced the arrest of Norman Rosie Cannon, 72, of Carthage. Cannon is charged with three counts of TennCare fraud and one count of theft of services.
April 4, 2013; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged With TennCare Fraud For Fourth Time
NASHVILLE, TN - A Davidson County woman is now facing her fourth round of TennCare fraud charges. The Office of Inspector General today announced the arrest of Sarah Kristina Thomason, 26, of Nashville. Thomason was indicted in Rutherford County, and charged with fraudulently obtaining a controlled substance by "doctor shopping." Charges say she saw multiple doctors in a short period of time, using TennCare benefits to obtain prescriptions for the painkiller Hydrocodone.
April 3, 2013; New York Attorney General: A.G. Schneiderman Announces Arrest Of Long Island Senior Center Aide For Attempted Theft Of $10,200 From A Resident In Her Care
HAUPPAUGE - Attorney General Eric T. Schneiderman announced today the arrest of Stephanie Benodin, a former Personal Care Assistant at the Tuttle Center in Port Washington, for attempting to steal $10,200 from an 88-year-old resident in her care. The center, a retirement community, is part of The Amsterdam at Harborside. Benodin, 25, faces two felony charges and up to seven years in prison.
April 3, 2013; Tennessee Department of Finance & Administration: Davidson County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud and theft of services after receiving healthcare insurance benefits through TennCare, even though she was not eligible for the program. The Office of Inspector General today announced the arrest of Ashley Wardlaw, 27, of Nashville. She is charged with one count of TennCare fraud and two counts of theft of services, and was served with the indictment at the Davidson County Jail, where she is being held on unrelated charges. The indictment says Wardlaw received TennCare benefits by means of willfully false statements or other fraudulent means.
April 3, 2013; Florida Attorney General: Duval County Woman Sentenced to Six Years in Prison for Medicaid Fraud
Tallahassee, Fla.-Attorney General Pam Bondi announced today that Edna Lorraine Watkins, owner of Homecare Unlimited LLC, was sentenced to six years in state prison for submitting more than $400,000 in false claims to the Florida Medicaid Program. The State Attorney's Office for the Fourth Judicial Circuit prosecuted this case, and Watkins entered pleas of guilty to Medicaid Provider Fraud and Grand Theft, both first degree felonies. In addition to the six years in prison, Watkins was ordered to repay the state $402,424 in restitution.

March 2013

March 27, 2013; Florida Attorney General: Medicaid Fraud Control Unit and Partners Arrest Ringleader of $3 Million Medicaid Fraud Scheme
TALLAHASSEE, Fla. -Attorney General Pam Bondi's Office, the Metropolitan Bureau of Investigation, Homeland Security Investigations, and the Florida Department of Law Enforcement today arrested an Orange County resident for $3 million in Medicaid fraud, racketeering, and identify theft. Janie Vittini, owner of Improving Together, Inc., allegedly billed the Medicaid program for more than $3 million for services that were never provided. According to the investigation, Vittini then used Medicaid funds to purchase luxury vehicles, trips, and jewelry, including Cadillac Escalades, Ducati Superbike, a seven-person Carnival cruise, a trip to Cozumel, Mexico, and more than $175,000 of Luis Vuitton products.
March 27, 2013; North Carolina Attorney General: Six Health Care Providers Plead Guilty To Cheating Medicaid
Raleigh - Six health care providers have pleaded guilty in the past month for ripping off taxpayers and the Medicaid system, including four guilty pleas this week, Attorney General Roy Cooper announced Wednesday.
March 27, 2013; Tennessee Department of Finance & Administration: Hardeman County Woman Arrested In Mississippi For TennCare Fraud
NASHVILLE, TN - A Hardeman County woman has been apprehended in Mississippi and charged with TennCare fraud. The Office of Inspector General, along with the McNairy County Sheriff's Office, today announced the arrest of Jennifer P. Davis, 37, of Toone, Tennessee. Davis is accused of using TennCare healthcare insurance benefits to obtain a prescription for the anti-anxiety medication Xanax, which she is accused of later selling.
March 26, 2013; Ohio Attorney General: Attorney General DeWine Announces Conviction, Sentencing of Doctor
TOLEDO, Ohio -- Ohio Attorney General Mike DeWine today announced that a former Toledo doctor will spend several years in prison after he was convicted of Health Care Fraud, Conspiracy to Distribute a Controlled Substance, and Failure to Pay Employment Taxes.
March 26, 2013; Tennessee Department of Finance & Administration: Stewart County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Stewart County woman is charged with TennCare fraud in nearby Montgomery County. The Office of Inspector General (OIG) today announced the arrest of Tonya Michelle Smalling, who also uses the name Tonya Smalling Swearingen, 31, of Big Rock. The Montgomery County and Stewart County Sheriff's Offices assisted in this arrest. Smalling is charged with two counts of TennCare fraud for obtaining TennCare benefits she was not entitled to. Smalling is accused of using TennCare to fill a prescription for the painkiller Hydrocodone while planning to sell a portion of the drugs at her residence.
March 25, 2013; Kansas Attorney General: Osawatomie woman pleads guilty to Medicaid fraud, agrees to repay $13,000
PAOLA - An Osawatomie woman pleaded guilty today to multiple charges related to Medicaid fraud, Kansas Attorney General Derek Schmidt said.
