Tuesday, July 9, 2013

Senator Lindsey Graham Says Suspend the Constitution For Boston Marathon Suspect And Designate Him An Enemy Combatant 161 comments, 56 called-out Comment Now Follow Comments (Photo copyed from Wikipedia). (Photo copyed from Wikipedia). (Photo credit: Wikipedia) Why is it that those who spend an inordinate amount of time professing their dedication and fealty to the United States Constitution seem to always be among the first to toss our founding document out the window the moment it becomes inconvenient to their desires? In a series of tweets posted by South Carolina Senator Lindsey Graham on Friday, the conservative, ‘strict constructionist’ argued that nineteen-year-old Dzhokhar Tsarnaev—suspected of being one of the Boston Marathon terrorists and taken into custody on Friday evening—should be treated as an enemy combatant and denied his due process rights under the Constitution. Were the Administration to follow Graham’s advice, Tsarnaev would forever be denied his Fifth Amendment right to remain silent and to have the counsel of an attorney. Without these rights granted to all defendants pursuant to Miranda, anything this suspect might say to interrogators before being advised of these rights would still be admissible in a court of law. I say ‘forever denied’ because Mr. Tsarnov will not be getting his Miranda warnings for a period of time even without declaring him an enemy combatant. As a result of an exception to Miranda called The Public Safety Rule, the suspect can—and will—be questioned without being ‘Mirandized” for the purpose of determining if there is an imminent threat to the public safety. In this instance, any information Tsarnaev provides the specialized team that will be interrogating him will remain admissible at trial, even though he has not received his Miranda warnings. However, this exception to Miranda begins to ‘fade’ from the moment the questioning begins. And while there is no set time limit for the exception stated in the law, it is generally assumed that the period for such questioning to determine whether an immediate public threat may exist typically cannot extend for more than forty-eight hours. Beyond this invocation of the Public Safety Rule, Tsarneav will be accorded all the rights of due process prescribed by the Constitution, including a civil trial before a jury of his peers.He will have the right to be silent and will be entitled to a lawyer. Were Lindsey Graham to have his way, due process rights would never be afforded the bombing suspect who is an American citizen. This would include his right to a civilian trial as, were he to be designated an enemy combatant, Tsarneav would be tried by a military tribunal where the constitutional protections extended to the rest of us are virtually non-existent. Keep in mind that the horrible crimes that Mr. Tsarneav is accused of committing occurred on US soil and that, no matter how heinous the terrorist acts Tsareav is alleged to have carried out, he remains an American citizen with all the rights that come with the status. Also keep in mind that, in this country, we are all innocent until proven guilty. For Senator Graham to spend the past few weeks arguing that background checks for terrorists, criminals or anyone else who want to purchase a gun at a gun show violates the Second Amendment to our Constitution only to turn around and seek to strip an American citizen of his constitutional due process rights is nothing short of the epitome of hypocrisy and beyond abhorrent. Should the accused ultimately be convicted of the charges, we could each creatively dream up any number of punishments we would like to personally administer to such a sick and evil human being. But, until that conviction should occur, he must be given the same rights and protections that we are all privileged to experience as Americans. I can respect anyone who stands up for adhering to the United States Constitution. But giving effect to that document does not mean picking and choosing when and where to apply it simply because it does not always suit the desires of a United States Senator. Lindsey Graham needs a good, long time-out. Maybe—just this once—he should skip his never-ending weekend appearances on the Sunday talk shows and spend some time sitting in the corner thinking about how he has lost touch with reality and what it really means to be loyal to the United States Constitution and the principles for which it stands. We’ll all be better of for it. Contact Rick at thepolicypage@gmail.com and follow me on Twitter and Facebook FB +3.12% UPDATE: Saturday, April 20, 2013: It is the rarest of moments when I find myself in total agreement with Glenn Beck. Early this morning, Mr. Beck tweeted his support for reading the accused suspect his rights and according him all of his due process rights under the Constitution. Beck tweeted, “I despise this terrorist and all he has done but we must not lose sight of who we are. HE IS AN AMERICAN. Read him his rights! We are not in Russia.” Beck added another salient point in an additional tweet where he wrote, “I don’t want that opinion but the constitution is not opinion. Boston. Remember J.Adams. He defended the British. Stand for truth.” See that…even a broken clock is right twice a day!

Senator Lindsey Graham Says Suspend the Constitution For Boston Marathon Suspect And Designate Him An Enemy Combatant

(Photo copyed from Wikipedia).
(Photo copyed from Wikipedia). (Photo credit: Wikipedia)
Why is it that those who spend an inordinate amount of time professing their dedication and fealty to the United States Constitution seem to always be among the first to toss our founding document out the window the moment it becomes inconvenient to their desires?
In a series of tweets posted by South Carolina Senator Lindsey Graham on Friday, the conservative, ‘strict constructionist’ argued that nineteen-year-old Dzhokhar Tsarnaev—suspected of being one of the Boston Marathon terrorists and taken into custody on Friday evening—should be treated as an enemy combatant and denied his due process rights under the Constitution.
Were the Administration to follow Graham’s advice, Tsarnaev would forever be denied his Fifth Amendment right to remain silent and to have the counsel of an attorney. Without these rights granted to all defendants pursuant to Miranda, anything this suspect might say to interrogators before being advised of these rights would still be admissible in a court of law.
I say ‘forever denied’ because Mr. Tsarnov will not be getting his Miranda warnings for a period of time even without declaring him an enemy combatant.
As a result of an exception to Miranda called The Public Safety Rule, the suspect can—and will—be questioned without being ‘Mirandized” for the purpose of determining if there is an imminent threat to the public safety. In this instance, any information Tsarnaev provides the specialized team that will be interrogating him will remain admissible at trial, even though he has not received his Miranda warnings.
However, this exception to Miranda begins to ‘fade’ from the moment the questioning begins. And while there is no set time limit for the exception stated in the law, it is generally assumed that the period for such questioning to determine whether an immediate public threat may exist typically cannot extend for more than forty-eight hours.
Beyond this invocation of the Public Safety Rule, Tsarneav will be accorded all the rights of due process prescribed by the Constitution, including a civil trial before a jury of his peers.He will have the right to be silent and will be entitled to a lawyer.
Were Lindsey Graham to have his way, due process rights would never be afforded the bombing suspect who is an American citizen. This would include his right to a civilian trial as, were he to be designated an enemy combatant, Tsarneav would be tried by a military tribunal where the constitutional protections extended to the rest of us are virtually non-existent.
Keep in mind that the horrible crimes that Mr. Tsarneav is accused of committing occurred on US soil and that, no matter how heinous the terrorist acts Tsareav is alleged to have carried out, he remains an American citizen with all the rights that come with the status. Also keep in mind that, in this country, we are all innocent until proven guilty.
For Senator Graham to spend the past few weeks arguing that background checks for terrorists, criminals or anyone else who want to purchase a gun at a gun show violates the Second Amendment to our Constitution only to turn around and seek to strip an American citizen of his constitutional due process rights is nothing short of the epitome of hypocrisy and beyond abhorrent.
Should the accused ultimately be convicted of the charges, we could each creatively dream up any number of punishments we would like to personally administer to such a sick and evil human being. But, until that conviction should occur, he must be given the same rights and protections that we are all privileged to experience as Americans.
I can respect anyone who stands up for adhering to the United States Constitution. But giving effect to that document does not mean picking and choosing when and where to apply it simply because it does not always suit the desires of a United States Senator.
Lindsey Graham needs a good, long time-out.
Maybe—just this once—he should skip his never-ending weekend appearances on the Sunday talk shows and spend some time sitting in the corner thinking about how he has lost touch with reality and what it really means to be loyal to the United States Constitution and the principles for which it stands.
We’ll all be better of for it.
Contact Rick at thepolicypage@gmail.com and follow me on Twitter and Facebook FB +3.12%
UPDATE: Saturday, April 20, 2013: 
It is the rarest of moments when I find myself in total agreement with Glenn Beck. Early this morning, Mr. Beck tweeted his support for reading the accused suspect his rights and according him all of his due process rights under the Constitution. Beck tweeted, “I despise this terrorist and all he has done but we must not lose sight of who we are. HE IS AN AMERICAN. Read him his rights! We are not in Russia.” Beck added another salient point in an additional tweet where he wrote, “I don’t want that opinion but the constitution is not opinion. Boston. Remember J.Adams. He defended the British. Stand for truth.”
See that…even a broken clock is right twice a day!

Attorney General Gansler Announces Agreement with Pharmaceutical Manufacturer Alpharma, Inc.

Attorney General Gansler Announces Agreement with Pharmaceutical Manufacturer Alpharma, Inc.
BALTIMORE, MD ( March 19, 2010) - Attorney General Douglas F. Gansler announced today that Maryland has joined other states and the federal government to reach an agreement in principle with pharmaceutical manufacturer, Alpharma Inc., to settle allegations of causing false or fraudulent claims for the drug Kadian to be submitted to the Medicaid program. Kadian is a sustained release morphine sulfate product indicated for the management of moderate to severe pain. Under the agreement, Alpharma agreed to pay the participating states and the United States $42.5 million, plus interest. The Medicaid programs nationwide will receive approximately $19.2 million of the total settlement. Maryland will receive $70,013.64. Medicaid is funded jointly by the federal and state governments.
As part of the federal and multi-state action, Maryland alleged that during the period of January 1, 2000 through December 29, 2008, Alpharma offered and paid for training programs, consulting forums, research grants, speakers’ bureaus and made or disseminated false statements about the safety and efficacy of Kadian, all of which was done to induce health care providers to prescribe Kadian.

The investigation was initiated by a lawsuit filed under the qui tam provisions of the False Claims Act. This action is pending in the United States District Court for the District of Maryland. A team representing the National Association of Medicaid Fraud Control Units participated in the investigation and conducted settlement negotiations with Alpharma on behalf of the states. Team members included representatives from South Carolina, Texas, Florida, Vermont and Arkansas.


 

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December 2012

December 21, 2012; Tennessee Department of Finance & Administration
Davidson Co. Woman Charged With TennCare Fraud External link
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" External link
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 External link
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" External link
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 External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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" External link
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" External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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" External link
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. External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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" External link
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" External link
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" External link
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 External link
(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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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
External link
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 External link
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.

