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May 2012

May 14, 2012; Nevada Attorney General: Nevada Attorney General Masto Announces Las Vegas Personal Care Assistant Sentenced For False Reporting Of Medicaid Services
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced today that Osbel Rodriguez, 40, of Las Vegas, was sentenced for falsely reporting personal care services.
May 11, 2012; Florida Attorney General: Attorney General Bondi Announces Arrest of Husband and Wife for Neglecting a Disabled Adult
Attorney General Bondi announced that on Tuesday Renita and Willie Ivey, Sr., former owners and operators of Renita Ivey Adult Family Care Home, were arrested for neglecting a disabled adult. The arrest took place following an investigation by the Attorney General's Medicaid Fraud Control Unit.
May 10, 2012; Tennessee Department of Finance & Administration: Houston Co. Woman Charged With TennCare Fraud
NASHVILLE - A Houston County woman is charged with TennCare fraud for selling prescription drugs paid for by TennCare.
May 9, 2012; Tennessee Department of Finance & Administration: Stewart Co. Man Charged With TennCare "Doctor Shopping"
NASHVILLE -A Stewart County man is charged in Montgomery County with TennCare fraud involving "doctor shopping," or going to multiple doctors in a short timeframe to obtain prescription drugs.
May 9, 2012; Tennessee Department of Finance & Administration: Pickett County Pair Charged With TennCare Drug Fraud
NASHVILLE - A Pickett County woman is accused of aiding and abetting a friend in his illegal attempt to acquire controlled substances.
May 9, 2012; Louisiana Attorney General: Gramercy Woman Charged with Medicaid Fraud and Forgery
A Gramercy woman has been arrested and charged with defrauding the state's Medicaid Program, announced Attorney General Buddy Caldwell.
May 7, 2012; Tennessee Department of Finance & Administration: Smith County Man Charged With TennCare "Doctor Shopping"
NASHVILLE - A Smith County man has been indicted in Wilson County for TennCare fraud involving "doctor shopping," which includes going to more than one doctor in a short time period exclusively to obtain prescription drugs.
May 7, 2012; Tennessee Department of Finance & Administration: Shelby Co. Woman Charged With TennCare Fraud
NASHVILLE - A Shelby County woman is charged with TennCare fraud, accused of attempting to use TennCare benefits to pay for a fraudulent prescription.
May 7, 2012; New Jersey Attorney General: Former Matawan Doctor Sentenced for Dispensing Pharmaceutical Narcotics for Cash
TRENTON - Attorney General Jeffrey S. Chiesa announced that a former Matawan doctor was sentenced today for dispensing controlled dangerous substances by writing prescriptions for medically unnecessary pharmaceutical narcotics in return for cash payments. Ki I. Song, 70, of Matawan, was sentenced to three years of probation by Superior Court Judge Bradley J. Ferencz in Middlesex County. Judge Ferencz also ordered Song to pay a $5,000 fine and to serve 150 hours of community service. The sentence was based on Song's March 13 guilty plea to third-degree dispensing of a controlled dangerous substance. The charge was contained in an Oct. 21, 2011 state grand jury indictment.
May 7, 2012; Virginia Attorney General: Attorney General Cuccinelli Announces $100 Million Settlement with Abbott Laboratories
RICHMOND - Today, Attorney General Ken Cuccinelli was joined by 44 states and the District of Columbia in announcing a $100 million settlement with Abbott Laboratories for the illegal off-label marketing of its drug Depakote. This agreement marks the largest consumer protection-based pharmaceutical settlement ever reached.
May 7, 2012; Kansas Attorney General: Two plead guilty in Southeast Kansas Medicaid fraud investigation
PARSONS - Two individuals pled guilty today to charges of Medicaid fraud and were ordered to repay nearly $30,000, Kansas Attorney General Derek Schmidt said.
May 7, 2012; Virginia Attorney General: Cuccinelli Announces Guilty Verdict of Group Home Owner Responsible For Abuse, Neglect, and Death of Intellectually Disabled Victim
MARTINSVILLE -Attorney General Ken Cuccinelli announced today that Richard C. Wagoner, Jr., was found guilty of abuse and neglect of an incapacitated adult that resulted in death. A jury recommended that Wagoner be sentenced to five years' incarceration. Wagoner will be officially sentenced on October 18, 2012.
May 4, 2012; Tennessee Department of Finance & Administration: Cocke Co. Woman Charged With TennCare "Doctor Shopping"
NASHVILLE - A Cocke County woman is charged with TennCare fraud for "doctor shopping," or going to multiple physicians in a short time period in order to get prescription drugs.
May 4, 2012; Tennessee Department of Finance & Administration: Two Shelby Co. Women Charged With TennCare Fraud
NASHVILLE - Two Memphis women are charged with TennCare fraud in separate cases in Shelby County, both involving people accused of altering prescriptions written by a doctor.
May 3, 2012; Florida Attorney General: Attorney General Bondi Announces the Arrest of Palm Beach County Resident for $28,000 in Medicaid Fraud
TALLAHASSEE, Fla. -Attorney General Pam Bondi's Medicaid Fraud Control Unit and the Palm Beach County Sheriff's Office today charged Edna Iris Torres, 62, of West Palm Beach with defrauding the Florida Medicaid program out of more than $28,000. She was arrested on a felony warrant by the Attorney General's Medicaid Fraud Control Unit and is charged with grand theft and Medicaid fraud, both second-degree felonies.
May 1, 2012; Tennessee Department of Finance & Administration: Hamilton Co. Woman Charged With 24 Counts Of TennCare Fraud
NASHVILLE - A Hamilton County woman is charged with 24 counts of TennCare fraud for using someone else's TennCare benefits to pay for fraudulent prescriptions for drugs.
May 1, 2012; Wisconsin Attorney General: Milwaukee Company Convicted of Medicaid Fraud
MADISON - Attorney General J.B. Van Hollen announced today that Precious Transit, LLC, of 9746 West Appleton Avenue, Milwaukee, a specialized medical vehicle transportation company owned by Frederick Rutledge of Menomonee Falls, was convicted of 18 counts of medical assistance fraud in Milwaukee County. The convictions were based on allegations that drivers for the company were not properly certified as required by Wisconsin Medicaid.
May 1, 2012; Kansas Attorney General: Clay County co-defendants plead no contest to Medicaid fraud and theft
CLAY CENTER - Two Clay Center co-defendants today pled no contest to Medicaid fraud related charges, Kansas Attorney General Derek Schmidt announced.
May 1, 2012; Tennessee Department of Finance & Administration: Warren Co. Man Charged For 2nd Time With TennCare Fraud
NASHVILLE - A Warren County man has been indicted in Rutherford County and charged with TennCare fraud for the second time. Burger is accused of obtaining Morphine Sulphate through a local clinic prescription, then later selling the drug to an undercover police officer in Warren County.