March 22, 2013; Virginia Attorney General: Owners of Woodbridge home health care business sentenced to 121 months for $2.1 million in health care fraud
Alexandria, Va. - The owners of a Woodbridge-based home health care business were sentenced today to 121 months in prison each, followed by three years of supervised release, for submitting more than $2.1 million in false claims to Virginia Medicaid and Anthem Blue Cross and Blue Shield (BCBS) for reimbursement of in-home personal care and nursing services they did not provide.
March 22, 2013; Tennessee Department of Finance & Administration: Dyer County Man Charged 2nd Time With TennCare Drug Fraud
NASHVILLE, TN - A Dyer County man is charged with TennCare fraud for selling prescription drugs he obtained using TennCare public healthcare insurance benefits. It's his second arrest for TennCare fraud. The Office of Inspector General today announced the arrest of Jay Burton, 54, of Dyersburg.
March 20, 2013; Hawaii Attorney General: Dentist Sentenced for Medicaid Fraud
HONOLULU - Joseph Perrino, DDS, formerly of Honolulu, will pay $35,700 in restitution and fines, and will perform 500 hours of community service for making false claims to the State Medicaid program and Hawaii Dental Service. The Honorable Richard K. Perkins, Judge First Circuit Court, sentenced Perrino this morning. Judge Perkins rejected Perrino's request to defer his plea and have his record expunged. Instead, Judge Perkins found Perrino guilty and imposed the sentence.
March 20, 2013; Tennessee Department of Finance & Administration: Mississippi Woman Charged With Committing Fraud To Get TennCare Healthcare Insurance Benefits
NASHVILLE, TN - A Mississippi woman is charged with making false statements in order to obtain TennCare healthcare insurance benefits. The Office of Inspector General announced the arrest of Patricia Bell, 31, of Horn Lake, Mississippi. The DeSoto County Mississippi Police Department and the Shelby County Sheriff's Office assisted with the arrest.
March 19, 2013; Louisiana Attorney General: AG's Medicaid Fraud Control Unit Arrests Ville Platte Man
A Ville Platte man has been charged with two counts of Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell. Bradley P. Hudspeth, a former mental health counselor intern, is charged with submitting false timesheets to a New Orleans care center where he was employed.
March 18, 2013; Missouri Attorney General: Attorney General Koster Obtains More Than $67,000 In Settlement With Adult Daycare For Overcharging Medicaid
Jefferson City, Missouri - Attorney General Chris Koster today said a Kansas City adult daycare will pay the state of Missouri more than $67,000 for fraudulently billing Medicaid, after Koster accused the daycare of charging Missouri's Medicaid program for services that it did not provide.
March 18, 2013; Tennessee Department of Finance & Administration: Putnam Co. Woman Charged With TennCare Fraud
NASHVILLE, TN - A Putnam County woman is charged with fraudulently obtaining TennCare benefits by falsely claiming dependents in order to qualify for TennCare benefits. The Office of Inspector General today announced the arrest of Tara Michelle Manier, 32, of Cookeville.
March 14, 2013; Florida Attorney General: Medicaid Fraud Control Unit's Investigations Result in Three Arrests
TALLAHASSEE, Fla.-In ongoing efforts to protect Florida's Medicaid program and those who rely upon it, Attorney General Pam Bondi's Medicaid Fraud Control Unit has concluded three investigations this week, resulting in three arrests. Each case illustrates an important and distinct aspect of the Medicaid Fraud Control Unit's jurisdiction. One individual is charged with abusing a disabled adult in a state-run facility; one individual is charged with Medicaid provider fraud; and one individual is charged with operating an assisted living facility without a license.
March 14, 2013; Tennessee Department of Finance & Administration: Rutherford Co. Woman Charged With TennCare Fraud
Nashville, TN - A Rutherford County woman is charged with TennCare fraud and theft after she received healthcare insurance benefits through the program, even though she was not eligible for TennCare. The Office of Inspector General today announced the arrest of Kristy Robinson, 26, of Smyrna. She is charged with one count of TennCare fraud and one count of theft of services over $10,000.
March 13, 2013; Tennessee Department of Finance & Administration: Anderson Co. Man Charged With TennCare Drug Fraud
NASHVILLE, TN - An Anderson County man is charged in Cumberland County with TennCare fraud for selling prescription drugs obtained by using TennCare healthcare insurance benefits. The Office of Inspector General today announced the arrest of James E. Hall, 50, of Oliver Springs, after a joint investigation with the Oliver Springs Police Department.
March 12, 2013; Kansas Attorney General: Two Sentenced, One Pleads On Medicaid Fraud Charges
Parsons - Two Southeast Kansas women were ordered yesterday to repay more than $25,000 after pleading guilty to charges of Medicaid fraud, Kansas Attorney General Derek Schmidt said. An Independence man also pleaded guilty to related charges.
March 12, 2013; New York Attorney General: A.G. Schneiderman Announces Arrest of Rockland and Westchester County Pharmacists Who Stole More Than $500,000 from Medicaid
PEARL RIVER - Attorney General Eric T. Schneiderman today announced the arrest and arraignment of two Rockland and Westchester County pharmacists on charges of stealing more than $500,000 from New York State's Medicaid program. According to the charges filed today in County Court, Rockland County, New City, New York Shaheen Begum, 57, of New City and Syed Rahman, 62, of Briarcliff Manor conspired to use Rahman's pharmacy to bill the Medicaid program for prescriptions filled by Begum after Begum's Kwik Aid Pharmacy was barred by the State from doing business with Medicaid. The defendants face imprisonment of up to 5 to 15 years if convicted of the top charge of Grand Larceny in the second degree.