October 2012

October 30, 2012; Texas Attorney General
Texas Attorney General's Office Secures $19.9 Million Agreement with Drug Maker over Medicaid
Fraud Allegations
External link
AUSTIN - Texas Attorney General Greg Abbott today announced the resolution of a civil Medicaid fraud enforcement action against Swiss-based pharmaceutical drug company Novartis for unlawful and deceptive marketing of a topical skin cream product.
October 29, 2012; Tennessee Department of Finance & Administration
McMinn County Woman Charged With TennCare Fraud External link
NASHVILLE, TN - A McMinn County woman is charged with TennCare fraud for using her allergy medication, which was paid for by TennCare, as a precursor in the manufacturing of methamphetamine. The Office of Inspector General today announced the arrest of Nicole Jack, 27, of Athens, after a joint investigation with the 10th Judicial Drug Task Force.
October 25, 2012; Nevada Attorney General
Attorney General Masto Announces Business Sentenced For Medicaid Fraud External link
Reno, NV - Nevada Attorney General Catherine Cortez Masto announced that Rainbow Child and Family Services, LLC, a behavioral health company based out of Las Vegas, was sentenced today in a Medicaid fraud case involving the failure to maintain adequate records to support Medicaid claims.
October 25, 2012; Tennessee Department of Finance & Administration
Sequatchie Co. Woman Charged 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE, TN - A Sequatchie County woman is charged with TennCare "doctor shopping" for the second time in less than a month. The Office of Inspector General, along with Hamilton County Sheriffs' Officers, today announced the arrest of 32-year old Christy Lynn Stewart of Dunlap. She is charged in Hamilton County with three counts of fraudulently using TennCare to obtain a controlled substance by "doctor shopping," or going to multiple doctors in a short period of time in order to obtain prescription drugs.
October 24, 2012; Oklahoma Attorney General
AG Pruitt Charges Oklahoma City Counselor with Medicaid Fraud External link
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit Tuesday filed charges against an Oklahoma City youth and family counselor for allegedly billing for sessions that never were provided.
October 24, 2012; Tennessee Department of Finance & Administration
Dyer Co. Woman Is 4th Charged With TennCare Drug Fraud In Round-Up Charging 57 People External link
NASHVILLE, TN - A fourth individual is charged with TennCare Fraud in a Dyer County undercover operation. The round-up of suspects started last week, with most charges involving prescription drug fraud. A total of 57 people were indicted. The Office of Inspector General today announced the additional arrest of Misty Marie Buckner, 31, of Dyersburg. She is charged with TennCare fraud and sale of a Schedule II controlled substance.
October 23, 2012; Louisiana Attorney General
Attorney General Announces $18.6 Million in New Settlements with Drug Companies
Charged with Fraud
External link
In the state's ongoing drug price-related litigation, five pharmaceutical companies will pay Louisiana in excess of $18.6 million for misreporting drug price information to Louisiana's Medicaid program, announced Attorney General Buddy Caldwell.
October 23, 2012; Delaware Attorney General
Former Delaware Psychiatrist Receives Prison Sentence for Defrauding Medicaid Program External link
Dover - A former Dover area Psychiatrist charged with defrauding the Delaware Medicaid Program of nearly $175,000 received a jail sentence today after pleading guilty to her crimes, Attorney General Beau Biden announced.
October 22, 2012; Massachusetts Attorney General
Woburn Drug Screening Lab Defendants Plead Guilty to Medicaid Kickback Scheme External link
WOBURN - Three defendants have pleaded guilty to their involvement in an extensive Medicaid kickback scheme using "straw companies" and overcharging the state's Medicaid program for urine drug screens, Attorney General Martha Coakley announced today.
October 19, 2012; Tennessee Department of Finance & Administration
Washington Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE, TN - A Washington County woman is charged with TennCare fraud for using the program to obtain prescription drugs she's accused of selling to others. The Office of Inspector General, with the assistance of the Washington County Sheriff's Office, today announced the arrest of Rhonda L. Saylor, 41, of Johnson City.
October 18, 2012; Kansas Attorney General
Osawatomie Man Convicted of Medicaid Fraud, Identity Theft External link
PAOLA - An Osawatomie man was convicted Wednesday on multiple charges related to a Medicaid fraud scheme, Kansas Attorney General Derek Schmidt said.
October 18, 2012; Louisiana Attorney General
Attorney General Caldwell's Office Charges 6 Northeast Louisiana Residents with Medicaid Fraud External link
Four women and two men, all from Northeast Louisiana, face charges in a scheme to defraud the state's Medicaid program, announced Louisiana Attorney General Buddy Caldwell.
The six personal care attendants are accused of submitting timesheets to their employer claiming that they provided in-home caregiver services, such as cooking, cleaning, and bathing, to Medicaid patients on the same dates and times those patients were actually hospitalized.
October 17, 2012; Wisconsin Attorney General
Milwaukee Area Man Found Guilty of Medicaid Fraud External link
MADISON - Attorney General J.B. Van Hollen announced today that Keith London, 39, was found guilty of 17 felony counts of medical assistance fraud after a three-day jury trial. The charges stem from London's participation in the Medicaid-funded "Include, Respect, I Self-Direct" (IRIS) Program that allows Medicaid recipients to hire their own care providers.
October 17, 2012; Tennessee Department of Finance & Administration
Three People Charged With TennCare Fraud In Dyer County Undercover Operation External link
NASHVILLE, TN - Three people have been arrested and charged with TennCare fraud after a round-up that netted 37 people arrested on indictments for drug charges in Dyer County. The indictments came after a 10-month undercover operation that focused primarily on the selling of illegal prescription drugs, led by Dyersburg police.
The Office of Inspector of General assisted local police, charging four of the suspects with TennCare fraud, among a total of 57 who were indicted. Most of them face drug charges and the majority involved selling prescription medications.
October 16, 2012; New York Attorney General
A.G. Schneiderman Announces $1.2 Million Settlement With NYC Pharmacist Who Sold Black Market Medications External link
NEW YORK - Attorney General Eric T. Schneiderman today announced that his office secured a settlement of more than $1.2 million to resolve claims that a Brooklyn pharmacist defrauded Medicaid by improperly billing for prescription medications that he purchased on the street. In addition to repaying the New York State Medicaid Program, Rao Veeramachaneni, of Brooklyn, agreed to surrender his pharmacist's license and withdraw from the Medicaid program. In addition, he agreed to a ban from working in the pharmaceutical or health care industry in the future.
October 16, 2012; Louisiana Attorney General
Ponchatoula Woman Arrested on 22 Felony Counts External link
A Ponchatoula woman was arrested and charged with five felony counts of Medicaid fraud, 10 felony counts of filing or maintaining false public records, and seven felony counts of forgery, announced Attorney General Buddy Caldwell.
October 15, 2012; Louisiana Attorney General
Ferriday Woman Charged with Medicaid Fraud External link
A Ferriday woman has been arrested and charged with Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell. Ullonda Rena Curry, 29, of 200 Smith Lane, Apt. 26, was arrested on Thursday by the Attorney General's Medicaid Fraud Control Unit and the Concordia Parish Sheriff's Office.
October 15, 2012; Tennessee Department of Finance & Administration
Putnam Co. Woman Charged With TennCare Fraud External link
NASHVILLE, TN - A Putnam County woman is charged with attempting to use her sister's TennCare benefits to obtain dental services. The Office of Inspector General today announced the arrest of Miranda Michelle Lack, 24, of Baxter, after a joint investigation with the Putnam County Sheriff's Office.
October 11, 2012; Connecticut State Attorney Office
Glastonbury Physician Charged with Medicaid Fraud External link
A Glastonbury physician arrested previously and charged with allegedly sexually assaulting his patients was arrested today and charged with submitting false claims to the state's Medicaid program. Medicaid is a taxpayer-funded health care program for low-income individuals. TORY Z. WESTBROOK, M.D., age 44, of Manchester Road in Glastonbury, was charged with six counts of Second Degree Larceny by Defrauding A Public Community, a class C felony punishable by up to 10 years in prison for each count, and six counts of Insurance Fraud, a class D felony punishable by up to 5 years in prison for each count.
October 11, 2012; South Dakota Attorney General
Doctor Pleads Guilty to Medicaid Fraud External link
PIERRE, S.D. - Attorney General Marty Jackley announced today that an optometrist who practiced in Rapid City plead guilty to two felonies involving Medicaid fraud. Cary Stephen Feldman, OD, 60, Spearfish, entered a guilty plea to grand theft by deception, class 4 felony, punishable by up to ten years imprisonment and/or a $20,000.00 fine, and making false claims, class 5 felony, punishable by up to five years imprisonment and/or a $10,000.00 fine.
October 11, 2012; Tennessee Department of Finance & Administration
Robertson Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE, TN - A Robertson County woman is facing charges of TennCare "doctor shopping," the crime of using TennCare to go to multiple doctors to obtain controlled substances. The Office of Inspector General, with the assistance of the Robertson County Sheriff's Office, today announced the arrest of Amanda M. Adams, 27, of Springfield.
October 10, 2012; Kansas Attorney General
Cherryvale woman pleads guilty to Medicaid Fraud External link
PARSONS - A Cherryvale woman has pleaded guilty to charges of Medicaid fraud and will be ordered to repay more than $18,000, Kansas Attorney General Derek Schmidt said.
October 9, 2012; Tennessee Department of Administration & Finance
Rutherford Co. Woman Charged 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE, TN - A Rutherford County woman is charged a second time with TennCare "doctor shopping," or going to multiple doctors to obtain the same or similar controlled substances and using TennCare as payment. The Office of Inspector General today announced the arrest of 29-year old Adriane Johanna Dearing, of Murfreesboro.
October 9, 2012; Tennessee Department of Administration & Finance
Hawkins Co. Man Charged With Aiding And Abetting Wife To Commit TennCare Fraud External link
NASHVILLE, TN - A Hawkins County man is accused of aiding and abetting his wife in her attempt to acquire a controlled substance, later selling a portion of it. The Office of Inspector General announced the arrest of Bradley Scott Neal, 28, of Church Hill. He was served with the charges while he was being held in the Hawkins County Jail. His wife Christine Thacker Neal, 24, of Church Hill has been charged with two counts of TennCare fraud.
October 8, 2012; Tennessee Department of Finance & Administration
Knox Co. Woman Charged With 17 Counts Of TennCare Fraud External link
NASHVILLE, TN - A Knox County woman is charged with TennCare fraud and theft of property after she unlawfully received healthcare benefits from the TennCare public healthcare insurance program. The Office of Inspector General today announced the arrest of Ashley Leigh Anne Tippens, also known as both Ashley Votaw and Ashley Page, 36, of Powell.
October 5, 2012; Nevada Attorney General
Attorney General Masto Announces Sentencing in Las Vegas Personal Care Assistant Fraud Case External link
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced that Aurora Volero-Alvarez, 61, of Las Vegas, was sentenced yesterday in a Medicaid fraud case involving false reporting of personal care services.
October 4, 2012; Ohio Attorney General
Attorney General DeWine Announces Raid of Suspected "Pill Mill" External link
DAYTON, Ohio - Ohio Attorney General Mike DeWine announced today that authorities with the Drug Enforcement Administration (DEA), the Attorney General's Health Care Fraud Section and Bureau of Criminal Investigation (BCI), the Montgomery County Sheriff's Office, the U.S. Attorney for the Southern District of Ohio, and the U.S. Health and Human Services Office of the Inspector General served a federal search warrant on a suspected 'pill mill' in Dayton.
October 4, 2012; Tennessee Department of Finance & Administration
Davidson Co. Woman Charged With TennCare Fraud External link
NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud for using her sister's TennCare healthcare insurance benefits in order to access medical benefits. The Office of Inspector General, with the assistance of Metro Nashville Police, today announced the arrest of Labresha Lynne Tatum, 25, of Nashville.
October 3, 2012; Tennessee Department of Finance & Administration
Warren Co. Woman Charged With 11 Counts Of TennCare "Doctor Shopping" External link
NASHVILLE - A Warren County woman is charged with TennCare fraud involving "doctor shopping," or using the TennCare program to go to multiple doctors to obtain controlled substances. The Office of Inspector General, with the assistance of the Warren County Sheriff's Office, today announced the arrest of Christine Perry, 66, of Spencer, Tennessee. Perry is charged with 11 counts of fraudulently using TennCare to obtain controlled substances by doctor shopping for the painkiller Hydrocodone, using TennCare to pay for the doctor visits.
October 3, 2012; Tennessee Department of Finance & Administration
Roane Co. Woman Charged For 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Roane County woman is charged for the second time with TennCare "doctor shopping," or going to multiple doctors to obtain the same or similar controlled substances, and using the TennCare program as payment. The Office of Inspector General, with assistance from the Morgan County Sheriff's Office, today announced the arrest of 29-year old Kimberly Sue Christian, of Harriman, Tennessee. She is charged in a Morgan County indictment with three counts of fraudulently using TennCare to obtain a controlled substance by doctor shopping for prescriptions for the painkiller Oxycodone.
October 2, 2012; Pennsylvania Attorney General
Wayne County Dentist Charged With Medicaid Fraud External link
HARRISBURG - A Wayne County dentist was arrested today on charges that he fraudulently billed the Medical Assistance program for more than $75,000 worth of patient procedures that were allegedly not properly performed or not administered.
October 1, 2012; Missouri Attorney General
Attorney General Koster Files Criminal Charges Against Three Kansas City-Area Women In Medicaid Fraud Cases External link
Jefferson City, Mo. - Attorney General Chris Koster said today that his office has charged three personal care attendants in Jackson County Circuit Court with Medicaid fraud.

