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State Enforcement Archive

February 2013

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.

December 2012

December 21, 2012; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged With TennCare Fraud
NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud and theft of services after she received healthcare insurance benefits through TennCare, even though she did not qualify for the program. This arrest brings the total number of people arrested for TennCare fraud to 1,800 since the Office of Inspector General began investigating and pursuing this criminal activity. With the assistance of the Nashville Metropolitan Police Department, the OIG today announced the arrest of Ryan Deette Wagoner, 29, of Nashville.
December 21, 2012; Tennessee Department of Finance & Administration: Two Mid-State Residents Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - Two mid-state residents are charged with TennCare "doctor shopping," in separate cases out of Rutherford County. The Office of Inspector General, with assistance from the Cannon County Sheriff's Office and the Woodbury Police Department, today announced the arrests of Kimberly Besner, 38, of Murfreesboro and William K. Bryant, 46, of Woodbury.
December 21, 2012; Tennessee Department of Finance & Administration: Humphreys County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Humphreys County woman is charged with TennCare fraud and theft of services after she received healthcare insurance benefits through TennCare, even though she was not eligible for the program. The Office of Inspector General today announced the arrest of Lisa A. Herlein, 39, of McEwen.
December 20, 2012; Tennessee Department of Finance & Administration: Hamilton Dyer Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Hamilton County woman is charged with TennCare "doctor shopping," the crime of going to multiple physicians in a short period of time to obtain controlled substances, and using TennCare as payment. The Office of Inspector General today announced the arrest of Sherry Watts Jennings, 59, of Chattanooga.
December 19, 2012; Massachusetts Attorney General: Sandisfield Nurse Indicted in Connection with Fraudulently Billing MassHealth
PITTSFIELD - A Sandisfield nurse has been indicted in connection with stealing more than $25,000 from MassHealth after she allegedly fraudulently billed for the nursing care of children when she was actually at horse racing competitions, Attorney General Martha Coakley announced today.
December 19, 2012; Louisiana Attorney General: AG's Medicaid Fraud Control Unit Arrests Porte Barre Woman
A Porte Barre woman has been charged with three counts of Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell. Hilda L. Demouchet, 44, of 157 Darryl Lane, surrendered to investigators from the Attorney General's Medicaid Fraud Control Unit on Tuesday.
December 19, 2012; Tennessee Department of Finance & Administration: Three Dyer Co. Residents Charged With TennCare Drug Fraud
NASHVILLE, TN - Three people in Dyer County are charged with TennCare drug fraud, after a round-up that netted almost 40 drug-related arrests. They were rounded up after an undercover investigation coordinated by the Office of Inspector General and the Dyersburg Police Department. The three are all charged with trying to sell prescription drugs, which were paid for by TennCare. The most common drug involved was the painkiller morphine.
December 19, 2012; Tennessee Department of Finance & Administration: Tipton Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Tipton County woman is charged with TennCare fraud in an indictment accusing her of "doctor shopping," or using TennCare to go to multiple doctors obtain controlled substances. The Office of Inspector General today announced the arrest of Faith Marie De'Forge, 50, of Drummonds.
December 19, 2012; Tennessee Department of Finance & Administration: White County Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A White County man is charged in Rutherford County with obtaining a prescription by fraud, using TennCare benefits to pay for the drugs. The Office of Inspector General, with assistance from the White and Rutherford County Sheriffs' Offices, today announced the arrest of Jacob Samford, 27, of Sparta.
December 18, 2012; Tennessee Department of Finance & Administration: Three Claiborne County Residents Charged With TennCare Drug Fraud
NASHVILLE, TN - Three Claiborne County residents are charged with TennCare fraud for selling prescription drugs that were purchased using TennCare healthcare insurance benefits.The Office of Inspector General today announced the arrest of Crystal J. King, 32, of Clairfield, Patricia A. Smith, 49 and David L. Johnson, 49, both of New Tazewell, after a joint investigation with the Claiborne County Sheriff's Office.
December 18, 2012; Colorado Attorney General: Daughter Billed Medicaid for Health Services Provided To Dead Father
DENVER-Colorado Attorney General John Suthers announced the criminal conviction today of Viola Kwong (52) for felony forgery. Kwong had requested services for her elderly father through a Medicaid program that allows a Medicaid client to direct his or her own home-based, personal healthcare when able. In this case, Kwong's father was too infirm to direct his own care and Medicaid authorized Kwong as his personal representative in obtaining those services. While her father died on July 23, 2010, Kwong continued to submit numerous fraudulent documents to Medicaid reflecting personal healthcare services provided to her father through November 8, 2010.
