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State Enforcement Actions

June 2017

June 22, 2017; Florida Attorney General
Pinellas County Man Arrested for Exploiting Two Elderly and Disabled Victims
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit, the Pinellas County Sheriff's Office and the Clearwater Police Department today arrested a Pinellas County resident for exploiting two elderly and disabled individuals. In two separate occasions, Fernando Gutierrez, 58, allegedly gained access to victims' personal papers and funds to illegally transfer money into personal accounts.
June 22, 2017; Florida Attorney General
Two Arrested for More than $100,000 in Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Winter Garden Police Department today arrested Anthony Handal, 59, and Sandra Mora, 46, for allegedly defrauding the Medicaid program out of more than $100,000. Handal, a licensed clinical social worker and Mora, a targeted case manager, are both contract employees of MTS Health Services. MTS provides applied behavior analysis and targeted case management services.
June 22, 2017; Tennessee Department of Finance and Administration
Marion Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Marion County woman is charged with TennCare fraud involving doctor shopping, which involves going from doctor to doctor in a short period of time to obtain prescription drugs, using TennCare as payment.
June 15, 2017; New York Attorney General
A.G. Schneiderman Announces Settlement With Healthcare Services Company That Illegally Deferred Notice Of Breach Of More Than 220,000 Patient Records
NEW YORK - Attorney General Eric T. Schneiderman today announced a settlement with CoPilot Provider Support Services, Inc. ("CoPilot"), a New York corporation that provides support services to the health industry, after the company violated General Business Law by waiting over a year to provide notice of a data breach that exposed 221,178 patient records. CoPilot has agreed to pay $130,000 in penalties and to improve its notification and legal compliance program.
June 14, 2017; U.S. Attorney; Western District of Texas
Office Manager/Medical Biller in Devine, TX, Sentenced to 17 Years Imprisonment for $3.5 Million Health Care Fraud Scheme
In Del Rio late yesterday afternoon, a federal judge sentenced 46-year-old DTS Medical Supply Company (DTS) Office Manager/Medical Biller Kathleen Kelly-Tuorila to 17 years in federal prison for her role in an estimated $3.5 million Health Care Fraud scheme announced United States Attorney Richard L. Durbin, Jr., FBI Special Agent in Charge Christopher Combs, San Antonio Division, and Texas Attorney General Ken Paxton.
June 13, 2017; U.S. Attorney; Western District of Virginia
Physician Assistant Sentenced on 42 Drug-Related Charges
Abingdon, VIRGINIA - A physician assistant, who allowed phentermine tablets to be distributed using her Drug Enforcement Administration (DEA) registration, was sentenced yesterday in the United States District Court for the Western District of Virginia in Abingdon, Acting United States Attorney Rick A. Mountcastle announced.
June 13, 2017; New York Attorney General
A.G. Schneiderman Announces Indictment Of Three-Quarter House Director Charged With Defrauding Medicaid Through The Use Of A Kickback Scheme
NEW YORK-Attorney General Eric T. Schneiderman announced the indictment, arrest and arraignment of Robert H. Corrado, 56, Kristina Corrado, 32, of Nesconset, New York, and Interline Employee Assistance Program, Inc. for engaging in a systematic kickback scheme and violating patients' rights. In addition to the arrest, the Attorney General's Medicaid Fraud Control Unit ("MFCU") filed several civil causes of action against Robert Corrado and Kristina Corrado, Interline, and others seeking to recover monies improperly obtained as a result of their criminal conduct.
June 13, 2017; Tennessee Department of Finance and Administration
Alabama Woman Must Repay TennCare
NASHVILLE, Tenn. - A woman from Flat Rock, Alabama must make restitution to Tennessee after court proceedings on charges of TennCare fraud.
June 13, 2017; Tennessee Department of Finance and Administration
Two West Tennessee Women Charged with TennCare Fraud
NASHVILLE, Tenn. - Residents of Henderson and Shelby Counties are charged in separate cases of TennCare fraud.
June 9, 2017; New York Attorney General
Operation Toothache: A.G. Schneiderman Announces Separate Convictions Of Unlicensed Dentist And Nurse
NEW YORK - Attorney General Eric T. Schneiderman today announced the separate convictions of former dentist Alexander Hollander, 70, and former Park Nursing Home employee Noucheline Jean, 45, both of Brooklyn, NY for providing patient care as unlicensed medical professionals. On June 7, Hollander was convicted by a Kings County Supreme Court jury of Unauthorized Practice of a Profession (Dentistry) in violation of the New York State Education Law, a Class E Felony. On June 2, Jean was convicted by a Queens County jury for the felony crime of Unauthorized Practice of a Profession (Nursing), and Unauthorized Use of a Professional Title, a misdemeanor.