September 2012

September 28, 2012; New York Attorney General
A.G. Schneiderman Announces $1.6 Million Settlement with Erie County Dental Clinic for Overbilling Medicaid Program External link
BUFFALO - Attorney General Eric T. Schneiderman today announced an agreement with Kaleida Health to recover $1.6 million in excess Medicaid payments on claims for dental services at Buffalo Women's & Children's Hospital Dental Clinic. The Attorney General's investigation revealed that during the period of January 1, 2005, through June 29, 2012, Kaleida submitted and received payments for dental clinic services for which Medicaid reimbursement was not authorized.
September 28, 2012; Tennessee Department of Finance & Administration
Sequatchie Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Sequatchie County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare healthcare insurance benefits to go to multiple doctors to obtain prescription drugs. The Office of Inspector General today announced the arrest of Christy L. Stewart, 32, of Dunlap. She is charged with TennCare fraud by doctor shopping for controlled substances, specifically the painkiller Hydrocodone, using the TennCare program for payment.
September 28, 2012; Tennessee Department of Finance & Administration
White County Woman Charged With TennCare Fraud External link
NASHVILLE - A White County woman is charged in Nashville with TennCare fraud and obtaining a controlled substance by fraud. The Office of Inspector General today announced the arrest of Connie Lucille Hooper, 42, of Sparta. The U.S. Marshal Service Fugitive Task Force assisted with the arrest.
September 27, 2012; Florida Attorney General
The Attorney General's Office and the Miami-Dade Police Department Arrest the Final Member of a South Florida Medicaid Fraud Ring External link
TALLAHASSEE, Fla. -The Attorney General's Office and the Miami-Dade Police Department arrested the final member of a South Florida Medicaid fraud ring charged with fraud totaling more than $1.7 million. Alina De La Paz, 52, a Miami speech language pathologist, was arrested today and charged with one count of Medicaid fraud and two counts of grand theft, all first-degree felonies, and one count of grand theft, a third-degree felony. If convicted, she faces up to $5 million in fines and 95 years in prison.
September 27, 2012; Tennessee Department of Finance & Administration
Maury County Woman Charged With TennCare Fraud External link
NASHVILLE - A Maury County woman is charged in an indictment out of Marshall County with TennCare fraud and obtaining controlled substances by fraud. The Office of Inspector General today announced the arrest of Tamika Michelle Claybourne, 38, of Columbia.
September 26, 2012; Tennessee Department of Finance & Administration
Anderson County Man Charged With TennCare Fraud External link
NASHVILLE - An Anderson County man is charged in Knox County with TennCare fraud for using his son's TennCare healthcare insurance benefits. The Office of Inspector General today announced the arrest of Anthony Eugene Morgan, alias Anthony Eugene Morgan, Sr., 44, of Clinton. It's his second arrest for TennCare fraud.
September 26, 2012; Tennessee Department of Finance & Administration
Knox County Woman Charged With TennCare Fraud External link
NASHVILLE - A Knox County woman is charged with TennCare fraud and theft of property, after receiving healthcare insurance benefits through the TennCare program although she was not legitimately eligible for TennCare. The Office of Inspector General today announced the arrest of Kimberly Diane Miller, 41, of Knoxville. She is charged with 20 counts of TennCare fraud and four counts of theft of property (over $10,000).
September 24, 2012; Alaska Attorney General
Ketchikan Couple Sentenced for Medicaid Fraud External link
On September 21, 2012, 61 year old Eileen Small and 64 year old Herbert Small, of Ketchikan, were sentenced by Judge William Carey for medical assistance fraud.
September 24, 2012; Missouri Attorney General
Attorney General Koster obtains indictment in Medicaid fraud case -- St. Louis woman faces 4 felony counts External link
Jefferson City, Mo. - Attorney General Chris Koster said today that a St. Louis City Grand Jury has indicted Ruth Ann Fair, 58, a personal care services attendant in St. Louis, on four felony counts of Medicaid fraud.
September 21, 2012; Florida Attorney General
Attorney General Bondi's Office Charges Santa Rosa County Resident for $6,600 in Medicaid Fraud External link
Attorney General Pam Bondi announced that a Santa Rosa County resident was taken into custody and charged with one count of Medicaid fraud. Shannon Boyette, owner of Boyette Home Health Care, was taken into custody after an investigation by the Attorney General's Medicaid Fraud Control Unit.
September 20, 2012; Tennessee Department of Finance & Administration
Claiborne County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Claiborne County woman is charged with TennCare fraud, accused of selling prescription drugs paid for by TennCare. The Office of Inspector General (OIG) today announced the arrest of Amy Elaine Burgess, 48, of New Tazewell, after a joint investigation with the Claiborne County Sheriff's Office and the OIG.
September 20, 2012; Tennessee Department of Finance & Administration
Knox County Woman Charged With TennCare Fraud External link
NASHVILLE - A Knox County woman is charged in nearby Grainger County with TennCare fraud. The Office of Inspector General (OIG), with the assistance of the Grainger County Sheriff's Office, today announced the arrest of Louvita L. Dalton, 33, of Corryton. An indictment out of Grainger County charges her with TennCare fraud and prescription fraud for attempting to obtain a controlled substance by fraud.
September 18, 2012; Massachusetts Attorney General
Former Certified Nursing Assistant Arraigned For Allegedly Abusing 70-Year-Old Nursing Home Resident External link
WEST ROXBURY - A former Certified Nursing Assistant (CNA) at the Armenian Nursing & Rehabilitation Center in Jamaica Plain was arraigned today in connection with the alleged assault of a 70-year-old disabled resident at the facility, Attorney General Martha Coakley's Office announced today.
September 19, 2012; Indiana Attorney General
State Action To Resume Against License Of Sentenced Pain Doctor External link
INDIANAPOLIS - With prescription drug abuse a stubborn problem in Indiana, the case that Attorney General Greg Zoeller's Office brought against the medical license of a Bloomington pain-clinic physician will resume now that Dr. Kamal Tiwari has been sentenced to 3½ years in federal prison. Tiwari allegedly overprescribed addictive pain medication to known substance abusers and committed health care fraud by seeking Medicaid reimbursement for performing medically unnecessary procedures.
September 19, 2012; Tennessee Department of Finance & Administration
Franklin County Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Franklin County man is charged in Coffee County with TennCare fraud for selling prescription drugs paid for by TennCare. The Office of Inspector General, assisted by Manchester police and the Coffee County Sheriff's Office, today announced the arrest of Alfred Dean Hill, 54, of Decherd.
September 18, 2012; Louisiana Attorney General
Monroe Woman Arrested for Medicaid Fraud External link
A Monroe woman has been arrested and charged with Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell.
September 17, 2012; Tennessee Department of Finance & Administration
Rutherford Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Rutherford County woman is charged in an indictment for 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 the Rutherford County Sheriff's Office and the Middle Tennessee District of the U.S. Marshall Service Fugitive Task Force, today announced the arrest of Adriane Dearing, 29, of Murfreesboro.
September 13, 2012; Ohio Attorney General
Medical Equipment Provider Sentenced to Pay More Than $214,000 External link
COLUMBUS, Ohio - Ohio Attorney General Mike DeWine announced today that a Westerville man accused of fraudulently billing Medicaid will have to repay approximately $214,000.
September 13, 2012; Tennessee Department of Finance & Administration
Blount Co. Woman Loses TennCare Benefits After Pleading Guilty To TennCare Fraud External link
NASHVILLE - A Blount County woman has been sentenced after pleading guilty to TennCare fraud, and a court ordered her to be removed from the state's healthcare insurance program. The Office of Inspector General today announced that Renee Annette Moore, 43, of Maryville, pleaded guilty to one count of felony TennCare fraud and four counts of prescription fraud.
September 12, 2012; Wisconsin Attorney General
Shantavia Dean Convicted Of Billing Wisconsin Medicaid For Fictitious Services. External link
MADISON - Attorney General J.B. Van Hollen announced today that a Madison woman has been convicted of billing Wisconsin Medicaid for fictitious services.
September 12, 2012; Tennessee Department of Finance & Administration
Bradley Co. Man Charged With Selling TennCare Drugs External link
NASHVILLE - Two men in Bradley County are charged with selling prescription drugs, with one of the men accused of using TennCare to pay for the drugs at the pharmacy. The Office of Inspector General today announced the arrests of Roberto Veloz, Jr., 44, of Cleveland, and Richard M. Worley, Jr., 64, of Charleston. The arrests are the result of a joint effort with the Bradley County Sheriff's Office.
September 12, 2012; Tennessee Department of Finance & Administration
Perry Co. Woman Charged A 2nd Time With "Doctor Shopping" For Drugs External link
NASHVILLE - A Perry County woman is charged for the second time with "doctor shopping," or going to multiple doctors to obtain the same or similar controlled substances, and using TennCare state healthcare insurance benefits as payment. The Office of Inspector General, with assistance from Perry County Sheriff's Officers, today announced the arrest of 31-year old Allyson Hinson, of Linden.
September 12, 2012; Tennessee Department of Finance & Administration
Alabama Woman Ordered To Repay Tennessee For Stolen Healthcare, Food Stamp Benefits External link
NASHVILLE - An Alabama woman must repay Tennessee for medical and pharmacy services provided through TennCare - benefits she was not eligible to receive through the state's healthcare insurance program. In addition, the woman must repay Tennessee for food stamps she received from the state's Department of Human Services. The Office of Inspector General today announced that Shauntaye Mayo, 30, of Alabama pleaded guilty to three counts of TennCare fraud, one count of theft of services and one count of food stamp fraud.
September 11, 2012; Missouri Attorney General
Attorney General Koster Obtains Four Guilty Pleas In Medicaid Fraud Cases In Texas County External link
Jefferson City, Mo.- Attorney General Chris Koster said today his Medicaid Fraud Control Unit, along with Texas County Prosecuting Attorney Mike Anderson, has obtained four guilty pleas from a Medicaid recipient and her three personal care attendants in Texas County who were involved in a scheme to submit false timesheets for to Medicaid.
September 11, 2012; North Carolina Attorney General
Vance County Mental Health Provider Arrested For Fraud External link
Raleigh - A Vance County mental health care provider accused of cheating taxpayers and the Medicaid system was arrested today on 16 felony counts, Attorney General Roy Cooper announced Tuesday.
September 10, 2012; Tennessee Department of Finance & Administration
Shelby Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Shelby County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare public healthcare insurance to go to multiple doctors to obtain prescription drugs. The Office of Inspector General today announced the arrest of Sandra Jones, 43, of Memphis. She is charged with "doctor shopping" for controlled substances, using TennCare as payment.
September 10, 2012; Nevada Attorney General
Attorney General Masto Announces Sentencing Of Las Vegas Personal Care Assistant Medicaid
Fraud Case
External link
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced that James Hanna, 70, of Las Vegas, was sentenced today in a Medicaid fraud case involving false reporting of personal care services.
September 10, 2012; Tennessee Department of Finance & Administration
Fayette Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Fayette County woman is charged in Hardeman County with TennCare "doctor shopping," or going to multiple doctors in a short time frame in order to obtain prescription drugs. The Office of Inspector General today announced the arrest of April M. Bishop, 37, of Somerville. She is charged with three counts of "doctor shopping" for the painkiller Hydrocodone and using TennCare to pay for the prescriptions.
September 7, 2012; Tennessee Department of Finance & Administration
Davidson County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Davidson County woman is charged with TennCare fraud. The Office of Inspector General today announced the arrest of Melonie H. Colgate, 41, of Madison. The charges stem from an investigation conducted by Metro Nashville Police and the OIG.
September 5, 2012; New York Attorney General
A.G. Schneiderman Announces $13.4 Million Settlement with NYC Hospital for Illegally
Charging Medicaid
External link
NEW YORK- Attorney General Eric T. Schneiderman today announced that his office secured a $13.4 million settlement with New York Downtown Hospital to resolve a Medicaid fraud case involving illegal payments the hospital received on claims for unlicensed inpatient drug and alcohol treatment services and rendered to patients who were unlawfully referred there. The settlement also resolves charges that NY Downtown Hospital conspired with a for-profit out-of-state vendor of purported administrative services to submit false claims to Medicaid. Under the terms of the settlement, more than $12,600,000 will be returned to the Medicaid program, and $800,000 to the federal Medicare program.
September 4, 2012; Georgia Attorney General
Owner of Henry County Assisted Living Facility Indicted for Stealing Over $60K from Georgia Medicaid External link
On Thursday, August 30, 2012, a Henry County Grand Jury charged Madeline Laruy with one felony count of Medicaid Fraud (O.C.G.A. § 49-4-146.1(b)) and one felony count of False Statements and Writings (O.C.G.A. § 16-10-20) for stealing over $60,000.00 from Georgia Medicaid and presenting fraudulent documents stating that she is a Registered Nurse (R.N.). Laruy is the owner and administrator of The Caring Place, Inc., doing business as Walnut Creek Manor in McDonough,Ga.