December 18, 2012; New York Attorney General: A.G. Schneiderman Announces Guilty Pleas in Medicaid Thefts Totaling $10 Million by Five NYC Pharmacies
NEW YORK Attorney General Eric T. Schneiderman today announced the culmination of a wide-ranging investigation into a series of New York City pharmacies that for years systematically bilked the state's Medicaid program of millions of dollars by submitting bills for drugs that they never dispensed to their patients, most of whom were enrolled in Medicaid. Five owners or supervising pharmacists of four Bronx and one Manhattan pharmacy have pleaded guilty in Bronx Supreme Court to stealing a total of $9.9 million from Medicaid. Lead culprit Sanjay K. Patel stole the vast majority, $7.7 million, of the Medicaid funds and is facing jail time.
December 18, 2012; U.S. Attorney; Southern District of New York: Doctor Who Supplied Oxycodone Ring Sentenced In Manhattan Federal Court to 36 Months in Prison
Preet Bharara, the United States Attorney for the Southern District of New York, announced that Diana Williamson, a doctor who supplied an oxycodone trafficking organization with fake prescriptions that were filled using Medicaid dollars, was sentenced today in Manhattan federal court to 36 months in prison. Williamson pled guilty to one count of conspiracy to distribute oxycodone and one count of conspiracy to commit health care fraud on March 8, 2012. U.S. District Judge Loretta A. Preska imposed today's sentence.
December 18, 2012; North Carolina Attorney General: Nine Arrested Statewide For Medicaid Fraud, AG Cooper Announces
Raleigh - Nine health care providers accused of defrauding taxpayers and the Medicaid system were arrested this week as part of a continuing crackdown on fraud, Attorney General Roy Cooper announced Tuesday.
December 17, 2012; Tennessee Department of Finance & Administration: Giles County Man Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Giles County man 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, with the assistance of the Giles County Sheriff's Office, today announced the arrest of Lonnie R. Miller, II, 38, of Pulaski.
December 17, 2012; Tennessee Department of Finance & Administration: Loudon County Man Charged 2nd Time With TennCare "Doctor Shopping"
NASHVILLE, TN - A Loudon County man is charged a second time for "doctor shopping," or going to multiple doctors in a short period of time to obtain controlled substances and using TennCare as payment. The Office of Inspector General, with the assistance of the Loudon County Sheriff's Office, today announced the arrest of 52-year old Eddie Vance Walden, of Philadelphia, TN.
December 13, 2012; Colorado Attorney General: Occupational Therapist Convicted Of Stealing From Medicaid
DENVER-Colorado Attorney General John Suthers today announced the criminal conviction of occupational therapist Cheryl Moss (47) of Castle Rock, for stealing from the Colorado Medicaid Program. Moss pled guilty to one count of felony theft and one count of felony forgery. She will repay the program $54,332 in criminal restitution and serve 60 days home detention in addition to performing 300 hours of community service. Moss also agreed to pay the Medicaid program an additional $46,000 to resolve any potential civil issues and is required to report her conviction to the Colorado Department of Regulatory Agencies (DORA), which licenses occupational therapists. She will also pay all fees and court costs.
December 13, 2012; Maryland Attorney General: AG Gansler: Woodstock Man Sentenced for Medicaid Fraud Scheme
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Spencer Brown, 51, of Woodstock, was sentenced by Baltimore City Circuit Court Judge Wanda K. Heard to five years in the Division of Corrections, with all but one year suspended. Brown had previously pleaded guilty to one count of Medicaid fraud for billing the Medicaid program $156,918 for services that were never rendered.
December 13, 2012; Tennessee Department of Finance & Administration: Lincoln Co. Woman Charged 2nd Time With TennCare "Doctor Shopping"
NASHVILLE, TN - A Lincoln County woman is charged for the second time with "doctor shopping," with TennCare, which is the crime of going to multiple doctors in a short period of time to obtain the same or similar controlled substances, and using TennCare as payment. The Office of Inspector General, with the assistance of the Williamson County Sheriff's Office and the U.S. Marshal's service, today announced the arrest of Amber L. Watkins, 32, of Dellrose.