May 1, 2012; Tennessee Department of Finance & Administration: Van Buren Co. Woman Charged For 3rd Time With TennCare Fraud
NASHVILLE - A Van Buren County woman is charged for the third time with TennCare fraud. The Office of Inspector General (OIG) today announced the arrest of Crystal L. Dillon, 31, of Spencer. The Rutherford County Sheriff's Office assisted in this arrest. She is charged with one count of TennCare fraud for obtaining a prescription for the painkiller Oxycodone by fraudulent means.
May 1, 2012; Tennessee Department of Finance & Administration: 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 the TennCare program. Ward is charged with one count of TennCare fraud, one count of delivery of a Schedule II controlled substance, and one count of delivery of a Schedule III controlled substance.

April 2012

April 30, 2012; Connecticut Division of Criminal Justice: East Hartford Physician Charged with Medicaid Fraud, Other Counts
On April 28, 2012 Edwin Njoku, M.D. of East Hartford was arrested by the East Hartford Police Department and Inspector of the Chief States Attorney's Office, Division of Criminal Justice, Medicaid Fraud Control Unit. Njoku was arrested on four separate arrest warrants.
April 27, 2012; Kansas Attorney General: Missouri man pleads no contest to Medicaid fraud and theft
KANSAS CITY, Kan. - A Kansas City, Mo., man yesterday pled no contest to making false claims to the Kansas Medicaid program and theft, Kansas Attorney General Derek Schmidt said.
April 27, 2012; Wisconsin Attorney General: West Allis Man Sentenced for Medicaid Fraud
MADISON - Attorney General J.B. Van Hollen announced today that a West Allis man has been sentenced for Medicaid fraud, a felony.
April 26, 2012; Tennessee Department of Finance & Administration: Humphreys County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Humphreys County woman is charged in nearby Dickson County with TennCare fraud involving "doctor shopping," or visiting multiple physicians in a short period of time in order to get prescription drugs.
April 26, 2012; Tennessee Department of Finance & Administration: Hawkins County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE, TN - A Hawkins County woman is charged with TennCare fraud involving "doctor shopping," a crime that involves a person going to multiple doctors in order to get prescription drugs.
April 25, 2012; Washington Attorney General: Man Charged For Stealing Nearly $107,000 from Medicaid
OLYMPIA - A Thurston County Superior Court Judge Tuesday issued an arrest warrant for the owner of medical supply company accused of Medicaid fraud. The warrant was requested so that the defendant can be arrested should he return to the United States.
April 24 2012; Mississippi Attorney General: AG's Medicaid Fraud Unit Investigations Lead to Two Arrests
Jackson, MS-Attorney General Jim Hood today announced two arrests following investigations by the Medicaid Fraud Control Unit.
April 24, 2012; Idaho Attorney General: Idaho to Receive $85,000 from Medicaid Fraud Control Settlements
(Boise) - Idaho has joined in Medicaid Fraud Control settlements with two prescription drug manufacturers, Attorney General Lawrence Wasden said today. The state will receive $64,447.90 in a settlement with KV Pharmaceutical and $20,130.29 in an unrelated settlement with Dava Pharmaceuticals, Inc
April 23, 2012; Tennessee Department of Finance & Administration News Release: Montgomery County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Montgomery County woman is charged with TennCare fraud for gaining access to the program although she was not eligible.
April 20, 2012; Missouri Attorney General: Attorney General Koster Announces Guilty Pleas In Medicaid Fraud Cases
Jefferson City, Mo. - Attorney General Chris Koster said today that Carrie Williams and Jornel Williams, both of St. Louis, have pleaded guilty to Medicaid Fraud and stealing by deceit.
April 19, 2012; Maryland Attorney General: AG Gansler Secures Guilty Plea in Fraudulent Nursing Certifications Scheme
Baltimore, MD - Attorney General Douglas F. Gansler announced today that former Maryland Board of Nursing employee Malika Yakini James, 37, and Yolanda Terrelle Dunham, 31, both of Baltimore, pleaded guilty to Bribery and Conspiracy to Commit Bribery, respectively, for their roles in a scheme to buy and sell fraudulent nursing assistant certifications. Sentencing for James and Dunham is scheduled for September 17 in the Circuit Court for Baltimore City.
April 19, 2012; Oklahoma Attorney General: Edmond Counselor Sentenced for Medicaid Fraud; Must Pay Restitution
OKLAHOMA CITY - An Edmond Counselor plead no contest Wednesday in Oklahoma County District Court to one count of Medicaid fraud and was ordered to pay $1,640 in restitution plus court costs, Attorney General Scott Pruitt said.
April 18, 2012; Maryland Attorney General: Anne Arundel County Mental Health Provider Charged with Medicaid Fraud
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Everett Wilson, 77, of Severna Park, has been indicted on fraud and theft charges by the Grand Jury for Anne Arundel County. Wilson, a licensed certified social worker (LCSW-C) and mental health provider for the Medicaid program, was charged with nine counts of Felony Medicaid Fraud and one count of Felony Theft of over $10,000.
April 18, 2012; Maryland Attorney General: Caretaker Charged with Abuse and Neglect of a Vulnerable Adult
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Ms. Musa N. Agroh, 34, of Owings Mills, has been indicted by the Grand Jury in Baltimore County for the abuse and neglect of a vulnerable adult.
April 18, 2012; New York Attorney General: A.G. Schneiderman Secures $2.3 Million in Medicaid Fraud Settlements with Westchester Hospitals
WHITE PLAINS - Attorney General Eric T. Schneiderman today announced two Medicaid fraud settlements with Sound Shore Medical Center of Westchester and Mount Vernon Hospital, both members of the Sound Shore Health System that total more than $2.3 million in recovered funds for taxpayers.
April 18, 2012; South Dakota Attorney General: Redfield Man Sentenced in Assault Case
PIERRE, S.D. - Attorney General Marty Jackley announced today that Ronald Allen Karr, 57, Redfield, was sentenced to serve 60 days in jail for assaulting a disabled adult. Karr entered a plea of nolo contendere to one count of Simple Assault, a class 1 misdemeanor.
April 17, 2012; Tennessee Department of Finance & Administration: Davidson County Woman Charged With Tenncare Drug Fraud
NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud for attempting to fill a fraudulent prescription and using the TennCare program to pay for it.
April 17, 2012; New Mexico Attorney General: Historic Sentence in Major Medicaid Fraud Case...AG Prosecution Results in First Corporate Sentencing
(LAS CRUCES)---For the first time in New Mexico, Attorney General Gary King's prosecution of a Las Cruces Medicaid provider has resulted in a corporation being sentenced after being found guilty of fraud after a trial.
April 17, 2012; Idaho Attorney General: Settlement Pushes Idaho Drug Price Recoveries Past $20 Million
(Boise) - Prescription drug manufacturer SmithKline Beecham Corporation, doing business as GlaxoSmithKline, agreed to pay $2.6 million in a legal settlement resolving Idaho's claims relating to the "average wholesale prices" reported by the companies, Attorney General Lawrence Wasden said. Since filing lawsuits in 2005, Wasden has resolved 14 average wholesale price matters with drug manufacturers, including this settlement, resulting in more than $20 million recovered.