August 2012

August 30, 2012; Florida Attorney General
Attorney General Pam Bondi Reaches Landmark $181 Million Multistate Settlement with Janssen Pharmaceuticals, Inc. External link
TALLAHASSEE, Fla. -Attorney General Pam Bondi announced today that she and 36 other attorneys general have reached a record settlement totaling more than $181 million with Janssen Pharmaceuticals, Inc. This settlement, which follows an investigation and settlement negotiations led by Florida, is the largest multistate consumer protection settlement between state attorneys general and a pharmaceutical company.
August 29, 2012; California Attorney General
Attorney General Kamala D. Harris Announces Sentencing of Kern Valley Health District Hospital Administrator External link
BAKERSFIELD -- Attorney General Kamala D. Harris today announced the sentencing of the former hospital administrator of Kern Valley Health District, a rare case in which a hospital administrator is being held criminally responsible for conduct by a lower-ranked employee.
August 29, 2012; South Dakota Attorney General
Sioux Falls Man Sentenced for Conduct towards Disabled Child External link
PIERRE, S.D.- Attorney General Marty Jackley announced today that Marshall Dillon Lee Peterson, 24, Sioux Falls, was sentenced earlier this week to serve 14 days in jail for assaulting a disabled child.
August 29, 2012; Arizona Attorney General
Horne: Michael Salman, Self-Styled Pastor, Among Phoenix Trio Indicted On Allegations Of
AHCCCS Fraud
External link
PHOENIX -- Attorney General Tom Horne announced today that three Phoenix residents have been indicted by the State Grand Jury on multiple allegations accusing the trio of defrauding $118,000 in health care benefits from AHCCCS - Arizona's health care system for the indigent. Among those indicted is Michael Salman, a self-styled pastor who recently was at the center of a City of Phoenix zoning dispute.
August 29, 2012; Tennessee Department of Finance & Administration
Lewis Co. Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Lewis County man is charged with TennCare fraud involving the resale of prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of 35-year old Caleb Shane Hodges, of Hohenwald.
August 28, 2012; Tennessee Department of Finance & Administration
Monroe Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Monroe County woman is charged with TennCare fraud in Loudon County, for selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Amanda Lynn Brown, 36, of Vonore, after a joint investigation with the Loudon County Sheriff's Office.
August 28, 2012; Tennessee Department of Finance & Administration
Macon Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Macon County woman is charged with TennCare fraud for selling prescription drugs paid for with TennCare public healthcare insurance benefits. The Office of Inspector General today announced the arrest of Tina R. Bates, 43, of Lafayette, after a joint investigation with the 15th Judicial Drug Task Force.
August 27, 2012; Nevada Attorney General
Attorney General Masto Announces Home Healthcare Worker Sentenced For Medicaid Fraud External link
Carson City, NV - Nevada Attorney General Catherine Cortez Masto announced that home healthcare worker Felicia Wesley, 41, of Las Vegas, was sentenced on August 22 for Medicaid Fraud. Wesley pled guilty to two misdemeanor offenses, submission of false claims and petty theft.
August 24, 2012; Tennessee Department of Finance & Administration
Davidson Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Davidson County woman is accused of aiding and abetting her son's girlfriend in order to acquire fraudulent controlled substances. The Office of Inspector General, with the assistance of the Metro Nashville Police Department, today announced the arrest of Marilyn Yvonne Waffird, 51, of Madison.
August 23, 2012; California Attorney General
Attorney General Kamala D. Harris Announces Largest Medi-Cal Settlement in California History External link
SACRAMENTO -- Attorney General Kamala D. Harris today announced a $323.67 million settlement with a Los Angeles-based health maintenance organization over excess Medi-Cal and Medicare payments.
August 21, 2012; Massachusetts Attorney General
Franklin Man Pleads Guilty to Using Dead Woman's Name for Medicaid Fraud Scheme External link
BOSTON - A Franklin man has pleaded guilty to defrauding the state's Medicaid program of more than $10,000 by claiming that he provided personal care attendant services to a chronically ill woman for three weeks after she passed away, Attorney General Martha Coakley announced today.
August 21, 2012; Tennessee Department of Finance & Administration
Davidson Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Davidson County woman is charged with TennCare fraud for filling fraudulent prescriptions and using TennCare to pay for them. The Office of Inspector General along with Metro Nashville police today announced the arrest of Kayla Marie Dubois, 25, of Nashville.
August 17, 2012; Tennessee Department of Finance & Administration
Putnam County Woman Charged With Selling Drugs Paid For By TennCare External link
NASHVILLE - A Putnam County woman is charged in Overton County with TennCare fraud, for selling prescription drugs paid for by TennCare. The Office of Inspector General and the Overton Sheriff's Office today announced the arrest of Pamela M. Johnson, 48, of Cookeville.
August 17, 2012; Tennessee Department of Finance & Administration
Cocke Co. Woman Charged For A 3rd Time With TennCare "Doctor Shopping" For Drugs External link
NASHVILLE - A Cocke County woman is charged for the third time with "doctor shopping" for drugs, using TennCare as payment. The Office of Inspector General, with the assistance of Cocke and Hamblen County Sheriff's Officers, today announced the arrest of 23-year old Desiree L. McIntyre, of Newport.
August 16, 2012; Florida Attorney General
Attorney General's Office Arrests Okaloosa County Resident for $270,000 in Medicaid Fraud External link
Tallahassee, Fla. -Attorney General Pam Bondi announced today that an Okaloosa County resident was arrested and charged with three counts of Medicaid fraud for allegedly billing more than $270,000 for services under the Medicaid Developmentally Disabled Waiver Program. With the assistance of the Okaloosa County Sheriff's Office, the Attorney General's Medicaid Fraud Control Unit, took Victoria Walker, Executive Director of Abilities Center of Northwest Florida, Inc., into custody.
August 16, 2012; New York Attorney General
AG Schneiderman Announces Arrests Of Two North Country Nurses Who Stole & Forged Controlled Substance Prescriptions External link
PLATTSBURGH--Attorney General Eric T. Schneiderman today announced the arrest of Ann Witt, 38, of Ellenburg Center, a Licensed Practical Nurse practicing at Champlain Valley Physicians Hospital, for using her position to steal blank prescriptions and forge the prescriptions to obtain Hydrocodone and Xanax from various pharmacies throughout the Plattsburgh area. The Office of the Attorney General also arrested Wendy Therrian, 35, of Altona, also a Licensed Practical Nurse, for stealing Oxycodone pills from the Champlain Valley Physicians Hospital.
August 15, 2012; Tennessee Department of Finance & Administration
Overton Co. Woman Charged With TennCare Fraud External link
NASHVILLE - An Overton County woman is charged with TennCare fraud for selling prescription drugs that were paid for by TennCare near a local high school. The Office of Inspector General today announced the arrest of Natalie N. Chaffin, 27, of Livingston, after a joint investigation with the Overton County Sheriff's Office.
August 15, 2012; Louisiana Attorney General
Baton Rouge Man Booked with Medicaid Fraud and Forgery for Phony College Diploma External link
A tip from Crime Stoppers has led to the arrest of a Baton Rouge man accused of presenting a fake college degree in order to gain employment as a director of an adult day care facility, announced Attorney General Buddy Caldwell.
August 15, 2012; New York Attorney General
A.G. Schneiderman Shuts down Major Oxycodone Trafficking Operation Based in Staten Island External link
NEW YORK - Shutting down a major drug operation, Attorney General Eric T. Schneiderman today announced five arrests including Michael A. Mancusi, a major narcotics trafficker in Staten Island who illegally obtained and sold thousands of pills of prescription narcotics, including oxycodone. Mancusi supplied his drug-dealing operation by fraudulently claiming serious and permanent injuries related to motor vehicle accidents, and then applying for Social Security Disability Insurance, Medicaid and Medicare benefits to unlawfully obtain prescription drugs, including oxycodone, alprazolam (commonly known as Xanax) and fentanyl patches.
August 15, 2012; Tennessee Department of Finance & Administration
Hancock County Man Charged With TennCare Fraud External link
NASHVILLE - A Hancock County man is charged in Washington County with TennCare fraud for using the program to obtain prescription drugs, which he later sold. The Office of Inspector General today announced the arrest of Jason K. Shockley, 34, of Sneedville.
August 15, 2012; Tennessee Department of Finance & Administration
Two Coffee Co. Residents Charged With TennCare Fraud External link
NASHVILLE - Two Coffee County residents have been charged with TennCare fraud in separate cases, both involving prescription drugs. The Office of Inspector General today announced the arrest of Bonnie L. Wilder Mills, 34, and Adam J. Lane, 21, both of Manchester.
August 15, 2012; Tennessee Department of Finance & Administration
Perry Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Perry County woman has been indicted in Lewis County for TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors in a short time period to obtain prescriptions for a controlled substance. The Office of Inspector General, with the assistance of the Lewis County Sheriff's, today announced the arrest of Allyson Hinson, 31, of Linden.
August 14, 2012; Tennessee Department of Administration & Finance
Roane County Woman Charged 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Roane County woman is charged a second time 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 (OIG) today announced the arrest of Jessica L. Hall, 36, of Harriman. A Knox County Grand Jury indicted her on a charge of fraudulently obtaining TennCare benefits that she wasn't entitled to by obtaining a controlled substance through doctors' office visits paid for by TennCare.
August 13, 2012; New York Attorney General
A.G. Schneiderman And Comptroller Dinapoli Announce Guilty Plea Of Brooklyn Dentist Who Defrauded Medicaid External link
NEW YORK - Attorney General Eric T. Schneiderman and Comptroller Thomas P. DiNapoli today announced the guilty plea of Lawrence J. Bruckner, a Brooklyn dentist who defrauded the Medicaid program by unlawfully paying recruiters to solicit homeless Medicaid patients with cash and billing taxpayers under his son's name for services the son never provided.
August 13, 2012; Virginia Attorney General
Mental Health Service Provider Pleads Guilty To Conspiracy to Commit Health Care Fraud External link
RICHMOND - Today, a Richmond-based mental health service provider plead guilty to conspiracy to commit health care fraud for billing Medicaid for services that were not reimbursable because the services did not address a child's specific mental health issues, were not provided by qualified mental health workers, and were not provided to children who were in actual need of the offered service.
August 9, 2012; Maryland Attorney General
Baltimore Home Health Care Provider Indicted for Medicaid Fraud External link
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Maureen Nkolika Hatchett, 53, of Baltimore, has been indicted by the Grand Jury for Baltimore City. Hatchett is charged with one count of Felony Medicaid Fraud and one count of Felony Theft over $1,000.
August 9, 2012; Connecticut State Attorney
Former Plainville Doctor Sentenced For Illegally Prescribing Narcotics, Insurance Fraud External link
A former Plainville physician whose license to practice medicine was revoked in December 2010 has been sentenced to a jail term for illegally prescribing narcotics and insurance fraud.
August 8, 2012; New Jersey Attorney General
Former Owner of Newark Clinic Sentenced in Medicaid Fraud Scheme External link
TRENTON - Attorney General Jeffrey S. Chiesa announced that the former owner of a Newark clinic has been sentenced for his role in a scheme in which pharmacy owners and employees bought completed prescription forms for expensive drugs, such as HIV/AIDS drugs, from patients so Medicaid could be billed for drugs that were never actually dispensed.
August 8, 2012; Tennessee Department of Finance & Administration
Roane County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Roane 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 the Roane County Sheriff's Office, today announced the arrest of Jessica L. Hall, 36, of Harriman.
August 8, 2012; Tennessee Department of Finance & Administration
Anderson County Woman, On The Run For A Year, Charged With TennCare Fraud External link
NASHVILLE - After eluding authorities for the past year, an Anderson County woman has been arrested and charged in Williamson County 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 today announced the arrest of Melissa Ann Adkins, 28, of Oliver Springs.
August 8, 2012; Tennessee Department of Finance & Administration
Shelby County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Shelby County woman is charged with TennCare fraud and theft of property after she received healthcare insurance benefits through the program, even though she was not eligible for TennCare. The Office of Inspector General today announced the arrest of Lisa Stockton, 32, of Memphis. She is charged with one count of TennCare fraud and one count of theft of property.
August 2, 2012; Tennessee Department of Administration & Finance
Giles County Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Giles County man is charged with TennCare fraud for selling prescription drugs which were paid for by TennCare healthcare insurance. The Office of Inspector General (OIG) today announced the arrest of Lacy Frank Walls, Jr., 58, of Pulaski, after a joint investigation with the 22nd Judicial Drug Task Force. He is charged in connection with using TennCare medical benefits to obtain a prescription for the painkiller Hydrocodone, while planning to illegally sell some or all of the pills.
August 1, 2012; New Jersey Attorney General
Former Newark Pharmacy Owner Pleads Guilty to Charging Medicaid for Medications He Bought Back from Patients External link
TRENTON - Attorney General Jeffrey S. Chiesa today announced that a former owner/pharmacy technician has pleaded guilty to defrauding Medicaid through a prescription medication buyback scheme.