December 10, 2012; Louisiana Attorney General: Baton Rouge Woman Charged with Medicaid Fraud
A Baton Rouge woman has been charged with seven counts of Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell. Angela A. Taylor, 34, of 10845 Sullivan Road, Apt. B-1, was arrested by investigators from the Attorney General's Medicaid Fraud Control Unit on Thursday.
December 10, 2012; Tennessee Department of Finance & Administration: Davidson Co. Woman Charged For 3rd Time With TennCare Fraud
NASHVILLE, TN - A Davidson County woman now faces TennCare fraud charges for the third time in over two years. The Office of Inspector General today announced the arrest of Sarah Kristina Thomason, 26, of Nashville.
December 10, 2012; Tennessee Department of Finance & Administration: Rutherford Co. Woman Charged With TennCare Fraud
NASHVILLE, TN - A Rutherford County woman is accused of falsely reporting her income in order to enroll in TennCare and receive healthcare insurance benefits. The Office of Inspector General, with the assistance of the Rutherford County Sheriff's Office, today announced the arrest of Lakesha Bunch, 33, of Murfreesboro, for TennCare fraud and theft of services.
December 6, 2012; 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 apparently using the healthcare insurance program to obtain prescription drugs, which she later sold. The Office of Inspector General today announced the arrest of Vanessa Wilson, 40, of Smyrna, after a joint investigation with the Smyrna Police Department Narcotics Division.
December 6, 2012; Tennessee Department of Finance & Administration: Robertson Co. Woman Charged 2nd Time With TennCare "Doctor Shopping"
NASHVILLE, TN - A Robertson County woman is charged for a second time with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain controlled substances. The Office of Inspector General, with the assistance of the Robertson and Davidson County Sheriff Offices, today announced the arrest of Amanda M. Adams, 27, of Springfield.
December 6, 2012; Kentucky Attorney General: Attorney General Conway Announces $9.8 Million Settlement with Pharmaceutical Wholesaler McKesson Corp.
Attorney General Jack Conway today announced that Kentucky has settled a lawsuit against McKesson Corporation, the largest pharmaceutical wholesaler in the country, for $9.84 million. This is the latest in a number of so-called Average Wholesale Price (AWP) lawsuits filed by the Office of the Attorney General.
December 5, 2012; South Dakota Attorney General: Former Optometrist Sentenced in Medicaid Fraud Case
PIERRE, S.D. - Attorney General Marty Jackley announced today that Cary Stephen Feldman, 60, Spearfish, was sentenced to serve 15 years in prison for committing Medicaid fraud.
December 5, 2012; Tennessee Department of Finance & Administration: Cannon Co. Woman Charged With Aiding In TennCare Fraud
NASHVILLE, TN - A Cannon County woman is accused of aiding and abetting a friend in an attempt to illegally obtain prescription drugs. The Office of Inspector General today announced the arrest of Kimberly A. McCallum, 37, of Woodbury.
December 4, 2012; Connecticut State Attorney Office: Norwalk Woman Charged with HUSKY Health Insurance Fraud
A Norwalk woman whose husband was arrested on federal health care fraud charges in May was arrested today and charged with defrauding HUSKY, the state's taxpayer-funded subsidized health insurance plan for working families.
December 4, 2012; Tennessee Department of Finance & Administration: Shelby County: TennCare Fraud Fugitive Captured
NASHVILLE, TN - After being on the run for the past eight months, a Shelby County woman has been booked for TennCare fraud and theft of property. The Office of Inspector General, with the assistance of the Shelby County Sheriff's Office, today announced the arrest of Evelyn Pride, 29, of Memphis.
December 4, 2012; Connecticut State Attorney Office: Former Waterbury Nursing Home Clerk Charged with Stealing Patients' Funds
A former accounts receivable clerk at a Waterbury nursing home was arrested today and charged with stealing from a trust account that held money belonging to the nursing home's patients.
December 3, 2012; Louisiana Attorney General: Jefferson Teen Booked for Submitting False Medical Claims
An 18-year-old Jefferson teenager has been charged with 10 counts of Medicaid fraud for causing fraudulent claims to be submitted to the state's Medicaid program, announced Louisiana Attorney General Buddy Caldwell.