April 16, 2012; Wisconsin Attorney General: Seven People Convicted in Milwaukee County for Medicaid Fraud
MADISON - Attorney General J.B. Van Hollen announced that six more people were convicted of crimes in a Medicaid fraud scheme related to the submission of false claims for durable medical equipment.
April 16, 2012; Tennessee Department of Finance & Administration: Wilson County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Wilson County woman is charged with TennCare fraud in an indictment accusing her of falsely reporting her income to the state in order to obtain TennCare benefits.
April 16, 2012; Tennessee Department of Finance & Administration: White County Man Charged With TennCare Drug Fraud
NASHVILLE, TN - A man in White County is charged with TennCare fraud for using the state's public healthcare insurance program to obtain prescription drugs which he apparently later sold.
April 16, 2012; Tennessee Department of Finance & Administration: Wilson County Woman Charged With TennCare Drug Fraud
NASHVILLE, TN - A Wilson County woman is charged with TennCare fraud for selling prescription drugs that were paid for by TennCare.
April 12, 2012; Washington Attorney General: Eye doctor admits stealing more than $51,000 from Washington State, Medicaid and Medicare
programs
OLYMPIA - An ophthalmologist today pled guilty to stealing more than $51,000 from state and federal health care programs. In July, state prosecutors charged Dr. Behrouz Pirouzkar with three counts of First Degree Attempted Identity Theft and two counts of Medicaid False Statement.
April 11, 2012; Vermont Attorney General: Caregiver Charged With Medicaid Fraud And False Pretenses
Attorney General William H. Sorrell announced today that Tammy Thomas, age 21, of Granville, New York, was arraigned on April 10, 2012, in Vermont Superior Court for Windsor County on four felony counts of Medicaid Fraud and one felony count of False Pretenses. The court imposed conditions of release governing Ms. Thomas's conduct while the case is pending.
April 10, 2012: Nevada Attorney General: Nevada Attorney General Announces Sentence For Medicaid Fraud Of Senior Group Home
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced today that Janice Burch, 42, the owner and administrator of Skyview II, a Las Vegas residential facility group home, has been sentenced for three gross misdemeanor offenses for neglect of duty in willful disregard of safety of persons.
April 10, 2012; Tennessee Department of Finance & Administration: Anderson County Man Charged With TennCare Fraud
NASHVILLE, TN - An Anderson County man is charged with TennCare fraud in nearby Knox County on a warrant accusing him of trying to use his son's TennCare benefits to pay for a prescription for the addictive painkiller Percocet.
April 10, 2012; Tennessee Department of Finance & Administration: Davidson County Woman Charged 3rd Time With TennCare Fraud
NASHVILLE, TN - A Davidson County woman is charged for the third time with TennCare fraud involving prescription drugs.
April 9, 2012; Georgia Attorney General: WellCare Settles Fraud Allegations with Georgia Medicaid
Attorney General Sam Olens announced today that Georgia is one of nine states that, along with the federal government, have settled allegations against WellCare, a health maintenance organization. WellCare had entered into contracts with various States' Medicaid programs, including Georgia, to provide managed care services to enrolled program beneficiaries. This settlement resolves allegations of accounting fraud, falsification of records and other reports, including number manipulation, and manipulation of the enrollment of covered recipients by selective marketing and related misconduct.
April 6, 2012; Georgia Attorney General: Owner and Employees of Metro Atlanta Mental Health Services Company Indicted for Stealing Nearly $1 Million from Medicaid
On Wednesday, April 4, a Gwinnett County Grand Jury indicted the former owner of a company known as Diversified Family Solutions and three employees for unlawfully obtaining approximately $980,000.00 in Medicaid payments through a fraudulent billing scheme.
April 5, 2012; Indiana Attorney General: Indiana Medicaid to receive $922K in WellCare settlement
INDIANAPOLIS - The State of Indiana will receive more than $922,000 in a settlement that managed-care provider WellCare Health Plans Inc. reached with nine states and the federal government this week to resolve allegations of fraud against the Medicaid program.
April 5, 2012; Connecticut Attorney General: Connecticut Benefits From Settlement With WellCare on Medicaid Fraud Charges
HARTFORD - Attorney General George Jepsen and Social Services Commissioner Roderick Bremby said Connecticut stands to receive $1.56 million from a Medicaid fraud settlement with WellCare, a Florida-based health maintenance organization.
April 5, 2012; Oklahoma Attorney General: OKC Counselor Indicted for Medicaid Fraud
OKLAHOMA CITY - An Oklahoma City counselor has been named in a multicounty grand jury indictment unsealed Thursday in Oklahoma County District Court. Vickie Rhea Yearwood, 53, a licensed professional counselor through Beacon Pointe LLC and Specialized Alternatives for Families and Youth, was indicted on two counts of Medicaid fraud.
April 4, 2012; Florida Attorney General: Florida Recovers More Than $54 Million From WellCare in Medicaid Fraud Settlement
TALLAHASSEE, Fla.-Attorney General Pam Bondi today announced that Florida has recovered more than $54 million in an agreement with WellCare that resolves allegations of accounting fraud and the falsification of records. A National Association of Medicaid Fraud Control Unit team, led by the Florida Attorney General's Office, investigated the allegations and negotiated with WellCare on behalf of the settling states. Connecticut, Georgia, Hawaii, Illinois, Indiana, Missouri, New York, Ohio, and the federal government also joined the total $137.5 million settlement. Today's settlement is in addition to an $80 million deferred prosecution agreement that the Florida Attorney General's Office and the federal government entered into with WellCare in May 2009. The DPA required WellCare to pay $40 million in civil forfeiture and $40 million in restitution for damages to Florida Medicaid and the Florida Healthy Kids program.
April 4, 2012; New York Attorney General: A.G. Schneiderman Announces Arrests in $274 Million Black Market Prescription Drug Operation
NEW YORK- Attorney General Eric T. Schneiderman today announced the arrests and indictment of four ringleaders of a massive scheme to distribute black market prescription HIV drugs and defraud the Medicaid Program of $155 million. After an investigation code-named "Operation Black Market Meds," the Attorney General's Medicaid Fraud Control Unit shut down an illegal operation that was distributing HIV prescription drugs obtained on the black market through MOMS pharmacy, a high-volume pharmacy with satellites in Suffolk County and Brooklyn. MOMS, and its parent company Allion Healthcare, then dispensed the illegally obtained drugs to Medicaid recipients, and billed the New York State Medicaid program for these un-sellable drugs.
April 3, 2012; Massachusetts Attorney General: Adult Foster Care Program Indicted For Alleged Kickbacks
BOSTON - A Fall River based adult foster care business was indicted Friday for allegedly paying, and offering to pay, illegal kickbacks in exchange for the referral of new clients enrolled in the Medicaid-funded program, Attorney General Martha Coakley announced.