July 2012

July 31, 2012; Georgia Attorney General
Former Medicaid Claims Biller Sentenced to Prison for Re-directing Medicaid Payments to His Personal Bank Account External link
Dimitrius Franks, of Fairburn, Georgia, pled guilty last week in Fulton County Superior Court to one count of Medicaid Fraud, three counts of Computer Theft, and three counts of Theft by Taking. Judge Walter Lovett sentenced Franks on July 25, 2012, to twenty years to serve one in prison. He was also ordered to pay $65,583.52 to the Georgia Department of Community Health and $5181.00 to the Georgia Department of Revenue for a total of $70,764.52 in restitution.
July 31, 2012; Tennessee Department of Finance & Administration
Fayette County Man Charged With TennCare Fraud External link
NASHVILLE - A Fayette County man is charged with using his son's TennCare benefits to pay for prescriptions at a pharmacy in Somerville, Tennessee. The Office of Inspector General and the Fayette County Sheriff's Department today announced the arrest of Marlon Hester, Sr., 39, of Somerville. A Fayette County Grand Jury accuses him of using his son's TennCare benefits over a course of two months to pay for prescription medications for himself.
July 30, 2012; Arizona Attorney General
AG Horne Announces Insurance Fraud Indictment Involving Seniors External link
PHOENIX -- Attorney General Tom Horne today announced that 30-year old Tucson resident Megan Monroe Racz has been indicted by the State Grand Jury on charges related to insurance fraud involving senior citizens. All 37 of Racz's alleged victims are aged 65 or older.
July 30, 2012; Tennessee Department of Finance & Administration
Bradley County Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Bradley County man is charged with TennCare fraud for using the program to obtain prescription drugs, which he later sold. The Office of Inspector General, assisted by the Bradley County Sheriff's Office, today announced the arrest of Cody Jarred Prince, 19, of Cleveland. An indictment in Bradley County accused him of one count each of TennCare fraud and sale or delivery of a Schedule II controlled substance. Charges say he used TennCare benefit to obtain a prescription for the painkiller Percocet at a local pharmacy, while planning to sell a portion of the drug.
July 30, 2012; Georgia Attorney General
McKesson Agrees to Pay Georgia Medicaid Over $5 Million to Settle Allegations of Inflating Prescription Drug Costs External link
Attorney General Sam Olens has announced that the State of Georgia, as part of a national settlement with 29 other states against the McKesson Corporation, has resolved allegations that McKesson violated the Federal False Claims Act and various state false claims acts. The State alleges that McKesson reported inflated pricing data for a large number of prescription drugs, causing the Medicaid program to overpay for those drugs. Georgia Medicaid is funded jointly by the federal government and the State of Georgia.
July 30, 2012; Oklahoma Attorney General
Attorney General Charges Marietta Resident with Embezzlement and Medicaid Fraud External link
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Unit has filed charges against Stacy Rena Spraggins, 38, of Marietta.
July 30, 2012; Tennessee Department of Finance & Administration
Bradley County Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Bradley County man is charged with TennCare fraud for using the program to obtain prescription drugs, which he later sold. The Office of Inspector General (OIG), assisted by the Bradley County Sheriff's Office, today announced the arrest of Cody Jarred Prince, 19, of Cleveland.
July 27, 2012; New York Attorney General
A.G. Schneiderman Announces $151 Million Settlement With Drug Distributor Mckesson For Medicaid Fraud External link
NEW YORK- Attorney General Eric T. Schneiderman today announced that the drug distribution company McKesson Corporation will pay $64 million in restitution to New York for over-billing the state's Medicaid program as part of a $151 million multi-state settlement. The settlement resolves charges that McKesson violated the New York State False Claims Act and the Federal False Claims Act, after the corporation reported inflated pricing information for over 1,400 brand name prescription medications, causing the state's Medicaid program to overpay for those drugs.
July 27, 2012; Maine Attorney General
McKesson to Pay $1.4 Million to MaineCare Program in Healthcare Fraud Settlement External link
AUGUSTA - Attorney General William J. Schneider announced today that Maine, as part of a national settlement against McKesson Corporation, has resolved allegations that McKesson violated the Federal False Claims Act and various state false claims acts by reporting inflated pricing information for a large number of prescription drugs, causing the state's Medicaid program to overpay for those drugs.
July 27, 2012; Indiana Attorney General
Indiana To Receive $3.3M In Drug Wholesaler Settlement External link
INDIANAPOLIS - The State of Indiana will recover more than $3.3 million in a settlement with McKesson Corporation to resolve lawsuits alleging the drug wholesaling company schemed to overcharge Medicaid for prescription drugs, Indiana Attorney General Greg Zoeller announced today.
July 27, 2012; Louisiana Attorney General
Kenner Physician Booked with Medicaid Fraud External link
Attorney General Buddy Caldwell today announced that the owner of a medical clinic in Kenner has been charged with Medicaid fraud for reporting thousands of patient treatment services as being performed by a licensed physician when actually performed by a nurse practitioner, a physician assistant, or even by himself, though he is suspended from the practice of medicine.
July 26, 2012; California Attorney General
Attorney General Kamala D. Harris Recovers $23.5 Million in Settlement with McKesson over Inflated Prescription Drug Prices External link
SAN FRANCISCO -- Attorney General Kamala D. Harris announced today that California joined 28 other states in a $151 million settlement with one of the nation's largest drug wholesalers to resolve allegations the company inflated the price of prescription drugs by as much as 25 percent, causing the states' Medicaid programs to overpay millions of dollars in pharmacy reimbursements.
July 26, 2012; Louisiana Attorney General
Shreveport Dentist Charged with Defrauding Medicaid Program External link
A Shreveport dentist has been charged with fraudulently billing the state's Medicaid program for services that were never rendered, announced Louisiana Attorney General Buddy Caldwell.
July 26, 2012; Georgia Attorney General
Judge Sentences Two Defendants to Prison for Defrauding Georgia Medicaid of Over $200K External link
The former owner of Georgia Family Services, Inc. (GFSS), a Medicaid provider, and her employee will serve prison time for stealing over $220,000.00 from Georgia Medicaid. Emeka Brown and Tonya Summerour Jackson pled guilty on Monday, July 23, 2012, in Fayette County Superior Court to Conspiracy to Defraud the State (O.C.G.A. § 16-10-21), Medicaid Fraud (O.C.G.A. § 49-4-146.1 (b)) and False Statements and Writings (O.C.G.A. § 16-10-20). They were sentenced today by Senior Judge E. Byron Smith. Brown was sentenced to 10 years to serve one year in prison and was ordered to pay $111,000.00 in restitution. Jackson was sentenced to five years to serve 90 days in prison and ordered to pay $111,000.00 in restitution.
July 26, 2012; Tennessee Department of Finance & Administration
Fayette County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Fayette County woman is charged with TennCare fraud in connection with using TennCare to pay for fraudulent prescriptions. The Office of Inspector General today announced the arrest of Wynta Ne'Cole Earnest, 34, of Somerville.
July 26, 2012; Tennessee Department of Finance & Administration
Giles County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Giles 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 Lori A. Clemmons, 27, of Pulaski, after a joint investigation with the 22nd Judicial Drug Task Force.
July 25, 2012; Louisiana Attorney General
Attorney General Recovers $38 Million from Drug Companies Charged with Fraud External link
Louisiana Attorney General Buddy Caldwell announced today that his office has recovered $38 million from eight pharmaceutical companies that he sued alleging unlawful inflation of drug costs paid by Louisiana taxpayers through the Medicaid program. Caldwell has made it a priority to aggressively pursue the recovery of taxpayer-funded Medicaid program dollars and has recovered more than $176 million since taking office.
July 24, 2012; Tennessee Department of Finance & Administration
Davidson County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Davidson County woman is charged with TennCare fraud in nearby Rutherford County involving fraudulent prescriptions and using TennCare to pay for them.
July 23, 2012; Tennessee Department of Finance & Administration
Anderson Co. Woman, On The Run For 9 Months, Is Charged With TennCare "Doctor Shopping" External link
NASHVILLE -An Anderson County woman is charged with TennCare "doctor shopping" in nearby Roane County, after being on the run from authorities for the past nine months. "Doctor shopping" involves using TennCare to go to multiple physicians in a short period of time to obtain prescription drugs.
July 20, 2012; Massachusetts Attorney General
Former Personal Care Assistant Arraigned for Allegedly Defrauding the State Medicaid Program of More Than $32,000 External link
WORCESTER - A former personal care assistant has been arraigned for allegedly defrauding MassHealth of more than $32,000, Attorney General Martha Coakley announced today.
July 20, 2012; Tennessee Department of Finance & Administration
Cumberland County Woman Charged A 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Cumberland County woman is charged for the second time with TennCare "doctor shopping," or going to more than one doctor in a short period of time to obtain prescription drugs, using TennCare.
July 20, 2012; Tennessee Department of Finance & Administration
Man And Woman In Claiborne County Charged With TennCare Fraud External link
NASHVILLE - A Claiborne County Grand Jury has charged a man and a woman with TennCare fraud for allegedly selling prescription drugs paid for by TennCare. The Office of Inspector General (OIG) today announced the arrest of Charity A. Cupp, 42, of Cumberland Gap and Henry Ford Rouse, 48, of Speedwell. The arrests are the result of a joint investigation with the Claiborne County Sheriff's Office.
July 18, 2012: Mississippi Attorney General
Tupelo Nurse Going to Prison for Possession of Controlled Substance External link
Jackson, MS - A Tupelo nurse will go to jail for taking prescription medicines away from patients and taking them herself, announced Attorney General Jim Hood today.
July 17 2012; Mississippi Attorney General
Canton Resident to Serve Time for Exploitation of Vulnerable Person External link
Jackson, MS - A Canton woman will spend time behind bars for exploitation of a vulnerable person.
July 17, 2012; Maryland Attorney General
Prince George's County Man Indicted for Medicaid Fraud External link
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Terome Knight, 56, of Laurel, was indicted by the Grand Jury for Prince George's County and charged with six counts each of Felony Medicaid Fraud and Felony Theft. From January 2008 to January 2012, Knight allegedly submitted claims for payment to the Medicaid program for services that were not rendered.
July 17, 2012; Tennessee Department of Finance & Administration
Cumberland County Woman Charged With TennCare Fraud External link
NASHVILLE - A Cumberland County woman is charged with TennCare fraud involving "doctor shopping," or going to multiple doctors in a short period of time to obtain prescription drugs. The arrest brings the total number of people arrested for TennCare fraud to 1,700 since the Office of Inspector General (OIG) began investigating and prosecuting this criminal activity.
July 17, 2012; Tennessee Department of Finance & Administration
Lauderdale County Women Charged With TennCare Fraud External link
NASHVILLE -A Lauderdale County woman is charged with TennCare Fraud for allowing her sister to use her TennCare benefits to obtain dental services. Her sister has also been charged.
July 17, 2012; Tennessee Department of Finance & Administration
Tipton County Woman Charged With TennCare Fraud External link
NASHVILLE - A Tipton County woman is charged with TennCare fraud for using the program to obtain prescription drugs, which she later sold.
July 16, 2012; Idaho Attorney General
Watson to Pay $1,700,000 in Drug Pricing Settlement External link
(Boise) - Prescription drug manufacturers Watson Pharmaceuticals, Inc. and Watson Pharma, Inc., agreed to pay $1,700,000 in a legal settlement resolving Idaho's claims relating to the "average wholesale prices" reported by the companies, Attorney General Lawrence Wasden said. Watson is among the top five pharmaceutical companies in the United States, and among the top four generic drug companies in the world.
July 16, 2012; Washington Attorney General
Husband and Daughter Plead Guilty To Stealing $111,705 from State Healthcare Programs External link
OLYMPIA - Today the Washington State Attorney General's Office announced that the husband and daughter of a home-healthcare program client will serve jail time for stealing $111,705 from state and federal health care programs.
July 16, 2012; Tennessee Department of Finance & Administration
Franklin County Man Charged With TennCare Fraud External link
NASHVILLE - A Franklin County man is charged with TennCare fraud and obtaining a controlled substance by fraud. The Office of Inspector General (OIG) today announced the arrest of Alfred Hill, 54, of Decherd, after a joint investigation with the Franklin County Sheriff's Office. Hill is charged with one count of TennCare fraud and two counts of obtaining a controlled substance from a local pharmacy by means of fraud.
July 16, 2012; Tennessee Department of Finance & Administration
Cocke Co. Woman Charged 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Cocke County woman is charged for a second time with TennCare "doctor shopping," or going to multiple doctors to obtain the same or similar controlled substances and using TennCare as payment.
July 10, 2012; Tennessee Department of Finance & Administration
South Carolina Couple Charged With TennCare Fraud For Lying About Residency To Get Benefits External link
NASHVILLE - A South Carolina couple is charged with TennCare fraud in connection with misrepresenting their residency in order to obtain TennCare benefits. The Office of Inspector General today announced the arrest of James E. Mink, 65, and his wife, Linda, 65, both of Aiken, South Carolina.
July 9, 2012; Tennessee Department of Finance & Administration
Two Mid-State Residents Charged With TennCare Fraud External link
NASHVILLE - Two mid-state residents are charged in separate cases involving TennCare fraud. The Office of Inspector General (OIG) today announced the arrests of Anthony Beasley, 33, of Hartsville, and Vera R. Bailey, 26, of Cleveland.
July 7, 2012; Tennessee Department of Finance & Administration
Davidson County Woman Charged With TennCare Fraud External link
NASHVILLE - A Davidson County woman is charged with TennCare fraud after she received healthcare insurance benefits through the program, even though she was not eligible for TennCare.
July 5, 2012; Oklahoma Attorney General
Oklahoma City Drug and Alcohol Counselor Charged with Medicaid Fraud External link
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit has filed charges in Oklahoma County District against the owner of an Oklahoma City counseling center.
July 3, 2012; New Jersey Attorney General
Home Health Aide Pleads Guilty to Stealing, Forging and Cashing Blank Checks She Stole from Patient External link
TRENTON - Attorney General Jeffrey S. Chiesa announced that an Ocean County woman has pleaded guilty to forging and cashing blank checks that she stole from a home health aide patient.
July 3, 2012; Nevada Attorney General
Attorney General Masto Announces Medical Equipment Provider Sentenced For Medicaid Fraud External link
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced that Marcia Giller, 76, of Reno, was sentenced for two felony offenses of submission of false Medicaid claims. District Court Judge Steven Kosach sentenced Giller to 18 to 48 months imprisonment for each count, to be served consecutively, and additionally ordered Giller to pay $226,000 in restitution, penalties and costs.
July 3, 2012; Florida Attorney General
Attorney General Pam Bondi Announces Arrest of a Palm Beach Speech Language Pathologist for Medicaid Fraud External link
A Palm Beach speech language pathologist was arrested on charges of attempting to defraud the Medicaid program out of more than $459,000.
July 3, 2012; Florida Attorney General
Attorney General Pam Bondi Announces Arrest of Nurse for Abusing a Disabled Adult at Florida State Hospital External link
Last week, Attorney General Pam Bondi announced that a licensed practical nurse at Florida State Hospital had been arrested and charged with one count of abuse of a disabled adult at the facility.
July 3, 2012; Washington Attorney General
Medicaid program to receive $8.7 million from huge national drug settlement External link
OLYMPIA -Attorney General Rob McKenna today announced Washington state's share of the largest healthcare fraud settlement in U.S. history.
July 2, 2012; Louisiana Attorney General
Caldwell Applauds Federal Government's Successful Criminal Prosecution of GlaxoSmithKline External link
Today Louisiana Attorney General Buddy Caldwell applauded the efforts of the U.S. Department of Justice in obtaining a guilty plea by drug giant GlaxoSmithKline (GSK). Caldwell is seeking justice for Louisiana citizens through a separate suit brought by the attorney general's office in state court alleging numerous state law violations. The trial is currently set to begin in the 19th Judicial District Court on October 23.