December 3, 2012; Tennessee Attorney General: State Cracks Down on Psychotherapist for Overbilling TennCare
A Madison psychiatrist will pay the State of Tennessee more than $325,000 for allegedly overbilling TennCare patients for visits, Tennessee Attorney General Bob Cooper announced today.

November 2012

November 29, 2012; Georgia Attorney General: Gwinnett County Physical Therapist and Husband Charged with Stealing Over $1M from Georgia Medicaid by Exploiting Underprivileged Children
On November 28, 2012, a Gwinnett County Grand Jury issued an indictment against Oluyemisi Afuape and Olufemi Afuape on one count of Medicaid Fraud, O.C.G.A. § 49-4-146.1(b)(1), and one count of Conspiracy to Defraud the State, O.C.G.A. § 16-10-21(a). Oluyemisi Afuape is a licensed physical therapist and Olufemi Afuape is her husband and business partner. They co-owned and operated Zion Rehab and a daycare business called, "Give Mom a Break."
November 29, 2012; Massachusetts Attorney General: Newton Man to Pay $700,000 for Medicaid Kickback Scheme
WORCESTER - A Newton man was ordered to pay $700,000 and received a suspended sentence of two and a half years in the House of Correction for paying kickbacks to employees at a regional transit authority in order to divert transportation services paid for by the state's Medicaid program to five of his companies, Attorney General Martha Coakley announced today.
November 29, 2012; Florida Attorney General: Attorney General Bondi's Office Announces Arrests of Miami-Dade County Residents for Medicaid Fraud
TALLAHASSEE, Fla. -Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Miami-Dade County Police Department today arrested three Miami-Dade County residents for Medicaid fraud and grand theft. Noriel Batista, the owner of Westchester Pharmacy, Eduardo Marcos-Mone, a pharmacist, and Barbara Iglesias, a Medicaid recipient, allegedly participated in a scheme that resulted in billing the Medicaid program for more than $143,000 for prescribed medications that were never dispensed. Attorney General Bondi's Office of Statewide Prosecution will prosecute the case, and the defendants could face a cumulative total of 130 years in prison and $770,000 in fines.
November 28, 2012; Oklahoma Attorney General: OKC Dentist Sentenced to 18 Months for Health Care Fraud Following Joint Investigation with AG Medicaid Fraud Unit
OKLAHOMA CITY - An Oklahoma City dentist has been sentenced to 18 months in federal prison after pleading guilty to submitting claims for dental services that were not provided, Attorney General Scott Pruitt announced Wednesday.
November 28, 2012; Kansas Attorney General: Coffeyville woman agrees to restitution after making false claim to the Medicaid Program
Independence - A Coffeyville woman yesterday pleaded no contest to one count of making a false claim to the Medicaid Program, Kansas Attorney General Derek Schmidt announced.
November 28, 2012; Tennessee Department of Finance & Administration: Lincoln Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Lincoln County woman is charged in an indictment with TennCare fraud involving "doctor shopping," which is the crime of using TennCare healthcare insurance benefits to go to multiple doctors in a short period of time to obtain prescriptions for controlled substances. The Office of Inspector General today announced the arrest of Amber L. Watkins, also known as Amber Howard, 24, of Dellrose.
November 27, 2012; Kansas Attorney General: Chautauqua County woman found guilty of Medicaid fraud, mistreatment and animal cruelty charges
SEDAN - (November 27, 2012) - A Chautauqua County woman was found guilty last week on charges of Medicaid fraud, mistreatment of a dependent adult and animal cruelty, Kansas Attorney General Derek Schmidt said.
November 27, 2012; Massachusetts Attorney General: Former Personal Care Assistant Pleads Guilty to Falsely Billing Medicaid Program for Services Not Provided
WORCESTER - A former personal care assistant pleaded guilty and was sentenced for defrauding MassHealth of more than $33,600 for services she did not provide, Attorney General Martha Coakley announced today.
November 27, 2012; Oklahoma Attorney General: AG Pruitt Charges Former Optometry Clinic Employee with 16 Counts of Medicaid Fraud
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit has filed charges against the office manager of a now defunct Oklahoma City optometry clinic for allegedly billing false claims for eyeglasses and lenses.