April 3, 2012; Tennessee Department of Finance & Administration: Montgomery County Woman Charged With Tenncare Drug Fraud
NASHVILLE, TN - A Montgomery County woman is charged with TennCare fraud in nearby Dickson County in a case involving prescription drugs.

March 2012

March 30, 2012; Massachusetts Attorney General: Calloway Laboratories Pays $20 Million to Resolve Allegations of Kickbacks and Fraud on State Medicaid Program
WOBURN - A medical testing company will pay $20 million in restitution to resolve allegations of an elaborate kickback scheme that cost the Massachusetts Medicaid program (MassHealth) millions of dollars for unnecessary urine drug screens, Attorney General Martha Coakley announced today.
March 27, 2012; Texas Attorney General: Statement Regarding Final Agreed Judgment in State's Medicaid Fraud Case Against Johnson & Johnson
AUSTIN - "The largest recovery of taxpayer funds in a Texas civil Medicaid fraud case was approved today by Travis County District Judge John K. Dietz. Under an agreed final judgment entered this morning, Johnson & Johnson and its subsidiaries must pay $158 million to resolve the State's enforcement action charging Janssen Pharmaceutica with defrauding the taxpayer-funded Texas Medicaid program.
March 27, 2012; Tennessee Department of Finance & Administration: Williamson County Woman Charged With TennCare Fraud
NASHVILLE, TN - A Williamson County woman is charged with TennCare fraud, with charges saying she lied to the state in order to obtain TennCare healthcare benefits.
March 27, 2012; Tennessee Department of Finance & Administration: Two Mid-State Residents Charged With TennCare Fraud Involving Prescription Drugs
NASHVILLE, TN - Two mid-state residents are charged in separate cases with TennCare fraud, both involving prescription drugs.
March 22, 2012; Tennessee Department of Finance & Administration: Two Women Plead Guilty To TennCare Drug Fraud
NASHVILLE, TN - Two Mid-State women are sentenced after pleading guilty to TennCare fraud involving prescription drugs.
March 22, 2012; Louisiana Attorney General: Trial Dates Set in Cases Against Drug Manufacturers
State District Judge Wilson Fields has set trial dates commencing next year for the state's lawsuit against more than 100 drug manufacturers, announced Attorney General Buddy Caldwell. Judge Fields of the 19th Judicial District Court scheduled a series of three separate trial dates beginning on March 4, 2013, June 17, 2013, and October 7, 2013.
March 22, 2012; Georgia Attorney General: Final Defendant Pleads Guilty to Medicaid Fraud in Scheme Involving Homeless and
Pregnant Teenagers
Yesterday, Leetra Dometric Langston pled guilty to one count of Medicaid Fraud for his role in a scheme involving God's Promise Center, a business located in Henry County which purported to be a residential treatment program for homeless teenage girls. Langston was employed there as intake director. The Honorable Wade Crumbley, Superior Court Judge in Henry County, sentenced Langston to five years probation and ordered him to pay restitution of $20,188.90. Langston was the last of three defendants to plead guilty to the scheme.
March 22, 2012; Louisiana Attorney General: Delhi Woman Arrested for Exploitation of the Infirmed
A Delhi woman has been arrested and charged with three-counts of Exploitation of the Infirmed, announced Louisiana Attorney General Buddy Caldwell.
March 21, 2012; Oklahoma Attorney General: AG Pruitt Charges MWC Counselor with Medicaid Fraud
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit filed charges this week against the owner of a Midwest City youth counseling agency for billing services to children that parents say didn't happen.
March 20, 2012; Alabama Attorney General: AG Announces Prison Sentence Of Former Bookkeeper For Theft Of $115,734 From Wetumpka Nursing Home
Attorney General Luther Strange announced that a former bookkeeper employed by a Wetumpka nursing home today was sentenced to prison for the theft of $115,734 of residents' funds from the facility.
March 19, 2012; Tennessee Department of Finance & Administration: Davidson Co. 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.
March 19, 2012; Tennessee Department of Finance & Administration: Anderson County Woman Charged With TennCare Fraud
NASHVILLE, TN - An Anderson County woman is charged with TennCare fraud for using TennCare benefits to pay for what officials say was a fraudulent prescription.
March 19, 2012; Wisconsin Attorney General: St. Louis-based KV Pharmaceutical to Settle Medicaid False Claims Allegations
MADISON - Attorney General J.B. Van Hollen announced today that Wisconsin has joined other states and the federal government and reached an agreement in principle with KV Pharmaceutical Company to settle allegations that the company failed to advise the Centers for Medicare and Medicaid Services that two unapproved products did not qualify for coverage under federal and state health care programs.
March 16, 2012; Tennessee Department of Finance & Administration: Two Coffee Co. Women Charged With TennCare Drug Fraud
NASHVILLE, TN - Two Coffee County women are charged with TennCare fraud for selling prescription drugs paid for with TennCare benefits.
March 16, 2012; New Jersey Attorney General: Former Owner of Counseling Center Sentenced to State Prison for Defrauding Medicaid
TRENTON - Attorney General Jeffrey S. Chiesa announced that the owner of a now-defunct Newark mental health and substance abuse counseling center was sentenced to state prison today after being convicted of defrauding Medicaid.
March 15, 2012; Ohio Attorney General: Attorney General DeWine Announces Conviction in Medicaid Billing Fraud
COLUMBUS, Ohio - Attorney General Mike DeWine said that Alicia K. Mahone, of Cleveland, was convicted today for billing for home health care not provided in the amount of $20,000. Mahone regularly submitted bills, from April to December 2010, to the Ohio Department of Job and Family Services claiming to have provided 35 hours of patient care to a Medicaid recipient, while only having provided 15 hours.
March 15, 2012; New Jersey Attorney General: Certified Nursing Assistant Among Two Charged with Invasion of Privacy After Photo of a Nursing Home Resident's Genitalia Posted on Facebook
TRENTON - Attorney General Jeffrey S. Chiesa announced that a certified nursing assistant who worked at a Livingston nursing home was charged this morning for allegedly conspiring to take a photograph of an elderly resident's genitalia and have the photograph posted on Facebook. Her friend, and co-defendant, was charged yesterday (March 14) in the alleged scheme.
March 13, 2012; Arizona Attorney General: Horne Announces Prison Sentence For Glendale Man Convicted Of Prescription Drug Fraud
Phoenix, Ariz. -- Attorney General Tom Horne announced today that a Glendale man has been sentenced to prison and probation for prescription drug fraud.
March 13, 2012; New Jersey Attorney General: Former Matawan Doctor Pleads Guilty to Dispensing Pharmaceutical Narcotics for Cash
Trenton, NJ - Attorney General Jeffrey S. Chiesa announced that a former Matawan doctor pleaded guilty today to dispensing controlled dangerous substances by writing prescriptions for medically unnecessary pharmaceutical narcotics in return for cash payments.
March 13, 2012; Arizona Attorney General: Home Health Care Worker Convicted For Fraud Of Vulnerable Adult
Tucson, Ariz. -- Attorney General Tom Horne today announced that a guilty verdict has been reached in Pima County Superior Court in the trial of Julianne Mari Lane, a home health worker in Tucson.