June 2012

June 29, 2012 - Virginia Attorney General
Owners of Woodbridge home health business indicted for health care fraud, aggravated identity theft External link
ALEXANDRIA - The owners of a Woodbridge-based home health care business have been indicted for submitting numerous false claims for Medicaid reimbursement for services they did not provide.
June 28, 2012; Tennessee Department of Finance & Administration
Three Charged With TennCare Fraud In Overton Roundup Of 30 External link
NASHVILLE - Three people are charged with TennCare fraud in an Overton County round-up involving the arrest of approximately 30 individuals for a total of about 100 charges involving prescription drugs.
June 28, 2012; Tennessee Department of Finance & Administration
Montgomery Co. Woman Charged With TennCare Fraud External link
NASHVILLE - The Office of Inspector General, with the assistance of the Montgomery County Sheriff's Office, today announced the arrest of Katherine Marie Dixon, 31, of Clarksville.
June 28, 2012; Nevada Attorney General
Attorney General Masto Announces Business Owner Sentenced For Medicaid Fraud External link
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced today that an owner of a Medicaid facility in Las Vegas, who submitted false Medicaid claims has been sentenced to 12-48 months in jail and ordered to pay $200,000 in restitution, penalties, and costs.
June 28, 2012; Nevada Attorney General
Attorney General Masto Announces Former Group Home Owner Sentenced External link
Las Vegas, NV - Nevada Attorney General Catherine Cortez Masto announced that a former owner and administrator of a group home facility in Las Vegas, who exploited one of the residents of that facility, has been sentenced to 12 months in jail and ordered to pay $68,249 in restitution, penalties, and costs.
June 27, 2012; Tennessee Department of Finance & Administration
Roane Co. Woman Faces 4th Charge For TennCare "Doctor Shopping" External link
NASHVILLE - A Roane Co. woman has been arrested for a fourth time for "doctor shopping" with TennCare, or going to multiple physicians in a short period to obtain prescription drugs, using TennCare to pay.
June 26, 2012; Tennessee Department of Finance & Administration
Morgan County Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Morgan County woman is charged in a Knox County indictment with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain controlled substances.
June 25, 2012; Tennessee Department of Finance & Administration
Two Mid-State Residents Charged With TennCare Drug Fraud External link
NASHVILLE - The Office of Inspector General today announced the arrest of Constance Porter, 44, of Hartsville and 33-year old Adam Combs, of Lewisburg. The arrests were assisted by the 15th Judicial Drug Task Force and the Giles County Sheriff's Office.
June 22, 2012; Tennessee Department of Finance & Administration
Maury Co. Woman Charged With Selling TennCare Drugs To A Jail Inmate External link
NASHVILLE - A Maury County woman is charged with selling prescription drugs paid for by TennCare to other inmates in the Maury County Jail.
June 22, 2012; Tennessee Department of Finance & Administration
Giles Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Giles County woman is charged for a second time with TennCare "doctor shopping," or going to multiple doctors to obtain the same or similar controlled substances and using TennCare as payment.
June 22, 2012; Tennessee Department of Finance & Administration
Two Davidson County Residents Charged With TennCare Drug Fraud External link
NASHVILLE - Two Davidson County residents are charged with TennCare fraud for filling fraudulent prescriptions and using TennCare to pay for them.
June 22, 2012; Tennessee Department of Finance & Administration
Roane County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Roane County woman is charged with TennCare fraud for using the program to pay for fraudulent prescriptions.
June 22, 2012; Tennessee Department of Finance & Administration
Cocke County Woman Charged A 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Cocke County woman is charged for a second time with TennCare "doctor shopping," which is going to multiple physicians to obtain the same or similar controlled substances.
June 20, 2012; New Jersey Office of the State Comptroller
Office of the State Comptroller files claim against shoe store that billed Medicaid for basketball sneakers External link
The Office of the State Comptroller (OSC) today filed an administrative action seeking recoveries from a Camden shoe store that allegedly misclassified hundreds of name-brand basketball sneakers as orthopedic footwear in order to collect reimbursements from Medicaid.
June 20, 2012; Tennessee Department of Finance & Administration
Four In Coffee, Shelby Counties Charged With TennCare Drug Fraud External link
NASHVILLE - Four people are charged separately with TennCare fraud in Coffee and Shelby Counties, with all the cases involving efforts to obtain prescription pain medication, using TennCare benefits to pay for them.
June 19, 2012; Tennessee Department of Finance & Administration
Roane County Woman Charged For 3rd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Roane County woman is charged for a third time in the past month with "doctor shopping," or going to multiple
June 18, 2012; Oklahoma Attorney General
AG Pruitt Charges Former Guthrie Counseling Agency Management and Employees with Medicaid Fraud External link
OKLAHOMA CITY - Attorney General Scott Pruitt's Medicaid Fraud Control Unit has filed charges against several employees of Pure Hope Corporation for their alleged involvement in a scheme to bill for sessions without providing services.
June 18, 2012; Tennessee Department of Finance & Administration
Rutherford County Woman With TennCare Drug Fraud External link
NASHVILLE -A Rutherford County woman is charged with TennCare fraud for selling prescription drugs paid for by TennCare.
June 18, 2012; Tennessee Department of Finance & Administration
Roane County Woman Charged 2nd Time With TennCare "Doctor Shopping" External link
NASHVILLE - A Roane County woman is charged for a second time with "doctor shopping," or going to multiple doctors to obtain prescriptions for the same or similar controlled substances and using TennCare as payment.
June 15, 2012; Florida Attorney General
Alachua County Woman Arrested for Exploiting 11 Disabled Adults External link
Attorney General Pam Bondi announced today that Zonia Cooper, an Alachua County woman, has been arrested following an investigation by the Medicaid Fraud Control Unit of allegations that the former group home manager exploited eleven disabled adults.
June 15, 2012; Florida Attorney General
Registered Nurse Arrested for Neglecting an Elderly, Disabled Adult External link
An investigation led by Attorney General Bondi's Medicaid Fraud Control Unit culminated Thursday with the arrest of a registered nurse for allegations of failing to assess and monitor a patient's condition.
June 14, 2012; Tennessee Department of Finance and Administration
Rutherford County Woman Charged With TennCare Fraud External link
NASHVILLE - A Rutherford County woman is charged with TennCare fraud for selling prescription drugs paid for by TennCare.
June 14, 2012; Tennessee Department of Finance and Administration
Knox County Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Knox County woman is charged with TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain controlled substances.
June 13, 2012; Florida Attorney General
Attorney General Bondi Announces Arrest of Registered Nurse for Neglecting an Elderly, Disabled Adult External link
TALLAHASSEE, Fla.-An investigation led by Attorney General Bondi's Medicaid Fraud Control Unit culminated today with the arrest of a registered nurse for allegations of failing to assess and monitor a patient's condition.
June 13, 2012; Missouri Attorney General
AG Koster: Licensed clinical social worker pleads guilty to Medicaid fraud External link
Jefferson City, Mo. - Attorney General Chris Koster said today that a St. Louis licensed clinical social worker, Abdullah Jamaal M. Ali, pleaded guilty yesterday to three counts of Medicaid fraud in St. Charles County for submitting false claims to Medicaid for counseling services that he did not perform.
June 13, 2012; Tennessee Department of Finance and Administration
Weakley County Woman Charged With TennCare Drug Fraud - OIG: Woman Traded Child's Medication For Painkillers External link
NASHVILLE - A Weakley County woman has been arrested and charged with trading her child's prescription drugs, paid for by TennCare, for a strong and addictive painkiller.
June 13, 2012; Tennessee Department of Finance and Administration
Cocke Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Cocke County woman has been indicted in Knox County for TennCare fraud involving "doctor shopping," or going to multiple doctors in a short period of time to obtain prescription drugs.
June 13, 2012; Kentucky Attorney General
 