November 21, 2012; New Jersey Office of the State Comptroller: State Comptroller Files Million Dollar Claim against Dental Group That Orchestrated Identity Scam to Secure Medicaid Reimbursements
The Office of the State Comptroller (OSC) will seek recoveries from a dental practice that forged Medicaid reimbursement documents to conceal that its owner, who was no longer physically able to treat patients, had been replaced with a dentist who was debarred from the Medicaid program.
November 21, 2012; Tennessee Department of Finance & Administration: Wilson County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Lebanon woman is charged in a Wilson County indictment with TennCare fraud related to selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Chelsea Bible, 28. Bible is charged with TennCare fraud and sale of schedule III drug.
November 21, 2012; Tennessee Department of Finance & Administration: Georgia Woman Charged With TennCare Fraud
NASHVILLE, TN - A Shelby County Grand Jury has charged a Georgia resident with TennCare fraud and theft of property. The Office of Inspector General (OIG) today announced the arrest of Sandra Morelli, 50 of Norcross, Georgia. Morelli is charged with TennCare fraud and theft of property, with the indictment accusing her of falsifying statements in order to appear eligible for TennCare healthcare insurance benefits.
November 20, 2012; Connecticut State Attorney Office: Nurse Practitioner Charged with Medicaid Fraud
An advanced practice registered nurse was arrested today and charged with Medicaid fraud for allegedly billing the state for a bogus medical appointment where he sought to arrange sexual relations with an infant child.
November 20, 2012; Vermont Attorney General: Caregiver Charged With Medicaid Fraud
Attorney General William H. Sorrell announced today that Michelle Forcier, age 42, of Colchester, Vermont, was arraigned on November 20, 2012, in Vermont Superior Court for Windsor County on seventeen counts of Medicaid Fraud. The court imposed conditions of release governing Ms. Forcier's conduct while the case is pending.
November 20, 2012; Tennessee Department of Finance & Administration: Morristown Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A Morristown man is charged in a Hamblen County indictment 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. The arrest is the result of a joint effort with the Hamblen County Sheriff's Office. Smith is charged with TennCare fraud for using TennCare benefits to pay for a prescription for Suboxone, later selling a portion of the drugs. Suboxone is an opiate used to treat people with heroin addiction.
November 20, 2012; Tennessee Department of Finance & Administration: Wilson Co. Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Lebanon woman is charged in a Wilson County indictment with TennCare fraud related to selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Brenda Faye Pinckley, 59, after a joint effort with the Wilson County Sheriff's Office. Pinckley is charged with TennCare Fraud and Sale of a Schedule II drug. The indictment accuses Pinckley of using TennCare healthcare insurance benefits to pay for the prescription pain medication Endocet, a brand of Oxycodone, later selling a portion of the prescription.
November 15, 2012; Arizona Attorney General: 90 Million Settlement with GlaxoSmithKline Over Diabetes Drug Avandia Reached Between Tom Horne and 37 Attorneys General Nationwide
Note: Similar press releases were issued by many other State Attorneys General who participated in
this case.
Attorney General Tom Horne and 37 other Attorneys General have entered into a Consent Judgment with GlaxoSmithKline LLC to resolve allegations that GlaxoSmithKline ["GSK"] unlawfully promoted the diabetes drug AVANDIA®.
November 14, 2012; Tennessee Department of Finance & Administration: Monroe Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Monroe County woman has been indicted in Knox County for TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain controlled substances. The Office of Inspector General, with assistance from the Knox and Monroe County Sheriff's Offices, today announced the arrest of Chancie Sara Cruz, 32, of Tellico Plains.
November 14, 2012; Tennessee Department of Finance & Administration: Loudon Co. Man Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Loudon County man is charged in a Knox County indictment with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain prescriptions for a controlled substance. The Office of Inspector General, with the assistance of officers from the Knox and Loudon County Sheriff's Offices and Loudon Police today announced the arrest of Eddie Vance Walden, 52, of Loudon.
November 14, 2012; Tennessee Department of Finance & Administration: Knox Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Knox County woman has been indicted for 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 Leanna Paige King, also known as Leanna Paige Brown, 38, of Knoxville.
November 13, 2012; Idaho Attorney General: John Baird Sentenced for Medicaid Fraud
(Boise) - Idaho Falls resident John K. Baird was sentenced today on one count of provider fraud and one count of grand theft, Attorney General Lawrence Wasden said. Seventh District Judge Joel Tingey sentenced Baird to serve five years in prison. The court suspended the prison sentence and placed Baird on probation for five years and ordered him to pay $84,850 in restitution.