June 5, 2017; U.S. Attorney; Western District of Kentucky
Louisville Physician Sentenced To 48 Months In Prison For Unlawful Distribution Of Controlled Substances And Health Care Fraud
LOUISVILLE, Ky. - United States Attorney John E. Kuhn, Jr., today announced the 48 month sentence of a Louisville physician, in United States District Court, by Chief District Judge Joseph H. McKinley, Jr., for unlawful distribution of controlled substances and health care fraud. Restitution will be determined at a later date by Chief Judge McKinley.
June 2, 2017; New Jersey Department of Law & Public Safety
Essex County Pediatrician Found Guilty at Trial of Submitting Fraudulent Bills to the Medicaid Program for 24-Hour Workdays
TRENTON - Attorney General Christopher S. Porrino and the Office of Insurance Fraud Prosecutor today announced that an Essex County pediatrician was found guilty at trial of submitting fraudulent claims to the Medicaid Program through which she falsely billed for working 24 hours or more a day.
June 1, 2017; New York Attorney General
A.G. Schneiderman Announces $328K Wage Theft Settlement With Rochester Senior Living Facilities
ROCHESTER - Attorney General Eric T. Schneiderman today announced a $328,000 settlement with First Realty Management Co., Inc. and the seven Legacy Senior Living ("Legacy") complexes it operates in the greater Rochester area for failing to pay its employees the minimum wage. Per the terms of the settlement, Legacy has agreed to pay $328,000; that includes over $238,000 in back pay to 15 current and former employees who were compensated well below the minimum wage, as well as over $89,000 in damages, interest and penalties. Legacy must also improve its record-keeping practices, clearly inform workers of their rights, and submit to monitoring.

May 2017

May 30, 2017; Tennessee Department of Finance and Administration
Sequatchie Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Sequatchie County woman is charged with doctor shopping for prescription drugs, using TennCare as payment for the pills. Doctor shopping involves going from doctor to doctor in a 30-day period in an effort to obtain multiple drug prescriptions.
May 30, 2017; Tennessee Department of Finance and Administration
Rhea Co. Man Charged 2nd Time with TennCare Fraud
NASHVILLE, Tenn. - A Rhea County man is charged for the second time in Hamilton County with doctor shopping for prescription drugs, using TennCare as payment.
May 30, 2017; Tennessee Department of Finance and Administration
Williamson Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Williamson County woman is charged with TennCare fraud in connection with selling prescription drugs she obtained using TennCare benefits.
May 26, 2017; New York Attorney General
A.G. Schneiderman Announces Sentencing Of Long Island Resident Who Stole $75K From Medicaid
HAUPPAUGE - Attorney General Eric T. Schneiderman today announced the sentencing of Sonia Ponce, 57, of Freeport, for stealing approximately $75,000 from Medicaid by causing claims to be filed with Medicaid that falsely stated that home-health care services were provided to two of her relatives by the Consumer Directed Personal Assistance Program (CDPAP), a home-care program funded by Medicaid. In March 2017, Ponce pleaded guilty to Forgery in the Third Degree and Petit Larceny, both class A misdemeanors. Today, the Honorable Anthony Paradiso in Nassau County District Court sentenced Ponce to one week in jail, three years' probation, 150 hours of community service and a $1,000 fine.
May 23, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Behavioral Health Provider
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that Tonya Martin-Lowe, 54, of Las Vegas, was sentenced today in a Medicaid fraud case involving the failure to maintain required documentation.
May 22, 2017; Louisiana Attorney General
Minden Woman Arrested for Stealing Nearly $400k from Elderly Residents
BATON ROUGE, LA - Attorney General Jeff Landry's Louisiana Department of Justice, with the assistance of the Minden Police Department and the Bienville Parish Sheriff's Office, has arrested a Minden woman for stealing approximately $391,000 from residents of Leslie Lakes Retirement Center (LLRC) in Arcadia.
May 22, 2017; Tennessee Department of Finance and Administration
Hamilton Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Hamilton County woman is charged with doctor shopping for prescription drugs, using TennCare as payment for the pills. Doctor shopping involves going to multiple doctors in a short period of time to obtain prescription drugs, often controlled substances.
May 19, 2017; New York Attorney General
A.G. Schneiderman Announces Guilty Plea And Sentencing Of Two Individuals For Stealing From Medicaid
NEW YORK - Attorney General Eric T. Schneiderman today announced the pleas and sentences of two individuals in unrelated investigations for causing claims to be filed with Medicaid that falsely represented that home health care services were provided to relatives. Both Tina Gabel of Poughkeepsie and Enny Portillo of Highland Mills admitted to stealing from the Consumer Directed Personal Assistance Program (CDPAP), a home care program funded by Medicaid. CDPAP allows a physically disabled individual or their representative to assume full responsibility for their home care and recruit, hire, train, supervise and fire the personal assistants providing the care.