March 12, 2013; Idaho Attorney General: Pocatello Dentist Sentenced for Fraudulent Medicaid Billing
Boise - Dr. Carl B. Holm, a Pocatello dentist, was sentenced Monday for felony provider fraud for submitting false dental claims to the Idaho Medicaid program. Sixth District Judge Stephen S. Dunn sentenced Holm to three years on probation and a $1,000 fine and granted a withheld judgment. Holm was also ordered to pay $7,315.55 in restitution to Medicaid and $2,701.75 to the Attorney General's Office for investigative costs.
March 11, 2013; Wisconsin Attorney General: Milwaukee Woman Found Guilty of Medicaid Fraud and Theft
MADISON - Attorney General J.B. Van Hollen announced today that Yvette Harris, 50, of Milwaukee has been convicted of one count of Medicaid fraud and one count of theft after a five-day jury trial before the Honorable Jean A. DiMotto in Milwaukee County Circuit Court, Branch 7.
March 11, 2013; Tennessee Department of Finance & Administration: Knox Co. Woman Charged For 2nd Time with TennCare "Doctor Shopping"
NASHVILLE, TN - A Knox County woman is charged with TennCare fraud for the second time in as many months. The Office of Inspector General today announced the arrest of 48-year old Lisa D. Phillips, indicted by the Hamblen County Grand Jury for fraudulently obtaining a controlled substance by "doctor shopping" for drugs, using TennCare benefits as payment.
March 8, 2013; New York Attorney General: A.G. Schneiderman Announces Guilty Plea for Pharmacist Who Stole More Than $90,000 from the New York State Medicaid Program
ELMIRA - Attorney General Eric T. Schneiderman today announced that a pharmacist who owned and operated a Medicine Shoppe location in Chemung County has pleaded guilty to stealing more than $93,000 from the Medicaid program. Shari DeGraw, the CEO of Utter Enterprises Inc./The Medicine Shoppe, pleaded guilty to Larceny in Chemung County Court after submitting phony Medicaid billings for pharmaceutical drugs, treatments and supplies that were never dispensed.
March 8, 2013; Massachusetts Attorney General: Massachusetts Physician Charged with Illegally Prescribing Suboxone
BOSTON - The former director of a drug abuse clinic in Brighton has been indicted in connection with illegally prescribing a drug used to treat opiate addiction and collecting illegal fees from patients, Attorney General Martha Coakley announced today. The clinic's former office manager was also indicted for conducting an elaborate Medicaid kickback scheme worth more than $590,000.
March 8, 2013; New York Attorney General: A.G. Schneiderman Announces Arrest of a Nurse's Aide Caught Secretly Photographing Nursing Home Resident
NEW YORK - Attorney General Eric T. Schneiderman announced today the arrest of a 25-year-old Certified Nurse Aide from Centereach, New York, who shared a humiliating cell phone picture of a resident in his care at the Woodhaven Center of Care in Port Jefferson Station. David Rover is accused of surreptitiously taking a picture with his cell phone of the resident's genital area covered with feces and texting that picture to a nurse aide student without the patient's permission and for no legitimate purpose. Rover was charged with two felony counts and faces up to 1 and 1/3 to 4 years imprisonment if convicted.
March 7, 2013; Iowa Attorney General: Miller Names Keokuk Care Center Owners in Medicaid Fraud Case
DES MOINES, Iowa - In a first of its kind civil lawsuit under the Iowa False Claims Act and a state money laundering statute, Attorney General Tom Miller filed a civil lawsuit against the owners of two Keokuk care facilities, alleging money laundering and false or fraudulent Medicaid claims.
March 1, 2013; Wisconsin Attorney General: Milwaukee Man Sentenced for Medicaid Fraud
MADISON - Attorney General J.B. Van Hollen announced today that a Milwaukee man has been sentenced for Medicaid fraud in connection with the operation of a specialized medical vehicle (SMV) company. Joseph W. Roberts appeared before Milwaukee County Circuit Court Judge Michael D. Guolee, who imposed and stayed a sentence of 60 days in the House of Corrections and placed Roberts on one year probation.
March 1, 2013; Arkansas Attorney General: Jonesboro Woman Arrested For Medicaid Fraud
LITTLE ROCK - Attorney General Dustin McDaniel announced today that a Jonesboro medical provider has been arrested and charged with felony Medicaid fraud following an investigation by the Attorney General's Medicaid Fraud Division.
March 1, 2013; Tennessee Department of Finance & Administration: Williamson Co. Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Williamson County woman is charged in nearby Rutherford County with TennCare fraud for selling prescription drugs paid for by the state's public healthcare insurance program. The Office of Inspector General today announced the arrest of Deandrea L. Jeffery, 25, of Franklin, after a joint investigation with the Smyrna Police Department Narcotics Division.

February 2013

February 28, 2013; Vermont Attorney General: Former Oral Surgeon Sentenced For Medicaid Fraud
Attorney General William H. Sorrell announced today that Peter B. Gray, age 54, of Dorset, Vermont, was sentenced on February 28, 2013, in Vermont Superior Court for Rutland County, on two felony counts of Medicaid fraud and two misdemeanor counts of false pretense. Gray, a former oral surgeon who practiced in Rutland, Vermont, was convicted on January 9, 2013, for fraudulently billing the Vermont Medicaid program for more expensive procedures than the procedures that he actually performed.