March 13, 2012; New Jersey Attorney General: Essex County Pharmacist Pleads Guilty to Medicaid Fraud in False Billing Scheme
Trenton, NJ - Attorney General Jeffrey S. Chiesa announced today that a Newark pharmacist has pleaded guilty for his role in a scheme in which pharmacy owners and employees purchased prescriptions including HIV/AIDS drugs from indigent patients so Medicaid could be billed for medications that were never actually dispensed.
March 7, 2012; Michigan Attorney General: Schuette, Corrigan Announce Fraud Charge against Ex-City of Detroit DHS Social Worker
LANSING - Attorney General Bill Schuette, Michigan Department of Human Services Director Maura D. Corrigan and U.S. Department of Health and Human Services, Office of Inspector General, Special Agent in Charge Lamont Pugh III, today announced that the Attorney General's Public Integrity Unit has charged a former City of Detroit employee with one felony count of fraud.
March 7, 2012; Ohio Attorney General: Attorney General DeWine Announces Sentencing in Theft from Nursing Center Residents
ATHENS, Ohio - Attorney General Mike DeWine announced that Janet Root, 35, was sentenced this week in connection with her theft of patient funds at the Arcadia Nursing Center in Coolville, Ohio. Root was sentenced in Athens County Common Pleas Court to five years of community control and ordered to pay $31,471 in restitution. She also received a nine-year suspended sentence. Root, a business manager at Arcadia Nursing Center, pled guilty last November to four counts of Theft from the Elderly, fourth-degree felonies, and two counts of Forgery, fourth-degree felonies.
March 7, 2012; Maryland Attorney General: AG Gansler Secures Settlement with K-V Pharmaceutical
Baltimore, MD - Attorney General Douglas F. Gansler today announced that Maryland, along with multiple states and the federal government, has reached an agreement with K-V Pharmaceutical Company to settle allegations that the company caused false claims to be submitted to the Medicaid program. Under the agreement, K-V will pay the states and the federal government a total of $17 million to compensate Medicaid and various federal health care programs for the violations. The federal share of the settlement is $10,158,695, and the states' share of the settlement is $6,841,305. Maryland will receive $36,377.
March 7, 2012; Maryland Attorney General: AG Gansler Secures Recovery from Dava Pharmaceuticals, Inc.
Baltimore, MD - Attorney General Douglas F. Gansler today announced that Maryland, joined by several other states and the federal government, has reached an agreement with Dava Pharmaceuticals, Inc. ("Dava"), a Delaware corporation, to settle allegations that Dava failed to pay required rebates to the Medicaid program. Dava will pay $11 million to Medicaid and other government health care programs. Maryland will receive $7,054 from the settlement.
March 6, 2012; Kentucky Attorney General: Former Employee of LifeSkills, Inc. Indicted by Warren County Grand Jury for Medicaid Fraud, Forgery and Theft
Attorney General Jack Conway today announced the indictment and arraignment 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. The indictments follow an investigation by General Conway's Office of Medicaid Fraud and Abuse Control and the Cabinet for Health and Family Services' Office of the Inspector General.
March 2, 2012; Oklahoma Attorney General: Attorney General Pruitt Charges Father and Son with Medicaid Fraud
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Unit has filed charges in Oklahoma County against Olaoye "Felix" Faboro, 59, of Oklahoma City, and his son Abayomi Temitope Faboro, 28, of Norman.
March 1, 2012; Arizona Attorney General: Former Medical Doctor And Associates Charged In Large Scale Prescription Fraud Case
Phoenix, Ariz. - Attorney General Tom Horne today announced the charging of Dr. James Lawrence Robrock, Christopher Ryan Chilton, Matthew Anthony Thierbach and Jonathan Laine Zaletel on allegations stemming from a large scale prescription drug fraud scheme.

February 2012

February 29, 2012; Pennsylvania Attorney General: Former Bradford County Social Worker Arrested For Allegedly Submitting More Than $100,000 in False Medical Assistance (Medicaid) Claims
HARRISBURG - A former Bradford County social worker was arrested today and charged with using eight different schemes to defraud Medical Assistance and private insurance companies out of more than $100,000.
February 29, 2012; Florida Attorney General: Attorney General Bondi's Office Arrests Home Health Aide for Defrauding Medicaid out of More Than $35,000
TALLAHASSEE, Fla. -Attorney General Pam Bondi today announced that a Broward county resident is in custody after being charged with defrauding the Florida Medicaid program out of more than $35,000. Clifford Edouard, 53, a home health aide for National Nursing Pool, Inc. in Miramar, was arrested today on a felony warrant by the Attorney General's Medicaid Fraud Control Unit.
February 28, 2012; New York Attorney General: A.G. Schneiderman Announces $28 Million in Settlements with Two Pharmaceutical Companies for Violating Medicaid Regulations
New York - Attorney General Eric T. Schneiderman today announced settlements totaling $28 million with two pharmaceutical companies that ripped off taxpayers and the Medicaid system. In two multi-state agreements, Dava Pharmaceuticals, Inc. and KV Pharmaceutical Company will pay back New York for separate violations of the False Claims Act. Dava misclassified drugs to evade paying its obligations to Medicaid, and KV failed to advise the Centers for Medicare and Medicaid Services that two unapproved drugs did not qualify for coverage under federal and state health care programs, allowing the company to accept taxpayer money unlawfully. The portion of the settlements going to New York State is more than $2.5 million.
February 24, 2012; New Hampshire Attorney General: State Settles Medicaid Billing Dispute With Adult Medical Day Care Center
Attorney General Michael A. Delaney announces that the Medicaid Fraud Unit of the Department of Justice has entered into a settlement agreement with Seaside Elderly Day Out Center of Hampton, NH, in which the provider will repay $15,000 to the NH Medicaid Program.
February 24, 2012; Maryland Attorney General: Attorney General Gansler Secures Guilty Plea in Medicaid Fraud Case that Left Infant Patient in Unlicensed Care
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Licensed Practical Nurse Hellen Njeri Ngatia, 43, and her daughter, Gladys Muthoni Ngatia, 25, both of Germantown, pled guilty in the Circuit Court for Baltimore City to a scheme that placed a seriously ill 16-month-old infant in unlicensed care. For nine months, Hellen Ngatia submitted multiple Medicaid claims falsely stating that she had provided nursing services to the infant when in fact, care was provided by her unlicensed daughter.
February 24, 2012; New Hampshire Attorney General: Home Health Aide Indicted for Theft
Attorney General Michael A. Delaney announces that Tracy Eiserman, age 42, of Northwood, New Hampshire, was indicted by the Hillsborough County Grand Jury on February 16, 2012, for theft by deception for allegedly stealing more than $4,300 from MAS Home Care ("MAS"), a provider of home health aide services to disabled adults.