May 19, 2017; Tennessee Department of Finance and Administration
Sullivan Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Sullivan County woman is charged with TennCare fraud in connection with the sale of prescription drugs paid for by the state's healthcare insurance program.
May 18, 2017; Florida Attorney General
Manatee County Resident Arrested Again for Grand Theft and Exploitation of a Disabled Adult
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Manatee County Sheriff's Office arrested David Makynen, a resident of Manatee County, for grand theft and exploitation of a disabled adult. Makynen, 30, is a former subcontractor for Side-by-Side Working Together. In February of this year, the MFCU and MCSO arrested the defendant for Medicaid fraud and grand theft related to services never rendered while subcontracted with a different at-home services provider.
May 18, 2017; Tennessee Department of Finance and Administration
Dickson County Woman Charged with TennCare Drug Fraud in Two Counties
NASHVILLE, Tenn. - A Dickson County woman is charged with TennCare prescription drug fraud in both Davidson and Williamson Counties.
May 17, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Group Home Owner
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced today that Magdalena Luvisminda Villanueva, 76, was sentenced for Neglect of Duty in Willful or Wanton Disregard of Safety of a Person, a gross misdemeanor offense.
May 16, 2017; Massachusetts Attorney General
Ludlow Doctor Sentenced to Jail for Illegally Prescribing Opioids to At-Risk Patients
PITTSFIELD - A Ludlow physician has been sentenced to two-and-a-half years in jail and must permanently resign his medical license for illegally prescribing opioids to patients for no legitimate medical purpose, some of whom had documented substance use disorder, and for defrauding the state's Medicaid program (MassHealth), Attorney General Maura Healey announced today.
May 10, 2017; Connecticut Division of Justice
Former Nurse Charged with Health Insurance Fraud, Prescription Violations
A former advanced practice registered nurse (APRN) with an office in Groton was arrested today and charged with billing Medicaid for prescriptions that were never provided to the purported recipients.
May 8, 2017; Tennessee Department of Finance and Administration
Mid-State Woman Charged with TennCare Fraud in Dickson Co.
NASHVILLE, Tenn. - A Hickman County woman is charged with TennCare drug fraud in nearby Dickson County.
May 8, 2017; Tennessee Department of Finance and Administration
Three People in Jefferson Co. Charged with TennCare Fraud
NASHVILLE, Tenn. - Three Tennesseans are charged with TennCare fraud in Jefferson County.
May 3, 2017; Florida Attorney General
Former Leon County Home Care Provider Arrested
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit today announced the arrest of a former Hopewell Home Health employee for alleged fraud. According to a joint investigation by the Medicaid Fraud Control Unit and the Leon County Sheriff's Office, Charlie Jenkins, 38, defrauded Medicaid during a nine-month period by submitting records with forged recipient signatures for services that Jenkins never performed.
May 1, 2017; Tennessee Department of Finance and Administration
Wilson Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Wilson County woman is charged with TennCare fraud in connection with falsely reporting her monetary assets in order to obtain benefits under a special TennCare program that assists low-income people with Medicare expenses. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities and people with End-Stage Renal Disease.

April 2017

April 28, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Meadow Valley Pharmacy Manager for Insurance and Medicaid Fraud of $1.5 Million
Carson City, NV - Today, Nevada Attorney General Adam Paul Laxalt announced that Angela Walker, 45, of Caliente, was sentenced for insurance and Medicaid fraud. Walker previously pleaded guilty to the felonies for her role in defrauding insurance companies by billing for large amounts of compound pharmaceutical prescriptions that were rarely provided as billed to the patients or prescribed by a physician. Walker was the pharmacy manager at Meadow Valley Pharmacy (MVP) located in Caliente, Nevada. The head pharmacist, Adam Katschke, was convicted in January 2017 for his role in the fraud conducted at MVP. The fraudulent acts were committed between April 2013 and April 2015.
April 28, 2017; Louisiana Department of Justice
Attorney General Jeff Landry Makes Three Medicaid Fraud Arrests
BATON ROUGE, LA - Attorney General Jeff Landry today announced the arrests of three on Medicaid fraud charges.
April 27, 2017; Florida Attorney General
Hillsborough County Woman Arrested for Abuse of a Disabled Adult
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Hillsborough County Sheriff's Office today arrested a Hillsborough County resident for abusing a disabled adult. Erica R. Reid, 24, is a former employee of NeuroRestorative Florida, a Medicaid funded facility in Lutz. The facility houses a number of developmentally disabled residents. According to the MFCU investigation, Reid became upset with the behavior of one of the disabled residents and shoved the resident in the back, causing the victim to fall to the floor. NeuroRestorative Florida terminated Reid's employment.