June 12, 2012; Oklahoma Attorney General
Tulsa Medicaid Aide Sentenced in Patient Drug Theft Case External link
OKLAHOMA CITY - A Tulsa Certified Medicaid Aide (CMA) has been sentenced to a 3-year suspended sentence after pleading guilty to stealing medication from patients.
June 12, 2012; Tennessee Department of Finance and Administration
Claiborne County Man Charged With TennCare Drug Fraud External link
NASHVILLE - A Claiborne County man is charged with TennCare fraud for selling prescription drugs paid for by TennCare.
June 8, 2012; Idaho Attorney General
Forest Laboratories to Pay $790,000 in Drug Pricing Settlement External link
(Boise) - Prescription drug manufacturer, Forest Laboratories, Inc., agreed to pay $790,000 in a legal settlement resolving Idaho's claims relating to the "average wholesale prices" reported by the company, Attorney General Lawrence Wasden said.
June 8, 2012; Massachusetts Attorney General
Revere Physician to Pay More Than $53,000 in Restitution After Allegedly Charging MassHealth Patients Illegal Fees External link
BOSTON - A Revere physician who improperly charged a $185 administrative fee in addition to MassHealth reimbursements for opioid addiction treatment will pay more than $53,000 in restitution, Attorney General Martha Coakley announced today.
June 8, 2012; Wisconsin Attorney General
Milwaukee Woman Sentenced for Medicaid Fraud External link
MADISON - Attorney General J.B. Van Hollen announced today that Ericka Thomas of Milwaukee was sentenced on convictions for Medicaid fraud related to the submission of fictitious claims for durable medical equipment. Thomas was the second to be sentenced of seven defendants who were convicted in regard the fraudulent scheme.
June 8, 2012; Tennessee Department of Finance & Administration
Smith County Woman Charged With TennCare Fraud External link
NASHVILLE - A Smith County woman is charged with fraudulently obtaining TennCare benefits by claiming a dependent in order to qualify for TennCare benefits.
June 6, 2012; Rhode Island Attorney General
Pawtucket Woman Charged with Medicaid Fraud External link
Attorney General Peter F. Kilmartin today announced that after a two month investigation by the Rhode Island Attorney General's Medicaid Fraud and Patient Abuse Unit, Madeline Hernandez was arrested on felony charges of Medical Assistance Fraud R.I. Gen. Laws §40-8.2-3(a)(15).
June 6, 2012; New Jersey Attorney General
Essex County Woman Arrested for Allegedly Presenting Forged Government Documents to Obtain Job as Certified Nurse Aide External link
TRENTON - Attorney General Jeffrey S. Chiesa announced today that a Newark woman has been arrested for allegedly presenting forged government documents when obtaining employment as a certified nurse aide.
June 5, 2012; Alabama Attorney General
AG Announces Conviction of Clarke County Dentist for Attempting To Defraud Alabama Medicaid Agency External link
MONTGOMERY - Attorney General Luther Strange announced that a Clarke County dentist today pleaded guilty to attempting to file a claim for payment with the Alabama Medicaid Agency for a dental procedure that was not performed.
June 5, 2012; Tennessee Department of Finance & Administration
Marion County Man Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Marion County man faces charges in nearby Bradley County for TennCare fraud involving "doctor shopping."
June 4, 2012; Idaho Attorney General
Idaho Falls Woman Sentenced for Medicaid Fraud External link
Boise - Diana J. Gifford, 28, of Idaho Falls, was sentenced today on two felony counts of Medicaid provider fraud, Attorney General Lawrence Wasden said.
June 4, 2012; Tennessee Department of Finance & Administration
Greene County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Greene County woman is charged in nearby Carter County with TennCare fraud for selling prescription drugs paid for by TennCare.

May 2012

May 31, 2012; Tennessee Department of Finance & Administration
Cheatham Co. Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Cheatham County woman is charged with using the TennCare public healthcare insurance program to pay for a fraudulent prescription in nearby Robertson County.
May 31, 2012; Tennessee Department of Finance & Administration
Rhea County Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Rhea County woman is charged with TennCare fraud in connection with "doctor shopping," or going to multiple doctors in a short period of time to get drugs.
May 31, 2012; Connecticut Attorney General
Attorney General Names 28 Individuals, Dental Practices and Corporations In Civil Complaint Alleging Illegal Medicaid Billing Scheme External link
Attorney General George Jepsen has brought a civil action against 28 individuals, dental practices and corporations alleging an elaborate and illegal scheme, which resulted in more than $24 million in fraudulent Medicaid clams over two years in violation of the Connecticut False Claims Act and Connecticut Unfair Trade Practices Act.
May 30, 2012; Oklahoma Attorney General
Oklahoma City Counselor Sentenced for Medicaid Fraud External link
OKLAHOMA CITY - An Oklahoma City counselor was sentenced Wednesday to a 3-year suspended sentence and ordered to pay more than $15,000 in restitution and investigative costs after pleading guilty to two counts of Medicaid fraud.
May 24, 2012; Tennessee Department of Finance & Administration
Mississippi Woman Pleads Guilty To TennCare Fraud External link
NASHVILLE - A Mississippi woman has pleaded guilty to TennCare fraud for misrepresenting her residency in order to obtain TennCare healthcare insurance benefits.
May 24, 2012; Tennessee Department of Finance & Administration
Giles Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Giles County woman is charged in nearby Marshall County for "doctor shopping" for prescription drugs, using TennCare healthcare insurance benefits.
May 23, 2012; Missouri Attorney General
AG Koster Announces Settlement with Walgreens Over Gift Cards External link
Jefferson City, Mo. -- Attorney General Chris Koster announced today that Missouri is participating in a national settlement with Walgreens that returns $42,000 to the state's Medicaid program.
May 23, 2012; Ohio Attorney General
Attorney General Announces Sentence of Business Owner External link
CLEVELAND - Ohio Attorney General Mike DeWine announced today that the owner of a Cleveland ambulette company must pay back more than $70,000 she fraudulently took from Ohio's Medicaid program.
May 23, 2012; Tennessee Department of Finance & Administration
Two Mid-State Women Charged With TennCare Drug Fraud External link
NASHVILLE - Two mid-state women are charged in separate cases with TennCare fraud involving prescription drugs. For one of the women, it's the second time she's been charged with TennCare fraud.
May 22, 2012; Ohio Attorney General
Attorney General Announces Arrest of North Carolina Man Accused of Stealing More than $200,000 from Ohio Medicaid External link
COLUMBUS, Ohio -- Ohio Attorney General Mike DeWine announced today the arrest of a North Carolina man accused of stealing hundreds of thousands of dollars from Ohio's Medicaid Program.
May 22, 2012; Tennessee Department of Finance & Administration
Two Sevier County Women Charged With TennCare Fraud External link
NASHVILLE - Two women in Sevier County are charged with TennCare fraud in separate cases that both grew from a joint investigation with the Office of Inspector General (OIG) and the Sevierville Police Department.
May 22, 2012; Tennessee Department of Finance & Administration
Wilson County Woman Charged With TennCare Drug Fraud External link
NASHVILLE - A Wilson County woman is charged with TennCare fraud for selling prescription drugs that were purchased with benefits from the TennCare program.
May 22, 2012; New Jersey Attorney General
North Jersey Physician Charged with Writing Prescriptions While Under Suspension External link
TRENTON Attorney General Jeffrey S. Chiesa announced that a North Jersey neurologist was charged in a state grand jury indictment today for allegedly writing prescriptions while his license was under suspension by the New Jersey Board of Medical Examiners.
May 21, 2012; Kansas Attorney General
Two More Plead Guilty In Southeast Kansas Medicaid Fraud Investigation External link
PARSONS - Two more individuals pled guilty today to charges of Medicaid fraud and were ordered to repay more than $23,000, Kansas Attorney General Derek Schmidt said.
May 21, 2012; New Jersey Attorney General
Licensed Social Worker Pleads Guilty to Submitting Fraudulent Time Sheets for Counseling Services for Troubled Youths External link
TRENTON - Attorney General Jeffrey S. Chiesa announced that a licensed social worker pleaded guilty today to submitting fraudulent time sheets to her employer for counseling services for troubled youths.
May 18, 2012; Tennessee Department of Finance & Administration
Roane Co. Woman Charged With TennCare "Doctor Shopping" External link
NASHVILLE - A Roane County woman is charged in Cumberland County with TennCare fraud involving "doctor shopping," which involves a person going to multiple doctors in a short period of time to obtain prescription drugs, and use TennCare as payment.
May 18, 2012; Tennessee Department of Finance & Administration
Lawrence County Man Charged With TennCare Fraud External link
NASHVILLE - A Lawrence County man is charged in Giles County with TennCare fraud. He is accused of selling prescription drugs that were obtained by using TennCare benefits.
May 18, 2012; Tennessee Department of Finance & Administration
Three In Wayne Co. Charged With TennCare Drug Fraud External link
NASHVILLE - Three people are charged with TennCare drug fraud in an indictment handed down by a grand jury in Wayne County.
May 17, 2012; Maryland Attorney General
AG Gansler Pursues Medicaid Fraud Lawsuit against Healthpoint External link
Baltimore, MD - Attorney General Douglas F. Gansler announced today that Maryland, joined by 16 other states and the federal government, is pursuing legal action against Healthpoint, Ltd. regarding the marketing and sale of Xenaderm, a drug used to treat decubitus ulcers (bed sores). The lawsuit alleges that Healthpoint began marketing the drug in 2002 without FDA approval, even though the FDA had previously determined one of its active ingredients to be less than effective. The Medicaid program does not pay for unapproved drugs that have been determined to be less than effective.
May 14, 2012; Nevada Attorney General
Nevada Attorney General Masto Announces Las Vegas Personal Care Assistant Sentenced For False Reporting Of Medicaid Services External link
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 External link
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 External link
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" External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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" External link
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" External link
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 External link
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 External link
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 External link
(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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
(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 External link
(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 External link
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 External link
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 External link
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 External link
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
External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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
External link
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 External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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. External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
(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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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 External link
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
External link
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 External link
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 External link
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" External link
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 External link
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 External link
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 External link
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 External link
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 External link
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.

November 2011

November 30, 2011; Ohio Attorney General
Attorney General DeWine Announces Sentencing in Medicaid Fraud Case External link
CINCINNATI-Ohio Attorney General Mike DeWine announced today that Yvonne Alexander was sentenced to 18 months in prison for Medicaid fraud in the theft of $53,000 in benefit income from a resident of Graceworks Lutheran Services group home, which serves developmentally disabled individuals. Alexander forged documents to gain control of a resident's Ohio Public Employee Retirement System (OPERS) survivor benefits. In all, Alexander was sentenced to 19.5 years in prison for multiple counts of theft for stealing a total of $105,000 from several residents and for the Medicaid fraud. She was also ordered to pay the Attorney General's Office $3,000 in investigation costs.
November 28, 2011; Georgia Attorney General
Atlanta OB-GYN and Former Staff Indicted for Medicaid Fraud External link
A Fulton County Grand Jury returned indictments on November 22, 2011, against Nathaniel Johnson, III, Jeff Romeus and Jasmin Tunica-El in Fulton County Superior Court. Johnson is an obstetrician and gynecologist, who owned and operated Regency Professional Services for Women (Regency). Romeus and Tunica-El were employed by Johnson at Regency.
November 23, 2011; Maryland Attorney General
Attorney General Gansler Settles Medicaid Fraud Claims Against Merck External link
BALTIMORE, MD - Attorney General Douglas F. Gansler announced today that Maryland, along with 42 other states and the federal government, has reached agreement with Merck Sharp & Dohme Corp. (Merck) to settle civil and criminal allegations that Merck marketed its drug Vioxx for uses not approved by the United States Food and Drug Administration (FDA). Also, Merck misrepresented the cardiovascular safety issues relating to the drug and otherwise made false and misleading representations about Vioxx.
November 23, 2011; Washington Attorney General
Merck to pay Washington state $6.7 million to settle Vioxx claims External link
OLYMPIA - Attorney General McKenna announced today that Washington state has joined with 42 other states and the federal government in reaching an agreement with Merck Sharp & Dohme Corp. (Merck) to settle civil and criminal allegations that Merck marketed Vioxx for unapproved uses.
November 22, 2011; Idaho Attorney General
Applebaum Sentenced for Medicaid Provider Fraud External link
(Boise) - Dr. Michael Applebaum, a former licensed psychiatrist with an office in Nampa, was sentenced yesterday for provider fraud and obstruction of an investigation, Attorney General Lawrence Wasden said. Third District Judge Gregory Culet sentenced Applebaum to two to five years in prison. The court retained jurisdiction for 365 days and ordered Applebaum into immediate custody.
November 18, 2011; Mississippi Attorney General
Forrest County Man Arrested for Felony Abuse of Vulnerable Person External link
Jackson, MS--A Forrest County man has been arrested and charged with the felonious abuse of a vulnerable person and obstruction of justice, announced Attorney General Jim Hood today.
November 16, 2011; Florida Attorney General
Attorney General Pam Bondi's Office and the Miami-Dade Police Department Arrest Man for Defrauding Medicaid Out of More Than $45,000 External link
TALLAHASSEE, Fla.-Attorney General Pam Bondi today announced that a Miami-Dade County assisted living facility administrator is in custody after being charged with defrauding the Florida Medicaid program out of more than $45,000. Eldridge Charles Pratt, 73, was arrested today by the Miami-Dade Police Department on a felony warrant by Attorney General Bondi's Medicaid Fraud Control Unit.
 