February 23, 2012; Washington Attorney General: Personal Care Provider Sentenced For Medicaid Fraud
OLYMPIA - A Seattle woman was sentenced Tuesday for Medicaid fraud charges filed by the Attorney General's Office. Deborah Raymond pled guilty to one count of First Degree Theft and one count of Medicaid False Statement. The charges stem from Raymond's contract with the Department of Social and Health Services to provide Medicaid-funded services to her brother in 2007 and 2008. Such services generally include cooking, cleaning, shopping and other personal services for those unable to care for themselves.
February 22, 2012; Kansas Attorney General: Junction City Woman Guilty Of Medicaid Fraud
A Junction City woman was found guilty yesterday of Medicaid fraud and forgery, Kansas Attorney General Derek Schmidt said.
February 17, 2012; Washington Attorney General: One of Two Women Accused of Neglecting Nursing Home Patient Appears in Court
OLYMPIA - A prehearing conference occurred Wednesday for Jodi D. Becker of Eatonville. The defendant is charged with Criminal Mistreatment in the First Degree for causing bodily harm to a Washington Department of Social and Health Services (DSHS) client, which led to his death. Becker, whose license was revoked by DSHS, was the owner and administrator of Eatonville Manor, a boarding home located in Pierce County. She is also charged with 12 counts of Theft in the First Degree, two counts of Theft in the Second Degree and one count of Medicaid False Statement. In addition to Becker, a separate charge of Criminal Mistreatment in the First Degree was also brought against the DSHS client's medical provider, nurse practitioner Joanne Hardtke.
February 17, 2012; Oklahoma Attorney General: Enid Couple Sentenced in Medicaid Fraud Case
OKLAHOMA CITY - An Enid couple have pled no contest to one count of Medicaid Fraud each in Oklahoma County District Court. The man and woman were given 3-year deferred sentences and must pay restitution, Attorney General Scott Pruitt said.
February 16, 2012; New York Attorney General: As Rx Abuse Rises, A.G. Schneiderman Announces Prison Sentence for Woman Who Forged More Than 250 Painkiller Prescriptions
NEW YORK - Attorney General Eric T. Schneiderman today secured prison time for the ringleader of an illegal prescription drug operation who forged more than 250 prescriptions for narcotics, including addictive painkillers like OxyContin and Roxicodone. Bronx resident Suzanne Benizio, who pleaded guilty to two counts of Forgery in the Second Degree in December 2011, will receive consecutive sentences totaling four to eight years in state prison. In addition to incarceration, Benizio will be ordered to repay the New York State Medicaid program over $200,000.
February 14, 2012; Oklahoma Attorney General: Oklahoma City Counselor Sentenced in Fraud Case
OKLAHOMA CITY - An Oklahoma counseling agency owner, director and therapist has been sentenced to a 10-year deferred sentence and will pay $14,012 in restitution for Medicaid fraud, Attorney General Scott Pruitt said.
February 14, 2012; Louisiana Attorney General: Owner of Baton Rouge Personal Care Business Indicted in Forgery Scheme
A Baton Rouge grand jury returned indictments Thursday against the owner of a personal care attendant business for participating in a conspiracy to forge CPR and First Aid training certification documents for his employees. Louisiana Attorney General Buddy Caldwell's Medicaid Fraud Control Unit presented the case to the grand jury.
February 14, 2012; Louisiana Attorney General: Owners of Hammond Personal Care Business Indicted in Medicaid Fraud Scheme
A Baton Rouge grand jury on Thursday returned indictments against the owners of a Hammond personal care business for their role in operating a criminal enterprise designed to siphon dollars from the Louisiana Medicaid Program. Several of the married couple's family members were also charged for their involvement in the scheme. Louisiana Attorney General Buddy Caldwell's Medicaid Fraud Control Unit presented the case to the grand jury.
February 10, 2012; Florida Attorney General: Attorney General Bondi's Office Arrests Volusia County Woman for Neglect and Abuse of a Disabled Adult
Attorney General Bondi announced that a Volusia County woman was arrested on charges she neglected a disabled resident of the Manor on the Green Skilled Nursing Center in Daytona Beach. Kathleen Pimental, 55, was arrested by law enforcement officers from the Attorney General's Medicaid Fraud Control Unit and the New Smyrna Police Department.
February 9, 2012; Georgia Attorney General: Stone Mountain Speech Pathologist Sentenced to Four Years in Prison for Stealing Almost $60K from Georgia Medicaid
On February 9, 2012, after a three day trial, a DeKalb County Jury found Janine Wright, a speech therapist from Stone Mountain, guilty of defrauding the Georgia Medicaid program.
February 7, 2012; Louisiana Attorney General: Attorney General Recovers $25.2 Million from Drug Companies Charged with Fraud
Louisiana Attorney General Buddy Caldwell announced today that his office has recovered $25.2 million from five pharmaceutical companies that he sued alleging unlawful inflation of drug costs paid by Louisiana taxpayers through the Medicaid program.
February 7, 2012; Connecticut Division of Criminal Justice: Group Home Worker Charged in Fire Death
An employee of a Hartford group home was arrested today and charged with reckless endangerment for allegedly failing to adequately supervise an emotionally disturbed resident who set himself on fire and died as a result.
February 3, 2012; Nevada Attorney General: Attorney General Masto Announces Sentencing In Las Vegas Medical Equipment Provider Medicaid Fraud Case
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced today that DeAngelo Henderson, 34, of Las Vegas, was sentenced on Feb. 1 to 12 to 48 months in prison and ordered to repay $336,000 in restitution, penalties, and costs in a Medicaid fraud case involving Golden Heart Medical Supply.
February 2, 2012; New Jersey Attorney General: Owner of Counseling Center Convicted of Defrauding Medicaid
TRENTON - Attorney General Jeffrey S. Chiesa announced that the owner of a now-defunct Newark mental health and substance abuse counseling center was convicted today of defrauding Medicaid.

January 2012

January 31, 2012; Idaho Attorney General: Leissring Sentenced For (Medicaid) Grand Theft
(Boise) - Inkom resident Terry L. Leissring, a Medicaid provider, was sentenced yesterday for grand theft by submitting false claims to Medicaid, Attorney General Lawrence Wasden said. Sixth District Judge Robert Naftz sentenced Leissring to two to 10 years in prison. The court retained jurisdiction for 365 days and ordered Leissring into immediate custody. Restitution will be determined at a later date.
January 31, 2012; New Jersey Attorney General: Monmouth County Dentist Charged with Medicaid Fraud for Allegedly Billing for Services not Rendered
TRENTON - Attorney General Jeffrey S. Chiesa announced that a Monmouth County dentist has been indicted for allegedly submitting false claims to the Medicaid program.
January 31, 2012; Connecticut Division of Criminal Justice: Wethersfield Business Owner Charged With Defrauding Medicaid Program
A Wethersfield business owner was arrested today and charged with billing the government's Medicaid program for custom made orthopedic footwear that was not prescribed by a physician.