April 27, 2017; Tennessee Department of Finance and Administration
White Co. Woman Charged with TennCare Fraud in Two Counties
NASHVILLE, Tenn. - A White County woman is charged with TennCare drug fraud in indictments from both White and Putnam Counties.
April 25, 2017; U.S. Attorney; District of Arizona
Chandler Man Sentenced to Prison for Health Care Fraud and Identity Theft
PHOENIX - On April 24, 2017, Elseddig Elmarioud Musa, 43, of Chandler, Ariz., was sentenced by U.S. District Judge Douglas L. Rayes to 57 months in federal prison and three years of supervised release. Musa also was ordered to pay more than $1.2 million in restitution. Musa was convicted by a jury of 35 counts of health care fraud and four counts of aggravated identity theft.
April 25, 2017; Tennessee Department of Finance and Administration
Knox County Woman Must Repay TennCare
NASHVILLE, Tenn. - A Knox County woman charged with TennCare fraud must repay the state for benefits received through the state's healthcare insurance program.
April 24, 2017; U.S. Attorney; Southern District of Texas
Ambulance Company Owner and Brother Sentenced in $6 Million Health Care Fraud Conspiracy
HOUSTON - Two brothers have been sentenced to more than four years in federal prison for their convictions of conspiracy to commit health care fraud, health care fraud and money laundering, announced Acting U.S. Attorney Abe Martinez. Kevin Olufemi Davies, 29, and his brother Melvin Olusola Davies, 28, pleaded guilty Dec. 9, 2016.
April 24, 2017; Tennessee Department of Finance and Administration
Davidson Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Davidson County woman is charged in both Davidson and Rutherford Counties with TennCare fraud involving doctor shopping, or using TennCare to go to multiple doctors in a short time period to obtain prescriptions for controlled substances.
April 21, 2017; Kentucky Attorney General
Beshear: Somerset Doctor Receives 5-Year Sentence on Medicaid Fraud
FRANKFORT, KY. (April 21, 2017) - Attorney General Andy Beshear today announced that a Somerset doctor was sentenced to five years in prison and ordered to pay more than $10,000 in restitution.
April 17, 2017; Alaska Department of Law
Anchorage Dentist Criminally Charged for Defrauding the Alaska Medicaid Program, Diverting Funds from his Prior Employers, and Unlawful Dental Acts
The Alaska Department of Law, Medicaid Fraud Control Unit (MFCU), announced today that 31 year-old Dr. Seth Lookhart was charged with 10 felony offenses consisting of medical assistance fraud, theft in the second degree, and scheme to defraud. The information further alleges that Dr. Lookhart committed numerous misdemeanor offenses for medical assistance fraud and unlawful dental acts. Dr. Lookhart's office manager, thirty-two year old Shauna Cranford, was also charged with the same felony offenses and six of the seven misdemeanor offenses. Dr. Lookhart's corporation, Lookhart Dental, LLC., D/B/A Clear Creek Dental, LLC., was also charged with the same felony offenses and three misdemeanor offenses of medical assistance fraud.
April 20, 2017; U.S. Attorney; District of Kansas
Topeka Woman Sentenced For Health Care Fraud Involving Developmentally Disabled Adults
TOPEKA, KAN. - A Topeka woman was sentenced Wednesday to 30 months in federal prison for billing Medicaid for services she did not provide to developmentally disabled adult patients, U.S. Attorney Tom Beall and Kansas Attorney General Derek Schmidt announced today. She was ordered to pay more than $480,000 in restitution.
April 19, 2017; Louisiana Attorney General
Attorney General Jeff Landry Arrests Two for Medicaid Fraud
BATON ROUGE, LA - Attorney General Jeff Landry today announced the arrests of two women on Medicaid Fraud charges, whose alleged crimes costed the State over $10,000.
April 18, 2017; Maryland Attorney General
Complete Family Care, P.C. Pays $250,000 to Settle Medicaid Fraud
Attorney General Brian E. Frosh announced today that Complete Family Care, P.C., a Takoma Park primary care practice owned by Suresh Khetan, M.D. and his wife Renu Khetan, paid $250,000 to the State of Maryland to resolve allegations that the practice engaged in a fraudulent billing scheme to increase profits.
April 13, 2017; Georgia Attorney General
Attorney General Chris Carr Announces Two Sentenced for Medicaid Fraud in Cobb County
ATLANTA, GA - The Office of the Attorney General today announced that Demario Phillips and Pamela Baker pled guilty to Medicaid Fraud in Cobb County Superior Court.