February 27, 2013; Tennessee Department of Finance & Administration: Claiborne Co. Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A Claiborne County man is charged with TennCare fraud for selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Curtis Vandal Sizemore, 44, of Harrogate, after a joint investigation with the Claiborne County Sheriff's Office.
February 27, 2013; Tennessee Department of Finance & Administration: Knox County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Knox County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short time period to obtain controlled substances. The Office of Inspector General, with the assistance of the Knox County Sheriff's Office, today announced the arrest of Lisa Denise Phillips, 48, of Knoxville.
February 27, 2013; Washington Attorney General: Medicaid Fraud Perpetrator Pleads Guilty To 10 Counts Of Theft
OLYMPIA - In a case involving multiple jurisdictions, tracking the accused to Nigeria and Texas and back to Washington, a man charged with committing roughly $100,000 in Medicaid fraud finally pled guilty to 10 counts of First Degree Theft in Thurston County Superior Court today.
February 25, 2013; Idaho Attorney General: Angela Blom Sentenced for Medicaid Fraud
Boise - Blackfoot resident Angela M. Blom, 64, was sentenced today on one count of provider fraud, Attorney General Lawrence Wasden said. Sixth District Judge David Nye sentenced Blom to serve five years in prison. The court suspended the prison sentence and placed Blom on probation for five years. She was also ordered to pay $18,342 in interest.
February 20, 2013; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Davidson County woman is charged in an indictment with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short time period to obtain controlled substances. The Office of Inspector General with assistance from Metro Nashville Officers, today announced the arrest of Tarah Nicole Rogers, 35, of Old Hickory.
February 20, 2013; Tennessee Department of Finance & Administration: Rutherford Co. Resident Charged With TennCare Fraud
NASHVILLE, TN - A Rutherford County resident is charged with TennCare fraud for selling pain pills that were paid for by TennCare, the state's healthcare insurance program. The Office of Inspector General, along with Smyrna Police Narcotics Officers, today announced the arrest of Glenna Haynes, 48, of Smyrna.
February 19, 2013; Wyoming Attorney General: Cheyenne Provider Found Guilty of Medicaid Fraud
Wyoming Attorney General Greg Phillips announces that a Laramie County man was found guilty last week in state district court on multiple charges of Medicaid fraud.
February 15, 2013; Tennessee Department of Finance & Administration: Two Charged With TennCare Fraud In McNairy Co. Cases
NASHVILLE, TN - Two mid-state residents are charged with TennCare fraud in separate cases out of McNairy County, both involving prescription drugs. The Office of Inspector General today announced the arrests of Stella R. Conner, 50, of Savannah and 47-year old Linda Elizabeth Cozart of Ramer.
February 14, 2013; Florida Attorney General: Attorney General Bondi Announces the Arrest of Duval County Resident for $400,000 in Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi today announced the arrest of a Duval County woman accused of stealing more than $400,000 from Florida's Aged and Disabled Adult Waiver Program. The Attorney General's Medicaid Fraud Control Unit charged Edna Lorraine Watkins, 34, with two counts of Medicaid provider fraud and one count of grand theft. She is accused of billing Medicaid for services that were never rendered and billing for services to recipients who were ineligible for Medicaid.
February 13, 2013; Alaska Attorney General: Anchorage Personal Care Attendants Indicted for Fraudulently Billing Medicaid
Yesterday, 30-year-old Mile Viane Fainuulelei and 26-year-old Katrina Katherine Letuane, both of Anchorage, were indicted by a grand jury on multiple counts of medical assistance fraud, theft and perjury. Mile Fainuulelei and Katerina Letuane were both also charged with multiple misdemeanor counts for fraudulently billing Medicaid and violating Medicaid regulations. Arraignment is set for both defendants on February 14, 2013 at 1:45 in Anchorage Superior Court.
February 13, 2013; Massachusetts Attorney General: Multiple Personal Care Attendants Charged with Allegedly Defrauding Medicaid System
BOSTON - Five former personal care attendants (PCAs) and three PCA surrogates have been charged for allegedly defrauding the state's Medicaid program of approximately $260,000 by falsely billing for services that were not provided in a number of different cases, Attorney General Martha Coakley announced today. The cases include allegations of billing MassHealth for services while a PCA was incarcerated, and charging for the care of a deceased person, along with several other schemes.
February 13, 2013; Tennessee Department of Finance & Administration: Hawkins County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Hawkins County woman is charged with fraudulently obtaining TennCare benefits by falsely claiming her young children lived with her, in order to qualify for TennCare benefits. The Office of Inspector General today announced the arrest of Emily S. Arnold, also known as Emily Henegar, 39, of Rogersville.
February 12, 2013; Tennessee Department of Finance & Administration: Williamson County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Williamson County woman is charged in Rutherford County with TennCare fraud in a case involving prescription painkillers. The Office of Inspector General, with the assistance of the Rutherford County Sheriff's Office, today announced the arrest of Lori Malloy, 35, of Franklin. Malloy is charged with three counts of TennCare fraud in charges accusing her of three times using a forged prescription to obtaining the painkiller Hydrocodone, using TennCare to pay for the prescriptions.