January 30, 2012; Alabama Attorney General: Attorney General Announces Conviction For Theft Of Over $100,000 From Wetumpka Nursing Home
MONTGOMERY - Attorney General Luther Strange today announced the conviction this morning of a former employee of a Wetumpka nursing home for the theft of $115,734.61 of residents' funds from the facility
January 24, 2012; Wisconsin Attorney General: Green County Man Convicted of Medical Assistance Fraud
MADISON - Attorney General J.B. Van Hollen announced today that a Green County man has been convicted of medical assistance fraud, a felony. Anthony Anglin appeared before Judge Thomas Vale and entered a no contest plea to one felony fraud count, a charge which stems from his ownership of Anglin Transportation Company.
January 24, 2012; Florida Agency for Health Care Administration: 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 announce the release of Florida's annual Medicaid Fraud and Abuse Report, which highlights the activities related to fighting fraud and abuse in the Medicaid program and details cases investigated by both agencies. The agencies continue to work together to improve and safeguard Florida's Medicaid program, the fourth largest in the nation, which serves approximately 3.1 million Floridians.
January 23, 2012; Massachusetts Attorney General: Fall River Dentist Pleads Guilty to Medicaid Fraud Charges for Shoddy Dental Work
NEW BEDFORD - A former Fall River dentist pleaded guilty in Bristol Superior Court on Medicaid fraud charges for inserting pieces of paper clips into patients' mouths as a post in root canals instead of using standard posts made of stainless steel. Michael Clair, 53, will be sentenced at 9:00 a.m. on January 30 in Bristol Superior Court.
January 20, 2012; New Jersey Attorney General: Two Pharmacists Sentenced for Their Roles in a Scheme to Defraud Medicaid Out of Millions of Dollars
TRENTON - Attorney General Jeffrey S. Chiesa announced that two pharmacists were sentenced today for their roles in a scheme in which pharmacy owners and employees bought completed prescription forms for HIV/AIDS drugs from indigent patients so Medicaid could be billed for drugs that were never actually dispensed.
January 20, 2012; Florida Attorney General: Attorney General's Office Arrests Health Care Provider for False Imprisonment, Neglect of an Elderly Person, Grand Theft and Operating an Unlicensed Assisted Living Facility
Attorney General Pam Bondi today announced that a St. Lucie County health care provider is in custody after being charged with false imprisonment, neglect of an elderly person, grand theft and operating an unlicensed assisted living facility. Rose Mary Joseph, 42, of Ft. Pierce, was arrested today on a felony warrant by the Attorney General's Medicaid Fraud Control Unit and the St. Lucie County Sheriff's Office.
January 19, 2012; Texas Attorney General: Texas Attorney General Secures $158 Million Agreement With Drug Maker Over Medicaid Fraud Allegations Travis County jury dismissed after 10-day trial
AUSTIN - Texas Attorney General Greg Abbott today issued the following statement on Johnson & Johnson's agreement to pay $158 million to resolve the State's Medicaid fraud claims: "Today's agreement sends a strong message that the State will pursue those who defraud Texas taxpayers. Johnson & Johnson's scheme to profit from the Medicaid program by overstating the safety and effectiveness of an expensive drug and improperly influencing officials ended up costing taxpayers millions of dollars."
January 19, 2012; Massachusetts Attorney General: AG Coakley Launches New Tool in Fight Against Medicaid Fraud
BOSTON - In an effort to encourage people to report instances of abuse, neglect, and fraud related to the Medicaid system in Massachusetts, Attorney General Martha Coakley has launched an online form to make it even easier to send complaints.
January 19, 2012; Missouri Attorney General: Attorney General Koster's Medicaid Fraud Unit collected more than $20 million in 2011
Jefferson City, Mo.- Attorney General Chris Koster said his office collected more than $20 million and took action against 26 providers for Medicaid fraud in 2011. In the past three years, the Attorney General's Office has collected almost $150 million in Medicaid fraud recoveries.
January 18, 2012; Missouri Attorney General: Attorney General Koster reaches settlement in Medicaid fraud case
Jefferson City, Mo.- Attorney General Chris Koster today announced a settlement with Betty J. Berthelot, owner of Berthelot Counseling Company in Dexter, Missouri, for submitting false claims to Medicaid.
January 17, 2012; New Mexico Attorney General: Santa Fe Husband and Wife Found Guilty of Medicaid Fraud
New Mexico Attorney General Gary King's Medicaid Fraud and Elder Abuse Division reports today Catherine and Joseph Hernandez of Santa Fe have been found guilty by a Santa Fe County jury of Medicaid Fraud and Falsification of Documents.
January 13, 2012; Maryland Attorney General: Germantown Woman, Daughter Charged in Medicaid Fraud Scheme
BALTIMORE, MD - Attorney General Douglas F. Gansler announced today that Hellen Njeri Ngatia, 44, and her daughter, Gladys Muthoni Ngatia, 25, both of Germantown, were charged in the Circuit Court for Baltimore City with one count each of Medicaid Fraud and Conspiracy to Commit Medicaid Fraud. It is alleged that, beginning in April 2009 and continuing through January 2010, Hellen Ngatia conspired with Gladys Ngatia to submit a series of claims for payment to Medicaid falsely representing that Hellen had provided licensed practical nurse services to a Medicaid recipient.
January 13, 2012: Florida Attorney General: Columbia County Woman Arrested for Abuse of a Disabled Adult
A Columbia County woman is in custody after being charged with six counts of abuse of a disabled adult. Pamela R Taylor, 48, of Lake City, was arrested on Monday, on a felony warrant by the Attorney General's Medicaid Fraud Control Unit.
January 12, 2012; Georgia Attorney General: Owner of Castle Medical in Cuthbert Sentenced to Prison for Medicaid Fraud
Eddie Leon Castleberry pled guilty to one count of Medicaid Fraud (O.C.G.A. § 49-4-146.1) in Randolph County Superior Court on Wednesday, January 11, 2012. Castleberry was the owner of Castle Medical, a durable medical equipment company in Cuthbert, Georgia.
January 10, 2012; Missouri Attorney General: Attorney General Koster Files Criminal Charges in Medicaid Fraud Case
Jefferson City, Mo. - Attorney General Chris Koster said today Medicaid recipient Carolyn Koenig, 50, and three of her former in-home personal care attendants - Casie Koenig, 32; Melinda Alterauge, 47; and Alethea Stemick, 30 - have been charged with various counts of Medicaid Fraud and Stealing by Deceit for their involvement in a scheme that defrauded Missouri's Medicaid system. The Attorney General's Medicaid Fraud Control Unit is assisting Texas County Prosecuting Attorney Michael Anderson in the prosecutions.
January 9, 2012; Oregon Attorney General: Lane County Soccer Coach Sentenced To Prison for Health Care Fraud
A Lane County man was sentenced today to 13 months in prison for health care fraud. Gordon Lamar Peppers Jr., 43, of Lane County, Oregon was convicted today of one count of Making a False Claim for Health Care Payment and five counts of Theft in the First Degree.