April 13, 2017; New York Attorney General
A.G. Schneiderman Announces Arrest Of Oswego Nurse For Allegedly Causing A Nursing Home Resident's Rib Fracture
OSWEGO - Attorney General Eric T. Schneiderman today announced that Darryl Boscoe, 61, a Licensed Practical Nurse, was arraigned in Oswego City Court, in Oswego County, on the charge of Endangering the Welfare of a Vulnerable Elderly Person or an Incompetent or Physically Disabled Person in the Second Degree. The defendant entered a not guilty plea. The Court issued an Order of Protection in this case.
April 10, 2017; Florida Attorney General
UPDATE: Two More Arrested in Medicaid Fraud Scheme
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit, the Leon County Sheriff's Office and the Seminole County Sheriff's Office today announced the arrests of Danielle Richardson, 42, and Vickram Thakur, 50, in connection to a Medicaid fraud scheme. Richardson and Thakur are former employees of DS Connections, Inc., a targeted case management company headquartered in Winter Park, with offices in Clermont and Tallahassee. These two arrests are the ninth and tenth arrests of former DS Connections employees since January 2015 for Medicaid fraud.
April 7, 2017; Tennessee Department of Finance and Administration
Two Shelby Co. Residents Must Repay TennCare Nearly $50,000
NASHVILLE, Tenn. - Two people in Shelby County are ordered to repay TennCare after court appearances on TennCare fraud charges. The Office of Inspector General (OIG) today announced the court orders; in one case, the restitution is more than $30,000.
April 4, 2017; Massachusetts Attorney General
Ludlow Doctor Pleads Guilty in Connection with Illegally Prescribing Opioids to At-risk Patients
SPRINGFIELD - A Ludlow physician has pleaded guilty to illegally prescribing opioids to patients for no legitimate medical purpose, some of whom had documented substance use disorder, and for defrauding the state's Medicaid program (MassHealth), Attorney General Maura Healey announced today.
April 4, 2017; New Jersey Department of Law & Public Safety
Bergen County Nurse Charged with Assault on a Disabled Person After Video Purportedly Shows Her Striking a Ventilator-Dependent, Bed-Bound Patient
TRENTON - Attorney General Christopher S. Porrino and the Office of the Insurance Fraud Prosecutor (OIFP) announced today that a former Bergen County Registered Professional Nurse has been charged with assault on a disabled person after a video purportedly showed her slapping and roughly treating a ventilator-dependent, paralyzed patient she was hired to care for in his home.

March 2017

March 31, 2017; Florida Attorney General
Former Home Healthcare Employee Arrested for Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Daytona Police Department today arrested a Flagler County resident for more than $2,000 in Medicaid fraud. Ruth Sylvester Marsh, 56, is a former provider of homemaker and in home support services. According to the MFCU investigation, Marsh submitted service logs for services not provided. Marsh allegedly billed for services performed at times the recipient traveled out of town or was with family. Additionally, Marsh's service logs reflect some of the same dates and times Marsh worked at a school as a teacher's aide.
March 30, 2017; Missouri Attorney General
AG Hawley Announces St. Francois County Medicaid Fraud Conviction
Jefferson City, Mo. - On March 23, 2017, a St. Francois County jury found Christina Halter, 52, guilty of one count of Medicaid Fraud, two counts of financial exploitation, one count of obstructing a Medicaid Fraud investigation, one count of failing to file an income tax return, one count of failing to pay income tax, and one count of attempting to evade income tax liability. The jury recommended a sentence for Christina Halter of 89 years in the Missouri Department of Corrections. Following Christina Halter's conviction, on March 28, 2017, Donald Halter, 56, pled guilty in St. Francois County Circuit Court to the same seven counts.
March 30, 2017; Florida Attorney General
Florida Couple Arrested in Drug Diversion Scheme
TALLAHASSEE, Fla.-Attorney General Pam Bondi and the Florida Department of Law Enforcement today announced the arrest of a Naples couple in connection with a drug diversion scheme fueled by Medicaid fraud. According to the Medicaid Fraud Control Unit and FDLE investigation, Francisco Calderon, 53, and his wife Zulima Calderon, 51, trafficked more than $3.9 million of contraband prescription drugs between 2005 and 2013.
March 28, 2017; Tennessee Department of Finance and Administration
Three Middle Tennessee Residents Charged with TennCare Fraud
NASHVILLE, Tenn. - Three people in middle Tennessee are charged with TennCare fraud. The Office of Inspector General (OIG) today announced that a couple from Davidson County and a woman in Montgomery County are the latest arrests.
March 17, 2017; Tennessee Department of Finance and Administration
Weakley Co. Man Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Weakley County man is charged in Decatur County with doctor shopping for prescription drugs, using TennCare as payment. Doctor shopping involves going to multiple healthcare providers in a short period of time to obtain prescription drugs, using the state's healthcare insurance program as payment.