February 12, 2013; Tennessee Department of Finance & Administration: Two McNairy Co. Residents Charged With TennCare Drug Fraud
NASHVILLE, TN - Two McNairy County residents are charged separately in TennCare fraud cases, all involving prescription drugs. The Office of Inspector General today announced the arrests of Casey L. Callins, 33, of Guys and Lonnie Blake Matlock, 20, of Selmer. Callins and Matlock are each accused of TennCare fraud in charges saying they each used TennCare benefits to obtain the painkiller Hydrocodone, while planning to sell at least a portion of the drugs.
February 11, 2013; Missouri Attorney General: Attorney General Koster Reaches Medicaid Fraud Settlement with Home Health Care Company
Jefferson City, Mo. - Attorney General Chris Koster announced today a settlement with a Jackson County home health care business for allegations of billing Missouri Medicaid for services it did not provide.
February 11, 2013; Kentucky Attorney General: Three Plead Guilty to Medicaid Fraud, Forgery and Theft Charges In Connection with Program For Mentally Challenged
Attorney General Jack Conway today announced the guilty pleas of three people on charges of Medicaid fraud, forgery and theft in connection with their work at LifeSkills, Inc. in Bowling Green, Ky. and the Kentucky Medicaid Supports for Community Living (SCL) program. LifeSkills, Inc. provides services to mentally challenged or developmentally disabled individuals as part of Kentucky Medicaid's Supports for Community Living (SCL).
February 8, 2013; Florida Attorney General: Attorney General Bondi's Office Arrests West Palm Beach Dentist on Medicaid Fraud and Grand Theft Charges
TALLAHASSEE, Fla. -Attorney General Pam Bondi announced today that her office has arrested a West Palm Beach dentist on charges of Medicaid fraud, grand theft, and employing a person to perform duties outside the scope of their license. Dr. Thomas Floyd, 61, surrendered and was taken into custody following an investigation by the Attorney General's Medicaid Fraud Control Unit.
February 8, 2013; Tennessee Department of Finance & Administration: Lauderdale Co. Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Lauderdale County woman has been charged with TennCare fraud for selling prescription drugs. The Office of Inspector General today announced the arrest of Anita Louise Williams, 59, of Halls, with the assistance of the Lauderdale County Sheriff's Office.
February 7, 2013; New Jersey Attorney General: Five Dentists and Two Managers Charged with Defrauding Medicaid of $5.5 Million
TRENTON - Attorney General Jeffrey S. Chiesa announced that the Office of the Insurance Fraud Prosecutor obtained a 31-count state grand jury indictment today charging seven defendants - including the owner of a now-defunct Central Jersey mobile dental practice - for their alleged roles in a scheme to defraud the Medicaid program of over $5.5 million.
February 7, 2013; New York Attorney General: A.G. Schneiderman Announces Arrest of NYC Psychiatrist Who Stole More Than $230k from Medicaid
NEW YORK - Following an undercover investigation, Attorney General Eric T. Schneiderman today announced the arrest of Dr. Jean Elie, a Brooklyn psychiatrist on grand larceny charges for billing the state's Medicaid program $230,000 for services he did not provide. Dr. Elie, 59, of Elmont, wrote prescriptions for Seroquel valued at over a million dollars over a three-year period to a revolving door of clients. Dr. Elie, who worked out of the Family Practice offices at 1155 Broadway, in Brooklyn, faces up to 15 years in prison.
February 6, 2013; Nevada Attorney General: Attorney General Masto Announces Plea And Sentencing In Reno Elder Exploitation Case Involving A Senior Living In A Group Home
Reno, NV - Nevada Attorney General Catherine Cortez Masto announced that Carol Nanas, 62, of Reno, was sentenced today in a case of financial exploitation of an older person. The case involved Nanas', a manager and caregiver of JC Group Home II, an assisted living facility, access to and use of a group home resident's personal bank account.
February 6, 2013; Louisiana Attorney General: Louisiana AG Files Suit against GlaxoSmithKline over Off-Label Marketing
Attorney General Buddy Caldwell filed a lawsuit, on behalf of the state of Louisiana, against British health care giant GlaxoSmithKline LLC (GSK) over its illegal promotion of the drugs Paxil, Wellbutrin, Advair, Lamictal, Zofran, Imitrex, Lotronex, Flovent and Valtrex for off-label, non-covered uses in violation of state laws. The lawsuit, filed Tuesday in Baton Rouge, has been assigned to Judge Janice Clark of the 19th Judicial District Court.
February 6, 2013; New Jersey Attorney General: Office of the Insurance Fraud Prosecutor Recovers Approximately $45 Million in Settlements Involving False Claims Act Violations
TRENTON - Attorney General Jeffrey S. Chiesa announced today that the Medicaid Fraud Control Unit's False Claims Act (FCA) group recovered approximately $45 million in 2012 through twelve settlements in FCA cases.
February 6, 2013; Tennessee Department of Finance & Administration: Fayette Co. Woman Convicted Of TennCare "Doctor Shopping"
NASHVILLE, TN - A Fayette County woman accused of TennCare "doctor shopping" must pay $9,000 in fines after pleading guilty. The Office of Inspector General today announced that April M. Bishop, 37, of Somerville, pleaded guilty to three counts of TennCare fraud.
February 4, 2013; Arizona Attorney General: Horne: Fines, Restitution for Phoenix "Pastor" And His Family Who Defrauded Arizona Government Agencies
Phoenix -- A self-styled Phoenix pastor and his wife who gained notoriety in 2012 for a well-publicized zoning battle involving the home-based location for their religious services, have been sentenced along with the man's brother for offenses related to AHCCCS fraud, Attorney General Tom Horne announced today.
