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Indian Health and Human Services

This webpage offers an overview of the Office of Inspector General's (OIG) body of work as it relates to the Indian health and human services.

Fighting fraud in Indian Health and Human Services programs is an OIG priority. Below are some examples of enforcement actions:

2019

Boise, Idaho based sports poster company, All Around Sports, LLC, pleaded guilty to a federal wire fraud conspiracy charge involving the fraudulent transfer of funds from victim bank accounts located in South Dakota and Alaska. Additionally, the owner of All Around Sports, LLC pleaded guilty to wire fraud against the Oglala Sioux Tribe by unlawfully withdrawing $54,000 from the Tribe's bank account. The Tribe receives funding from the Indian Health Service.
https://www.justice.gov/usao-sd/pr/us-attorney-s-guardians-project-results-multiple-defendants-facing-federal-charges-and

Three former management employees of the Blackfeet Tribe's Head Start program were sentenced to prison and ordered to pay restitution for perpetrating a 15-month-long fraudulent overtime pay scheme. The theft of the Head Start funds resulted in the program not being able to purchase books and teaching materials. In addition, the program had to makes cuts in the children's nutrition program.
https://www.justice.gov/usao-mt/pr/three-ex-employees-blackfeet-tribe-s-head-start-program-sentenced-theft-fraud

2018

Two employees of the Blackfeet Tribe's Head Start Program pled guilty to stealing money by fraudulently claiming overtime. The tribe conducted an internal review and paid HHS for disallowed costs and other expenses.
https://www.justice.gov/usao-mt/pr/blackfeet-tribe-s-head-start-program-employees-admit-theft-fraud-charges

Former IHS employee was convicted of making a false statement on a Confidential Financial Disclosure Report in connection with a $5,000 payment from Dr. Stanley Patrick Weber.
https://www.justice.gov/usao-sd/pr/nebraska-woman-sentenced-making-false-statement

Former CFO of Rocky Boy Health Clinic sentenced for wire fraud in connection with issuing checks to herself from the clinic's employee loan programs.
https://www.justice.gov/usao-mt/pr/former-chief-financial-officer-rocky-boy-health-clinic-sentenced-prison

Patient sentenced for a falsely alleging that an IHS physician engaged in sexual conduct against him.
https://www.justice.gov/usao-sd/pr/kyle-man-sentenced-making-false-statement

2017

The Confederated Tribes of the Colville Reservation voluntary settled allegations of false Medicaid claims and agreed to a Voluntary Tribal Compliance Agreement with the HHS OIG.
https://www.justice.gov/usao-edwa/pr/confederated-tribes-colville-reservation-enter-false-claims-act-and-voluntary

Indictment of Stanley Patrick Weber related to charges of sexually abusing minors while employed by IHS.
https://www.justice.gov/usao-sd/pr/spearfish-man-indicted-multiple-sex-offenses

2016

A contractor working on the Rocky Boys Indian Reservation was convicted of Wire Fraud and Bribery for participating in a "pay to play" scheme whereby the contractor gave $50,000 to the tribal official after receiving a $200,000 progress payment of federal funds.
https://www.justice.gov/usao-mt/pr/billings-businessman-and-construction-company-convicted-pay-play-scheme-rocky-boy-s

A patient of the Fort Thompson Indian Health Service Hospital was convicted of False Statement Relating to Health Care Matters after altering his prescription in order to increase the number of opioids for dispensing at the hospital's pharmacy.
https://www.justice.gov/usao-mt/pr/billings-businessman-and-construction-company-convicted-pay-play-scheme-rocky-boy-s

Five tribal employees agreed to a civil False Claims Act settlement for taking federal funds from the Oglala Sioux Tribe's Low Income Home Energy Assistance Program (LIHEAP) and agreed to pay $84,000 in restitution. All five had previously been convicted of Conspiracy to Commit Theft of Federal Funds
https://www.justice.gov/usao-sd/pr/settlements-totaling-84000-reached-five-individuals-who-committed-fraud

  • Montana Man Sentenced For Health Care Fraud

    (October 24, 2014; U.S. Attorney; District of South Dakota)
    A Colstrip, Montana, man convicted of Health Care Fraud was sentenced on October 16, 2014. Dean L. Hodges, age 59, was sentenced to 2 years of probation, ordered to pay a $100 special assessment to the Federal Crime Victims Fund, and restitution in the amount of $686.
    Read the Full News Release

    Rapid City Man Sentenced For Theft From Indian Health Services

    (October 16, 2014; U.S. Attorney; District of South Dakota)
    A Rapid City, South Dakota, man convicted of Theft or Embezzlement in Connection with Health Care was sentenced on October 16, 2014. Michael Gray, age 59, was sentenced to 2 years of probation, ordered to pay a $100 special assessment to the Federal Crime Victims Fund, and restitution in the amount of $6,476.42.
    Read the Full News Release

    Four Individuals Sentenced In Federal Program Fraud Case

    (July 24, 2014; U.S. Attorney; District of South Dakota)
    Four individuals convicted of Conspiracy to Commit Theft Concerning Programs Receiving Federal Funds or Theft Concerning Programs Receiving Federal Funds have been sentenced. Gerald T. Roy, Special Agent in Charge, Health and Human Services/Office of Inspector General, Office of Investigations, Kansas City, MO, stated, "Individuals who choose to misappropriate HHS funds intended for those in dire need will continue to be pursued by the OIG and their law enforcement partners."
    Read the Full News Release

    Former Blackfeet Po'Ka Project Officials Sentenced For Massive Grant Fraud HHS Inspector General Claims $4.6 Million In Potential Fraud

    (June 24, 2014; U.S. Attorney; District of Montana)
    Former officials of the Blackfeet Tribe's Po'Ka Project, a multi-million dollar federally funded effort to address the needs of troubled youth on the reservation, were sentenced in federal court in Great Falls, MO.
    Read the Full News Release

    California Rural Indian Health Board Inc. Settles False Claims Act Lawsuit

    (April 30, 2013; U.S. Attorney; Northern District of California)
    The California Rural Indian Health Board Inc. (CRIHB), a nontribal entity and grantee of the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMSHA), agreed to pay the United States $532,000, and to be terminated from an existing SAMHSA grant, thereby relinquishing funds valued at over $4.6 million. In addition, CRIHB will be subject to certain administrative conditions imposed by SAMHSA, and will not be eligible to apply for any new SAMHSA funding opportunities for two federal fiscal years.
    Read the Full News Release