March 17, 2017; Florida Attorney General
Three Arrested in Medicaid Fraud Scheme Targeting Homeless
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit, the Kissimmee Police Department, the Orlando Police Department and the Osceola County Sheriff's Office announced the arrests of three individuals for allegedly defrauding the Medicaid program out of more than $10,000. According to the investigation, the owner of Genesis TCM, a provider of Targeted Case Management services and two Genesis employees, allegedly billed Medicaid for Targeted Case Management services never provided. The defendants allegedly conspired with Tranquility HealthCare Solutions owner, Christina M. Benson, and others to fraudulently bill the Medicaid system.
March 16, 2017; U.S. Attorney; Middle District of Georgia
Valdosta Dentist Sentenced To Twenty-Seven (27) Months In Prison For Healthcare Fraud
United States Attorney G. F. "Pete" Peterman, III, announces that Dr. Stanley B. Marable, DDS, age 55, a dentist from Valdosta, Georgia, was sentenced March 16, 2017 to serve twenty-seven (27) months in Federal prison for Healthcare Fraud followed by two (2) years of supervised release. In addition, Dr. Marable was ordered to pay a fine of $5,000.00 and a $100.00 mandatory assessment fee. The sentence was handed down by United States District Court Judge Hugh Lawson in Valdosta, Georgia.
March 8, 2017; Tennessee Department of Finance & Administration
Warren Co. Woman Charged 3rd Time with TennCare Drug Fraud
NASHVILLE, Tenn. - A Warren County woman is charged for the third time with TennCare fraud involving prescription drugs.
March 7, 2017; Florida Attorney General
Certified Nursing Assistant Arrested for Abuse of a Disabled Adult
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Baker County Sheriff's Office today arrested a certified nursing assistant for abuse of a disabled adult. Emily S. Martin, 21, is a Baker County resident formerly employed as a CNA at Northeast Florida State Hospital. According to the MFCU investigation, Martin grabbed and shoved a disabled patient at Northeast Florida State Hospital in a forceful manner, inflicting physical harm on the victim.
March 3, 2017; Oklahoma Attorney General
Attorney General Mike Hunter Announces Guilty Plea in Medicaid Fraud Case
OKLAHOMA CITY - The owner of a behavior health counseling service pleaded guilty to multiple counts of Medicaid fraud following charges brought by the Oklahoma Attorney General's Office.
March 3, 2017; Tennessee Department of Finance and Administration
Dyer Co. Man Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Dyer County man is charged in nearby Obion County with doctor shopping for prescription drugs, using TennCare as payment for the pills.
March 1, 2017; Mississippi Attorney General
Flowood Healthcare Agency Personal Care Assistant Arrested for Medicaid Fraud
Attorney General Jim Hood announced today that a Flowood personal care assistant has been arrested for Medicaid fraud following her indictment by a Rankin County grand jury.
March 1, 2017; U.S. Attorney; Western District of New York
Frewsburg Man Sentenced For Health Care Fraud
BUFFALO, N.Y.- Acting U.S. Attorney James P. Kennedy, Jr. announced today that Leo A. Kronert, Jr., 66, of Frewsburg, NY, who was convicted of healthcare fraud, was sentenced to three years supervised release to include six months of home confinement and 100 hours community service by U.S. District Judge Lawrence J. Vilardo. The defendant was also ordered to pay $59,449.00 in restitution.
March 1, 2017; Tennessee Department of Finance and Administration
Williamson Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Williamson County woman is charged with TennCare fraud in connection with falsely reporting her income in order to appear eligible for the state's healthcare insurance program.

February 2017

February 28, 2017; U.S. Attorney; Southern District of Iowa
Former Central Iowa Psychiatrist Sentenced to Two Months in Prison for Health Care Fraud
DES MOINES, IA - On February 28, 2017, Richard Lee Hauser, M.D., 67, formerly of the Grinnell, Iowa, area was sentenced by Senior United States District Court Judge Robert W. Pratt to two months in federal prison for two counts of health care fraud, announced United States Attorney Kevin E. VanderSchel. The two-month sentences were ordered to be served at the same time. Hauser was also ordered to serve three years of supervised release following his prison term, pay $200 to the Crime Victims' Fund, and pay a total of $30,879 in restitution to the State of Iowa Medicaid program (Iowa Medicaid) and Wellmark Blue Cross and Blue Shield of Iowa (Wellmark).
February 28, 2017; Florida Attorney General
Marion County Woman Arrested for Abuse of an Elderly Person
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Ocala Police Department today arrested a Marion County woman for allegedly abusing an elderly and disabled adult. Savitri Seenanan, 46, is a former resident care aid of Hampton Manor Assisted Living Facility in Ocala.