February 4, 2013; Texas Attorney General: Texas Attorney General's Medicaid Fraud Recoveries Surpass $400 Million Mark
AUSTIN - The Texas Attorney General's decade-long crackdown on Medicaid fraud recently reached two historic milestones. Since 2002, the Civil Medicaid Fraud Division's recoveries for the State of Texas passed the $400 million mark - while total recoveries for the state and federal governments now exceed $1 billion. Because the Medicaid program is jointly funded by the State and the federal government, fraudulent overpayments recovered by the Attorney General's Office are shared with the federal treasury.
February 1, 2013; Florida Attorney General: Attorney General Bondi announces that Leon County Woman has Been Sentenced to Eight Years in Prison for Medicaid Fraud
TALLAHASSEE, Fla. -Attorney General Pam Bondi today announced that Titilayo Osholaja Dokun, owner of Capital City Area Care, a Leon County Medicaid home services company, was sentenced today to eight years in state prison for submitting more than $100,000 in false claims to the Florida Medicaid Program. Dokun was convicted last December on four counts of Medicaid provider fraud and grand theft.
February 1, 2013; Tennessee Department of Finance & Administration: Morristown Man Charged 2nd Time With TennCare Drug Fraud
NASHVILLE, TN - A Morristown man is charged for the second time with TennCare fraud related to selling prescription drugs paid for by the TennCare program. The Office of Inspector General today announced the arrest of Jason M. Smith, 27. This and his previous arrest were the result of a joint effort with the Hamblen County Sheriff's Office.

January 2013

January 31, 2013; Missouri Attorney General: Attorney General Koster Awards More Than $8,000 To Medicaid Fraud Whistleblower
Jefferson City, Mo. - Attorney General Chris Koster said today that his office has awarded $8,239 to a Medicaid fraud whistleblower who alerted the state to fraudulent billings by a group of dental clinics. The award money is 10 percent of $82,000 that the dental provider is paying in restitution and penalties to the state of Missouri, as allowed by Missouri law.
January 31, 2013; Tennessee Department of Finance & Administration: Montgomery County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Montgomery County woman is charged with TennCare fraud related to prescription drugs. The Office of Inspector General, with the assistance of the Montgomery County Sheriff's Office, today announced the arrest of Amber Jean Norris, 28, of Clarksville. A Montgomery County Grand Jury indicted Norris on one count of TennCare fraud and one count of obtaining a controlled substance by fraud. Charges say Norris used TennCare to pay for a prescription of the painkiller Hydrocodone, which she obtained with a fraudulent prescription.
January 30, 2013; New York Attorney General: A.G. Schneiderman Announces $100,000 Settlement with Pharmacy Owner for Overbilling
Medicaid for Ketamine
NEW YORK - Attorney General Eric T. Schneiderman announced today a $100,000 settlement with Oleg Aronov, a co-owner of Comprehensive Pharmacy, Inc. for overbilling taxpayers relating to the dispensation of compounded medications containing the drug Ketamine. Until its closing in 2009, Comprehensive Pharmacy was an enrolled provider of health care services to New Yorkers covered by Medicaid. Through its investigation, the Attorney General's Office discovered that Comprehensive Pharmacy had overbilled Medicaid for Ketamine.
January 30, 2013; New Hampshire Attorney General: Settlement With Greater Nashua Mental Health Center For Medicaid Billing Practices
Attorney General Michael A. Delaney announces that the State of New Hampshire has settled a False Claims Act matter involving billing with the Greater Nashua Mental Health Center. The parties settled allegations of improper billing to the Medicaid program. Under the terms of the agreement, Greater Nashua Mental Health Center agreed to pay a total sum of $54,281.76 to the State of New Hampshire.
January 30, 2013; Tennessee Department of Finance & Administration: Maury County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Maury County woman is charged with TennCare fraud in connection with selling prescription drugs that were paid for with TennCare benefits. The Office of Inspector General, assisted by the Maury County Sheriff's Office, today announced the arrest of Stephanie L. Cates, 38, of Columbia.
January 30, 2013; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Davidson County woman is charged in nearby Wilson County with TennCare fraud related to selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Amanda Jo Glasgow, 29, from Hermitage.
January 30, 2013; Tennessee Department of Finance & Administration: White Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A White County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short period to obtain controlled substances. The Office of Inspector General, with the assistance of the White County Sheriff's Department, today announced the arrest of Christy C. Garrett, 37, of Sparta.
January 29, 2013; Florida Attorney General: Attorney General Bondi's Office Arrests CEO and Assistant CEO of the Council on Aging of Florida for Using $2.75 Million of Medicaid Funds for Excessive Salaries and Personal Expenses
TALLAHASSEE, Fla.-Today Attorney General Pam Bondi's Medicaid Fraud Control Unit, with the assistance of the Alachua County Sheriff's Office, arrested the CEO and Assistant CEO of the Council on Aging of Florida, Maxcine Darville and Joanne Carter, respectively, for using more than $2.75 million of Medicaid dollars for excessive salaries and personal expenses.
January 28, 2013; Ohio Attorney General: Attorney General DeWine Announces Mother and Son Convictions
COLUMBUS, Ohio - Ohio Attorney General Mike DeWine today announced the convictions of a mother and son in connection to a case of Medicaid fraud.
