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State Enforcement Actions

February 2017

February 14, 2016; 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, 2016; 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, 2016; 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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