February 27, 2017; Georgia Attorney General
Attorney General Chris Carr Announces Charges in Elder Exploitation Case
ATLANTA, GA - Attorney General Chris Carr today announced a Cherokee County Grand Jury charged Reginald Keith with one count of Racketeering (O.C.G.A. 16-14-4(a)) and one count of Exploitation of an Elder Person (O.C.G.A. 30-5-8(a)).
February 25, 2017; New York Attorney General
A.G. Schneiderman Announces Arrest Of Brooklyn Medical Supply Company Owner For Allegedly Defrauding Medicaid
NEW YORK-Attorney General Eric T. Schneiderman today announced the arrest of Kester Atumonyogo, 43, of Valley Stream, N.Y., and his company Monack Medical Supply, Inc. ("Monack") for allegedly stealing over $1.5 million from Medicaid and Healthfirst, a Medicaid managed care organization. The defendants are accused of using a false Social Security number to enroll Monack as a participating medical supply provider in Medicaid. Thereafter, the company allegedly filed false claims that misrepresented to Medicaid and Healthfirst that Monack dispensed a highly specialized, expensive enteral, nutritional formula to needy pediatric patients.
February 23, 2017; New York Attorney General
A.G. Schneiderman Announces Settlement With Oxford Health For Improperly Denying Claims Of Hundreds Of Members For Infusion Services
NEW YORK-Attorney General Eric T. Schneiderman today announced an agreement with Oxford Health Plans (NY) and Oxford Health Insurance, Inc. (together, "Oxford"), requiring that Oxford provide refunds to hundreds of small group plan members in New York State for improperly denying coverage of infusion services, including necessary supplies and nurse visits, since November 2015. As a consequence of Oxford's denials, these chronically ill members who needed infusion therapy for serious medical conditions were billed by infusion service providers. Infusion therapy is used as part of a medication treatment plan, and is a procedure in which medication is administered intravenously. Infusion therapy may be used, for example, to treat serious or chronic infections that do not respond to oral antibiotics and for pain management. Oxford is owned by UnitedHealth Group.
February 21, 2017; Massachusetts Attorney General
Middleborough Woman Pleads Guilty, Sentenced for Defrauding State's Medicaid Program
PLYMOUTH - A Middleborough woman has pleaded guilty and been sentenced in connection with making duplicative claims for personal care services, causing an overpayment of more than $140,000 from the state's Medicaid Program (MassHealth), Attorney General Maura Healey announced today.
February 21, 2017; Louisiana Attorney General
AG Jeff Landry's Medicaid Fraud Control Unit Arrests Two South Louisiana Women
BATON ROUGE, LA - Attorney General Jeff Landry's national award-winning Medicaid Fraud Control Unit has arrested two South Louisiana women.
February 21, 2017; Tennessee Department of Finance and Administration
Shelby Co. Man Charged with TennCare Fraud
NASHVILLE, Tenn. - A Shelby County man is charged with TennCare fraud for falsely reporting his income and marital status in order to obtain healthcare insurance benefits through TennCare. This arrest brings the total number of people arrested for TennCare fraud to 2,800 since the Office of Inspector General (OIG) began investigating and pursuing this criminal activity.
February 14, 2017; Arkansas Attorney General
Rutledge Announces Helena-West Helena Woman Sentenced for Medicaid Fraud
LITTLE ROCK - Arkansas Attorney General Leslie Rutledge today announced the conviction of a Phillips County woman for Medicaid fraud. Jacqueline Young pleaded guilty in Pulaski County Circuit Court and was sentenced to three years probation and to pay nearly $1,400 in restitution to the Arkansas Medicaid Program and more than $4,000 in fines and court costs.
February 14, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Behavioral Health Provider
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that Tiffany Day, 35, of Las Vegas, was sentenced today in a Medicaid fraud case involving the failure to maintain adequate records.
February 13, 2017; Tennessee Department of Finance and Administration
Robertson Co. Woman Charged with TennCare Drug Fraud Monday,
NASHVILLE, Tenn. - After being on the run for six months, a Robertson County woman is charged in Davidson County for fraudulently obtaining controlled substances by doctor shopping, which involves using TennCare to obtain prescription drugs.
February 15, 2017; Florida Attorney General
Manatee County Man Arrested for Grand Theft and Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Manatee County Sheriff's Office today arrested a Manatee County resident for Medicaid fraud and grand theft. David Makynen, 30, is a former sub-contractor of Oasis Health Care, a provider of at-home services to disabled adults.
February 6, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Behavioral Health Provider
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that Anthony Staten, 37, of Las Vegas, was sentenced today in a Medicaid fraud case involving the submission of false Medicaid claims.
February 6, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Behavioral Health Provider
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that Samantha Thomas, 30, of Las Vegas, was sentenced today in a Medicaid fraud case involving the submission of false Medicaid claims.