January 28, 2013; Kansas Attorney General: Chautauqua County woman sentenced for Medicaid fraud, mistreatment and animal cruelty
SEDAN - A Chautauqua County woman today was ordered to pay restitution in the amount of $35,869.84 and was sentenced to 30 days in jail on convictions of Medicaid fraud, mistreatment of a dependent adult and animal cruelty, Kansas Attorney General Derek Schmidt said.
January 23, 2013; New York Attorney General: A.G. Schneiderman Announces Over $335 Million In Medicaid Fraud Recoveries For Taxpayers In 2012
NEW YORK - Attorney General Eric T. Schneiderman today announced that his office recovered over $335 million for New York State in 2012 that had been improperly claimed through fraud or abuse in the Medicaid system. This was the second highest annual recovery total ever by the Attorney General's Medicaid Fraud Control Unit (MFCU), and the highest recovery in seven years.
January 22, 2013; Tennessee Department of Finance & Administration: Coffee County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Coffee County woman is charged with TennCare fraud in connection with using the program to obtain prescription drugs, which she apparently later sold. The Office of Inspector General, with the assistance of the Coffee County Sheriff's Office and the Manchester Police Department, today announced the arrest of Lisa Diane Couch, 42, of Manchester.
January 18, 2013; Oklahoma Attorney General: AG Pruitt Charges OKC Counseling Agency Employees with Medicaid Fraud
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit has filed charges in Oklahoma County District Court against several counselors with YouthCare of Oklahoma, including a principal with Oklahoma City Public Schools and a probation officer with the Oklahoma Department of Corrections.
January 17, 2013; Tennessee Department of Finance & Administration: Couple In Cumberland County Charged With TennCare Drug Fraud
NASHVILLE, TN - A husband and wife from Cumberland County are charged with TennCare fraud for passing forged prescriptions and using TennCare public healthcare insurance to pay for them. The Office of Inspector, with the assistance of the Cumberland County Sheriff's Office, today announced the arrests of Nathan Scott Huff, 29 and his wife, Jamie Dawn Huff, 29, both of Crossville.
January 17, 2013; Louisana Attorney General: Two Louisiana Women Charged with Medicaid Fraud
Two Louisiana women have been arrested and charged with Medicaid fraud, announced Louisiana Attorney General Buddy Caldwell.
January 17, 2013; Massachusetts Attorney General: Lynn Woman Arraigned in Connection with Stealing More Than $490,000 from MassHealth
BOSTON - A Lynn woman has been arraigned in connection with stealing more than $490,000 from MassHealth by fraudulently obtaining transportation reimbursements for family members, Attorney General Martha Coakley announced today.
January 16, 2013; Tennessee Department of Finance & Administration: Third Charge Of TennCare "Doctor Shopping" For Lincoln County Woman
NASHVILLE, TN - A woman in Lincoln County is charged for the third time for with TennCare "doctor shopping," which is the crime of going from doctor to doctor in a short period of time to obtain prescriptions for controlled substances. The Office of Inspector General today announced the arrest of 32-year old Amber L. Watkins. A Giles County Grand Jury charged her with "doctor shopping" for the strong sleeping medication Ambien, and using TennCare to pay for either the clinical visit or the prescription.
January 16, 2013; Tennessee Department of Finance & Administration: Giles County Man Accused Of Making "Meth" With Drugs He Charged To TennCare
NASHVILLE, TN - A Giles County man is charged with using drugs he purchased using TennCare benefits to manufacture crystal methamphetamine, a street drug that's been a primary target of concern by state officials and police officers. The Office of Inspector General, with the assistance of the Giles County Sheriff's Department, today announced the arrest of John B. Robinson, 32, of Pulaski.
January 16, 2013; Attorney General of Georgia: Former Medicaid Contractor Employee Sentenced to Prison for Theft
On Monday, January 14, 2013, Romona Ferrell-Davis pleaded guilty in DeKalb County Superior Court to four counts of computer theft (O.C.G.A. § 16-9-93(a)(1)), one count of computer invasion of privacy (O.C.G.A. § 16-9-93(c)) and one count of identity fraud (O.C.G.A. § 16-9-121 (a)(1). Judge Cynthia Becker sentenced Ferrell-Davis to twenty years. Three of those years will be served in prison. She was also ordered to pay restitution in the amount of $17,533.52.
January 15, 2013; Oklahoma Attorney General: OKC Youth and Family Counselor Surrenders on Medicaid Fraud Charge
OKLAHOMA CITY - Misty Bobbie Dee Ellerby, 30, of Langston, surrendered to authorities Monday on a charge filed by Attorney General Scott Pruitt's Medicaid Fraud Control Unit. The youth and family counselor allegedly billed for sessions not provided.
January 14, 2013; Maryland Attorney General: AG Gansler Secures $160,000 Settlement in Medicaid Fraud Case
Baltimore, MD - Attorney General Douglas F. Gansler announced today that All About You Health Care Services, Inc. (All About You), a Milford Mill firm, will pay $159,044 to resolve allegations that the nurse staffing and home health care agency submitted false claims to the Medicaid program. An investigation showed that services performed by All About You were done without adequate medical supervision in violation of Maryland Medicaid regulations. The payment provides restitution to the Maryland Medicaid program and includes additional penalties.