January 9, 2012; New York Attorney General: A.G. Schneiderman Announces $325,000 Medicaid Fraud Settlement with Erie County Dental Clinic
BUFFALO - Attorney General Eric T. Schneiderman today announced that Baker Victory Health Services Dental Center, of Lackawanna, has paid the state $325,000 in restitution to resolve a Medicaid fraud case involving excess payments received on claims for dental services.
January 5, 2012; Colorado Attorney General: Denver Health Medical Center to Pay $6.3 Million to Settle Allegations Relating To Overbilling Medicare and Medicaid
DENVER - Denver Health and Hospital Authority, doing business as Denver Heath Medical Center, will pay the United States and the State of Colorado $6.3 million to settle allegations that it overbilled Medicare and Medicaid by misclassifying patients for hospital admissions.
January 4, 2012; Georgia Attorney General: Atlanta Man Sentenced to Prison for Medicaid Fraud Involving HIV Patients
George Boyd has been sentenced in DeKalb County Superior Court to 15 years, with the first three years to be served in prison, after pleading guilty to one count of Medicaid Fraud (O.C.G.A. § 49-4-146.1(b)(1)) and two counts of False Writings (O.C.G.A. § 16-10-20). Boyd, who owned and operated a company known as Northwest Ministry, Inc., enrolled in the Medicaid program as a provider of case management services to HIV patients.

December 2011

December 28, 2011; Texas Attorney General: Texas Attorney General Resolves Medicaid Fraud Enforcement Action against Actavis
AUSTIN - Texas Attorney General Greg Abbott secured an $84 million agreement with pharmaceutical manufacturer Actavis Mid-Atlantic, LLC and Actavis Elizabeth, LLC. The agreement resolves the State's civil Medicaid fraud enforcement action against Actavis, which was charged with defrauding the taxpayers and improperly reporting drug prices to the Texas Medicaid program. Under the settlement agreement, the Attorney General's Office recovered $29.23 million for the State's general revenue fund.
December 23, 2011; Tennessee Department of Finance & Administration: Georgia Woman Charged With TennCare Fraud
NASHVILLE - After being on the run for two years, a Georgia woman is in custody on TennCare fraud charges, in an indictment accusing her of claiming to live in Tennessee in order to get healthcare insurance benefits through TennCare, the state's public insurance program.
December 23, 2011; Tennessee Department of Finance & Administration: Macon County Man Charged With TennCare Fraud
NASHVILLE - A Macon County man is charged with TennCare fraud in nearby Smith County for using the public healthcare insurance program to obtain prescription drugs which he later sold.
December 22, 2011; Florida Attorney General: Attorney General Bondi's Office Announces Arrest of Assisted Living Operator for Grand Theft and Exploitation of an Elderly and Disabled Adult
Attorney General Pam announced on Thursday the arrest of Joyce Daughtrey for grand theft and exploitation of an elderly and disabled adult. The defendant is charged with stealing $9,500 by withholding the victim's social security funds and his personal allowance.
December 22, 2011; Florida Attorney General: Attorney General Bondi's Office and the Okaloosa County Sheriff's Office Arrest Man for Abusing Adult with Disabilities
Attorney General Pam Bondi announces that the Medicaid Fraud Control Unit and Okaloosa County Sheriff's Office has arrested Alonzo Travis, Jr., an employee at Horizons of Okaloosa County, on charges that he abused an adult with disabilities.
December 22, 2011; Georgia Attorney General: Former Medicaid Claims Biller Indicted for Re-directing Medicaid Payments to His
Personal Bank Account
A Fulton County Grand Jury indicted Dimitrius Franks, of Fairburn, Georgia, on one count of Medicaid Fraud (O.C.G.A. § 49-4-146.1(b)(1)), three counts of Computer Theft (O.C.G.A § 16-9-93(a)), and three counts of Theft by Taking (O.C.G.A. § 16-8-2) on December 20, 2011.
December 21, 2011; New Jersey Attorney General: Newark Pharmacy Owner and Technician Arrested in Alleged Medicaid and Health Care Claims Fraud Conspiracy
TRENTON - Attorney General Paula T. Dow and Acting Insurance Fraud Prosecutor Ronald Chillemi announced that an owner and a pharmacy technician were arrested this morning for their alleged roles in a conspiracy to defraud Medicaid through a prescription medication buyback scheme.
December 20, 2011; Massachusetts Attorney General News Release: Lawsuit over Inflated Drug Prices Ends; AG Coakley Recovers $47 Million for Medicaid Program
BOSTON - A lawsuit against thirteen drug manufacturers over inflated prices has ended with more than $47 million recovered for the Medicaid Program, Attorney General Martha Coakley announced today. Merck & Co., Inc. (Merck), the nation's second largest drug manufacturer, has agreed to pay $24 million, making this the largest single payment to Massachusetts for one Medicaid fraud case in state history.
December 19, 2011; Tennessee Department of Finance & Administration: Knox County Woman Charged With TennCare "Doctor Shopping"
NASHVILLE - A Knox County woman is under indictment for TennCare fraud involving "doctor shopping," or using the public healthcare insurance program to go to multiple doctors in a short time period to obtain controlled substances.
December 19, 2011; Georgia Attorney General News Release: DeKalb County Physician Indicted for Using Medicaid Funds to Perform Abortions
A DeKalb County Grand Jury indicted Tyrone Cecil Malloy, MD, and his former office manager CathyAnn Edwards Warner on December 8, 2011, on two counts of Medicaid Fraud, O.C.G.A. 49-4-146.1(b)(2). Malloy owns and operates Old National Gynecology, a medical practice devoted to the performance of abortions.
December 19, 2011; North Carolina Attorney General: Medicaid Fraud Sweep Nets 18 Arrests, AG Cooper Says
Greensboro - Eighteen health care providers accused of defrauding taxpayers and the Medicaid system were arrested last week as the start of a major statewide sweep, Attorney General Roy Cooper announced Monday.
December 13, 2011; South Dakota Attorney General: Yankton Man Sentenced in Medicaid Fraud Case
PIERRE, S.D. - Attorney General Marty Jackley announced today that Larry Lee Jones, 63, Yankton, South Dakota, was sentenced to serve 180 days in the State Penitentiary for committing Medicaid fraud.
December 12, 2011; Missouri Attorney General: Attorney General Koster reaches settlement in Medicaid fraud case
Jefferson City, Mo.- Attorney General Chris Koster today announced a settlement with Lana Reece-Gates, owner of Dignity Home Health Care Services, a St. Louis-based company that provides in-home personal care services. The settlement resolves allegations that Reece-Gates submitted false claims to Medicaid and failed to run appropriate background screenings on personal care attendants.
December 6, 2011; Missouri Attorney General: Attorney General Koster says Greene County woman to be tried for Medicaid fraud
Springfield, Mo.- Attorney General Chris Koster said today the Associate Circuit Court of Greene County held a preliminary hearing and found probable cause to try Angela Deanne Adams, 40, on six felony counts of Medicaid fraud.