February 13, 2017; Tennessee Department of Finance and Administration
Robertson Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - After being on the run for six months, a Robertson County woman is charged in Davidson County for fraudulently obtaining controlled substances by doctor shopping, which involves using TennCare to obtain prescription drugs.
February 7, 2017; Florida Attorney General
Two Seminole County Women Arrested for Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit, U.S. Immigration and Customs Enforcement's Homeland Security Investigations and the Seminole County Sheriff's Office today announced the arrests of two Seminole County women for allegedly defrauding the Medicaid program out of more than $4 million. Maria Navarro, 44, owner of Angels Creative Children Therapy, and office manager Judith Benech, 37, allegedly billed Medicaid for behavioral therapy services for disabled children that the defendants never provided.

January 2017

January 31, 2017; Tennessee Department of Finance and Administration
Rhea Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Rhea County woman is charged in nearby Hamilton County with doctor shopping for prescription drugs, using TennCare as payment for the pills. Doctor shopping is the crime of using TennCare to visit multiple doctors in a short period of time to obtain prescription drugs.
January 27, 2017; New York Attorney General
A.G. Schneiderman Announces Conviction Of Suffolk County Doctor For Criminal Sale Of Opioid Prescriptions
NEW YORK-Attorney General Eric T. Schneiderman announced today the conviction of Kurt Silverstein, Doctor of Osteopathic Medicine, following a 10 day jury trial on felony charges of Criminal Sale of a Prescription, Unauthorized Practice of Medicine, and Falsifying Business Records. In 2016, Silverstein was indicted for selling prescriptions for opioid medications on several occasions; aiding, abetting and authorizing one of his non-physician employees to issue prescriptions for controlled substances at her discretion; and falsifying electronic medical records relating to the patients.
January 26, 2017; Missouri Attorney General
Attorney General Landry Makes Medicaid Fraud Arrests, Reaffirms Commitment to Fighting Fraud
BATON ROUGE, LA - Attorney General Jeff Landry announced today that Veronica Thomas, Glenn Combs, and Cheryl Sowers have been arrested by his Medicaid Fraud Control Unit. These arrests come on the heels of a study being released that ranked Louisiana 7th in the country in regards to Medicare waste spending.
January 25, 2017; New York Attorney General
A.G. Schneiderman Announces Guilty Plea Of Binghamton-Area Transport Company Owner For Stealing Over $100K From Medicaid
BINGHAMTON - Attorney General Eric T. Schneiderman today announced the guilty plea of Darin Cox, 44, of Johnson City, owner and operator of Broome Taxi, a transportation company in Broome County, for his allegedly fraudulent actions in obtaining over $3,000.00 from the Medicaid system by operating his business without the licensing necessary to operate a taxicab in Broome County. Cox pled guilty to one count of Grand Larceny in the Third Degree, which is a Class D felony. Cox faces a sentence of up to seven years in prison.
January 24, 2017; Florida Attorney General
Lee County Man Arrested Again Following MFCU Investigation
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Lee County Sheriff's Office today announced the second arrest of Ryan Todd Powers, 40, for grand theft of a motor vehicle.
January 24, 2017; Tennessee Department of Finance and Administration
Campbell County Man Must Repay State for TennCare Services
NASHVILLE, Tenn. - A Campbell County man accused of obtaining TennCare benefits he was not eligible for must repay the state for medical and pharmacy services provided through the state's healthcare insurance program.
January 23, 2017; Illinois State Police
Decatur woman pleads guilty to stealing from two Illinois departments
DECATUR - A Decatur woman has pled guilty after an Illinois State Police investigation found she was overpaid by deceiving her employers.
January 17, 2017; Tennessee Department of Finance and Administration
Shelby Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Shelby County woman is charged with TennCare fraud in connection with falsely reporting her income in order to obtain TennCare.
January 11, 2017; Florida Attorney General
Escambia County Licensed Mental Health Counselor Arrested
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Escambia County Sheriff's Office today announced the arrest of an Escambia County licensed mental health counselor for Medicaid provider fraud. Walter David Robinson, 65, is the owner of A Better Choice Supports and Services, Inc. in Pensacola. A complaint to the Attorney General's fraud hotline initiated a Medicaid fraud investigation against Robinson for allegedly stealing more than $22,000 from the Florida Medicaid program. According to the investigation, Robinson improperly billed Medicaid and failed to complete treatment of children with autism.
January 5, 2016; Florida Attorney General
Medicaid Provider Arrested for Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit today announced the arrest of a Gadsden County resident for Medicaid provider fraud. Aretha Derrico, 44, is the owner of a home community based services company called Heavenly Choices. A complaint to the Attorney General's fraud hotline initiated a Medicaid fraud investigation against Derrico for allegedly stealing more than $57,000 from the Florida Medicaid Program. According to the investigation, Derrico billed for services not provided and for services not authorized for reimbursement.

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