January 14, 2013; Maryland Attorney General: AG Gansler secures another guilty plea in nursing certifications scheme
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Tyesha Renee Jones, 33, of Baltimore, pleaded guilty to one count of Conspiracy to Commit Bribery and was sentenced for her role in a scheme to buy and sell fraudulent nursing assistant certifications issued by a former employee of the Maryland Board of Nursing. Baltimore City Circuit Court Judge Michael Reed sentenced Jones to a three-year period of incarceration, suspending all but 23 days, representing time served, three years unsupervised probation, a $500 fine and ordered Jones to perform 100 hours of community service.
January 14, 2013; Maryland Attorney General: AG Gansler: Professional Counselor Sentenced for Medicaid Fraud
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Terome Knight, 57, of Laurel, pleaded guilty in the Circuit Court for Prince George's County to one count of felony Medicaid fraud for falsely billing the Medicaid program for mental health services he never provided. Judge Michael P. Whalen sentenced Knight to five years in jail, all of which was suspended, and five years supervised probation. Knight was ordered to pay $19,753 in restitution to the Maryland Medicaid program and perform 200 hours of community service.
January 11, 2013; Tennessee Department of Finance & Administration: Rutherford Co. Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Rutherford County woman is charged with TennCare fraud for using the state's public healthcare insurance program to pay for a fraudulent prescription for painkillers. The Office of Inspector General, with the assistance of the Murfreesboro Police Department, today announced the arrest of Katherine L. Johnson, 29, of Murfreesboro.
January, 11, 2013; Massachusetts Attorney General: Dudley Man, Holden Doctor Sentenced in Connection with Insurance Fraud Scheme
WORCESTER - A Dudley man and Holden doctor have been sentenced on charges they schemed to commit insurance fraud and submitted false health care claims while operating a medical facility, Attorney General Martha Coakley announced today.
January 9, 2013; State of California Department of Justice: Attorney General Kamala D. Harris Announces Nurse Sentenced to 3 Years in Prison for "Convenience Drugging" Elder Patients
BAKERSFIELD -- Attorney General Kamala D. Harris today announced the sentencing of the former Director of Nursing of a Kern Valley Healthcare District hospital with a skilled nursing facility, a rare case in which a medical professional has been criminally charged and sentenced under elder abuse laws for the illegal chemical restraint of patients.
January 10, 2013; Tennessee Department of Finance & Administration: Sullivan County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Sullivan County woman is charged with TennCare fraud in connection with using the state's healthcare insurance program to obtain prescription drugs, which she later sold. The Kingsport Police Department with the Office of Inspector General today announced the arrest of Debra Carroll, 43, of Kingsport.
January 9, 2013; Connecticut State Attorney Office: Former Waterbury Nursing Home Clerk Charged in Second Theft of Patient Funds
A former accounts receivable clerk at a Waterbury nursing home was arrested today and charged with overcharging the daughter of a 96-year-old woman for the elderly woman's care and keeping the money. Virginia A. Soules, age 46, of 22 Summer Street, Waterbury, was charged with one count of Larceny in the Second Degree, a class C felony punishable by up to 10 years in prison.
January 4, 2013; Texas Attorney General: Attorney General Abbott Recovers $36.34 Million for State of Texas, U.S.
AUSTIN - Texas Attorney General Greg Abbott today announced that two civil Medicaid fraud settlements secured by the Attorney General's Office will yield more than $36 million for the State of Texas. The settlement agreements announced today resolve the State's Medicaid fraud claims against Pfizer Inc. and Endo Pharmaceuticals.
January 3, 2013; Florida Attorney General: Secretary Dudek, Attorney General Bondi Release Annual Medicaid Fraud Report
TALLAHASSEE - Florida Agency for Health Care Administration (Agency) Secretary Liz Dudek and Florida Attorney General Pam Bondi jointly released the annual Medicaid Fraud and Abuse Report. Florida's Medicaid program is the fourth largest in the nation serving more than 3.3 million recipients.
January 3, 2013; Massachusetts Attorney General: AG's Office Announces Record $85.6 Million in Recoveries for Massachusetts Medicaid Program in 2012
BOSTON - Recoveries by the Attorney General's Medicaid Fraud Division totaled more than $85.6 million during 2012, breaking the previous recovery record set in 2010 by more than $19 million, Attorney General Martha Coakley announced today.
January 2, 2013; Georgia Attorney General: DeKalb County Physician Indicted for Accepting Medicaid Funds for Abortions
On December 20, 2012, a DeKalb County Grand Jury issued an indictment against Andre Damian Williams, M.D., on one count of Medicaid Fraud (O.C.G.A. § 49-4-146.1(b)(1)) for using Medicaid funds to perform elective abortions. During the time period alleged in the indictment, January of 2009 to September of 2011, Williams owned two businesses, Legacy Obstetrics and DeKalb Gynecology Associates. The primary business at DeKalb Gynecology Associates was the performance of elective abortions.
January 2, 2013; Tennessee Department of Finance & Administration: Davidson County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short time period to obtain controlled substances. The Office of Inspector General, with the assistance of Nashville Metro Police, today announced the arrest of Kristie Cheri Casey, 28, of Nashville.
January 2, 2013; Tennessee Department of Finance & Administration: Claiborne Co. Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A Claiborne County is charged with TennCare fraud for using the state's public health insurance program to obtain prescription drugs, which he later sold. The Office of Inspector General, with assistance from the Claiborne County Sheriff's Office, today announced the arrest of Manning Andrew Sizemore, Jr., 39, of New Tazewell.