November 13, 2012; Tennessee Department of Finance & Administration: Knox County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Knox County woman is accused of misrepresenting herself to the state in order to obtain TennCare healthcare insurance benefits.The Office of Inspector General today announced the arrest of Rebecca Ann McCarty, 41, of Knoxville.
November 13, 2012; Tennessee Department of Finance & Administration: Rutherford County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Rutherford County woman is charged with TennCare fraud for gaining access to the program - and healthcare benefits - even though she was not eligible for the benefits. The Office of Inspector General today announced the arrest of Crystal Spain, 35, of Smyrna.
November 9, 2012; Florida Attorney General: Medicaid Fraud Control Unit Assists in Arrest of Walton County Resident for Abusing the Elderly
On Thursday, the Medicaid Fraud Control Unit and the Walton County Sheriff's Office arrested a Walton County resident for abusing the elderly. Frances O. Howell, owner and administrator of Howell House Assisted Living Facilities, was taken into custody after an investigation revealed that she put an elderly fall risk resident in a standing position and removed the resident's chair allowing the resident to fall to the floor.
November 9, 2012; Georgia Attorney General: Speech Therapist Charged with Stealing Over 430K from Georgia Medicaid
On Thursday, November 8, 2012, a Cobb County Grand Jury charged Erika Robinson with one felony count of Medicaid Fraud (O.G.G.A. § 49-4-146.1(b)) for stealing over $430,000.00 from Georgia Medicaid. Robinson is the owner and operator of Speech Therepeze, Inc., doing business as Progressive Therapy, in DeKalb County and a branch operating in Cobb County.
November 8, 2012; Tennessee Department of Finance & Administration: Hamblen County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Hamblen County woman is charged with TennCare fraud for obtaining benefits she was not entitled to receive. The Office of Inspector General today announced the arrest of Tiffany Crittenden, 29, of Whitesburg.
November 5, 2012; Louisiana Attorney General: Raceland Woman Charged with Medicaid Fraud
A Raceland woman has been charged with Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell. Laketia M. Thomas, 23, of 687 St. Louis Street, surrendered to investigators from the Attorney General's Medicaid Fraud Control Unit last Thursday. She was transported and booked into the East Baton Rouge Parish Prison on one count of Medicaid fraud.
November 2, 2012; Florida Attorney General: Attorney General Bondi Announces Four Arrests for Operating Unlicensed Assisted Living Facilities
Attorney General Bondi announced that three Duval County residents and one Bay County resident were arrested and charged with Operating Unlicensed Assisted Living Facilities. Joseph Bell, 69, Vanita McCray, 47, and Barry Smith, 49, were taken into custody and booked into the Duval County Pretrial Detention Facility. Investigators with the State Attorney's Office for the Fourth Judicial Circuit, and the Jacksonville Sheriff's Office assisted in the arrests. Timothy Dawson, 46, was taken into custody and booked into the Bay County Jail. Officers with the Bay County Sheriff's Office assisted with the arrest of Mr. Dawson.
November 2, 2012; Tennessee Department of Finance & Administration: Giles County Pair Charged With TennCare Drug Fraud
NASHVILLE, TN - Two Giles County residents are charged in separate cases with TennCare fraud involving prescription drugs. The Office of Inspector General today announced the arrest of Shirley M. Stone, 56, and 38-year old John Kilgore, both of Pulaski.
November 1, 2012; Florida Attorney General: Lake City Pill Mill Doctor Sentenced to Two Years in Prison for Medicaid Fraud and Other
Drug-Related Charges
TALLAHASSEE, Fla. -Attorney General Pam Bondi announced that Circuit Court Judge Leandra G. Johnson sentenced Dr. Yong Am Park, 68, to two years in prison for Medicaid fraud and prescription drug-related charges. The Attorney General's Medicaid Fraud Control Unit partnered with multiple agencies to investigate the Lake City pill mill doctor, the last defendant sentenced in a case involving now-defunct Trinity Community Hospital in Jasper.
November 1, 2012; Tennessee Department of Finance & Adminstration: Warren County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Warren County woman is charged with TennCare fraud for selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Leaanna Elaine Valdivia, 29, of McMinnville, after a joint investigation with the Warren County Sheriff's Office.