November 15, 2011; New Jersey Attorney General
Two Pharmacists Plead Guilty for Their Roles in a Scheme to Defraud Medicaid Out of Millions of Dollars External link
TRENTON - Attorney General Paula T. Dow and Acting Insurance Fraud Prosecutor Ronald Chillemi announced that two pharmacists have pleaded guilty for their roles in a scheme in which pharmacy owners and employees allegedly bought completed prescription forms for HIV/AIDS drugs from indigent patients so Medicaid could be billed for drugs that were never actually dispensed.
November 14, 2011; New Jersey Attorney General
Office Manager and Company Sentenced for Defrauding Medicaid & Medicare of $3 Million External link
TRENTON - Attorney General Paula T. Dow and Acting Insurance Fraud Prosecutor Ronald Chillemi announced that The Center for Lymphatic Disorders, LLC, and its office manager have been sentenced for defrauding Medicare and Medicaid of millions of dollars.
November 7, 2011; Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case -- licensed clinical social worker faces 9 felony counts- External link
Jefferson City, Mo. - Attorney General Chris Koster said today a licensed clinical social worker, Abdullah Jamaal M. Ali, 61, has been charged with 9 felony counts of Medicaid fraud in St. Charles County court. Ali is charged with submitting false reimbursement claims to Medicaid for counseling services he did not perform.
November 4, 2011; Florida Attorney General
Attorney General Bondi's Office and the Miami-Dade Police Department Arrest Couple for Nearly Half a Million Dollars in Medicaid Fraud External link
TALLAHASSEE, Fla.-Attorney General Pam Bondi announced today that a Miami-Dade couple is in custody after being charged with defrauding the Florida Medicaid program out of nearly $500,000. The Attorney General's Medicaid Fraud Control Unit and the Miami-Dade Police Department arrested Maratib Hashmi and Nasim Hashmi, both 61, of Miami, on felony warrants by the Attorney General's Medicaid Fraud Control Unit.
November 4, 2011; Missouri Attorney General
Attorney General Koster Announces Sentencing In Greene County Medicaid Fraud Case External link
Jefferson City, Mo. - Attorney General Chris Koster said today Greene County Circuit Judge Dan Conklin has sentenced Joshua G. Johnmeyer, a licensed professional counselor, to serve five years probation with seven days of shock incarceration. Johnmeyer paid $3,654 in restitution at the time of sentencing.

October 2011

October 28, 2011; Florida Attorney General
Miami-Dade County Home Health Aide Arrested for Defrauding Medicaid Out of More Than $2,000 External link
Attorney General Pam Bondi announced that a Miami-Dade county resident is in custody after being charged with defrauding the Florida Medicaid program out of more than $2,000. Lissette Cruz, 39, of Hialeah, was arrested Tuesday on a felony warrant by the Attorney General's Medicaid Fraud Control Unit with assistance from the Hialeah Police Department.
October 28, 2011; Alabama Attorney General
Attorney General Strange Announces Arrests Of Two Nurses For Theft Of Controlled Substances From Nursing Home External link
MONTGOMERY - Attorney General Luther Strange today announced the arrests of two nurses formerly employed by a Marion County nursing home for the theft of controlled substances from the facility.
October 25, 2011; Wisconsin Attorney General
Seven People Charged with Medicaid Fraud and Identify Theft External link
MADISON - Attorney General J.B. Van Hollen announced today that seven people have been charged with Medicaid Fraud and Identity Theft related to payment of claims for durable medical equipment.
October 25, 2011; Louisiana Attorney General
Medicaid Fraud Control Unit Arrests Avondale Woman External link
Avondale-An Avondale woman has been arrested and charged with 13-counts of Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell.
October 24, 2011; Mississippi Attorney General
AG Reaches Additional $6.2 Million Settlements in AWP Cases External link
Jackson, MS--Attorney General Jim Hood today announced two more settlements in the ongoing Average Whole Price (AWP) litigation. The Attorney General's Office successfully negotiated these two settlements, involving three pharmaceutical manufacturers, which will put $6,032,000 into the State's coffers.
October 24, 2011; Missouri Attorney General
Attorney General Koster reaches settlement with St. Louis County in-home personal care company External link
Jefferson City, Mo.- Attorney General Chris Koster today announced a settlement with Delmar Gardens Private Services (DGPS), a Chesterfield, Missouri, company that arranges for the provision of in-home personal care services for qualified individuals. The settlement resolves allegations that DGPS submitted claims to Medicaid for in-home health services that were not eligible for reimbursement under Medicaid rules and state regulations.
October 24, 2011; Missouri Attorney General
Attorney General Koster reaches settlement in Medicaid fraud case -- Company to pay state $130,000 External link
Jefferson City, Mo.- Attorney General Chris Koster today announced a settlement with Midland Empire Resources for Independent Living (MERIL), a St. Joseph, Missouri, based company that provides in-home personal care services. The settlement requires the company to pay the state $130,000 and resolves allegations that MERIL failed to ensure personal care services that were billed to Medicaid were actually provided to clients.
October 24, 2011; Florida Attorney General
Two Pinellas County Women Charged with Defrauding Medicaid External link
This week, two Pinellas County women were taken into custody for billing Medicaid recipients for services that were not rendered. Kaela Ruth Marie Morgan, 23, and Ashlei Kaye Cook, 31, were arrested this week by the Pinellas County Sheriff's Office and the St. Petersburg Police Department after an investigation with the Attorney General's Medicaid Fraud Control Unit.
October 24, 2011; Florida Attorney General
Two Jefferson County Sisters Arrested for Medicaid Fraud External link
This week, two Jefferson County residents were arrested after allegedly defrauding the State of Florida out of more than $26,000. Sisters, Martha Maxwell and Barbara Watkins, of Monticello, were both arrested on felony warrants by the Attorney General's Medicaid Fraud Control Unit. The arrest was carried out by the Medicaid Fraud Control Unit with assistance from the Jefferson County Sheriff's Office.
October 21, 2011; New York Attorney General
In Buffalo, Attorney General Schneiderman & U.S. Attorney Hochul Detail Plans To Combat Prescription Drug Epidemic External link
October 21, 2011; Missouri Attorney General
Attorney General's Office reaches settlement with Pfizer, Inc. -- Company to pay state $102,000 External link
Jefferson City, Mo.- Attorney General Koster today announced Missouri has reached a settlement with Pfizer, Inc., a major pharmaceutical manufacturer headquartered in New York. The multi-state settlement ends a government investigation into allegations that the company engaged in illegal off-label marketing schemes to promote the sales of its urology drug Detrol for uses that were not approved by the Food and Drug Administration (FDA). The settlement will return $102,000 to Missouri's Medicaid program. Medicaid is a state-administered healthcare program for the indigent and disabled funded jointly by the states and the federal government.
October 21, 2011; Maryland Attorney General
AG Gansler Settles Medicaid Fraud Claims Against Mariner Health Care External link
BALTIMORE, MD - Attorney General Douglas F. Gansler announced today that Maryland has joined with the federal government and other states in reaching a settlement with Mariner Health Care, Inc. and Sava Senior Care Administrative Services, LLC, two nursing home chains operating out of Atlanta, Georgia. The settlement will return $137,735.51 to the Maryland Medicaid program.
October 20, 2011; Massachusetts Attorney General
Pharmaceutical Giant Pfizer to Return More Than $177,000 to Massachusetts Medicaid Program External link
BOSTON - Pharmaceutical manufacturer Pfizer, Inc. has agreed to pay more than $177,000 to the Massachusetts Medicaid program as part of a nationwide settlement over allegations of illegal off-label marketing, Attorney General Martha Coakley announced today.
October 17, 2011; Kentucky Attorney General
Former Lexington Group Home Owner Indicted on Medicaid Fraud, Forgery Charges External link
Attorney General Jack Conway today announced the arraignment in Fayette Circuit Court of a former provider in the Kentucky Medicaid Supports for Community Living (SCL) program following an investigation by the Attorney General's Office of Medicaid Fraud and Abuse Control.
October 14, 2011; Florida Attorney General
Attorney General Bondi's Office Announces the Arrest of Hernando County Woman for Operating Assisted Living Facility without a License External link
Attorney General Bondi announced that a Hernando County woman has been taken into custody on charges that she was operating an assisted living facility without a license. Agnes Szabo Valeanu was arrested Thursday by law enforcement officers with the Attorney General's Medicaid Fraud Control Unit, with the assistance of the Hernando County Sheriff's Office. Valeanu has been charged with one count of operating an assisted living facility without a license, a third-degree felony. If convicted, she could receive up to five years in prison and a $5,000 fine. The case will be prosecuted by the State Attorney's Office for the Fifth Judicial Circuit.
October 12, 2011; Georgia Attorney General
Atlanta Doctor Sentenced to Prison for Submitting Fraudulent Bills to Medicaid and Medicare External link
Dr. Robert Williams, of Atlanta, Georgia, was sentenced to federal prison today by United States District Judge Richard W. Story on Medicaid and Medicare fraud charges.
October 12, 2011; Pennsylvania Attorney General
Indiana County doctor charged with trading prescription drugs & cash for sex External link
HARRISBURG - Attorney General Linda Kelly today announced that agents from the Attorney General's Medicaid Fraud Control Section and Bureau of Narcotics Investigation have arrested an Indiana County doctor who is accused of trading prescriptions for powerful pain medications, along with cash, gift cards and other payments, in exchange for sexual encounters with a patient.
October 11, 2011; Connecticut Attorney General
New Haven Dentist Pays $212,000 To Settle False Claims Act Allegations External link
HARTFORD - United States Attorney David B. Fein and Connecticut Attorney General George Jepsen today announced that KRISTI ROSSOMANDO, D.M.D. and her dental practice, The CHILDREN'S DENTAL GROUP, P.C., with offices located at 825 Grand Avenue in New Haven, have entered into a civil settlement with the federal and state governments in which they will pay $212,000 to resolve allegations that they violated the federal and state False Claims Acts.
October 7, 2011; Florida Attorney General
Attorney General Bondi Announces Arrest of Gadsden County Caregiver for Abuse External link
Attorney General Bondi announced that Darrius L. Young of Midway was arrested on Thursday and charged with abuse of an adult with disabilities. Young, a Gadsden County resident, was taken into custody by the Attorney General's Medicaid Fraud Control Unit with assistance from the Leon County Sheriff's Office, and he has been charged with abuse of a disabled adult, a third-degree felony. If convicted, he faces up to five years in prison and a $5,000 fine. The case will be prosecuted by the State Attorney's Office for the Second Judicial Circuit.
October 7, 2011; Louisiana Attorney General
Rayne Woman Charged with Medicaid Fraud External link
A Rayne woman has been arrested and charged with 10-counts of Medicaid fraud for filing false claims, announced Louisiana Attorney General Buddy Caldwell.
October 4, 2011; Connecticut Chief State's Attorney's Office
Hartford Man Sent to Prison for Prescription Drug Fraud External link
A Hartford man will serve two years in prison for his role in a prescription drug scheme that defrauded the state's Medicaid program.
October 3, 2011; Michigan Attorney General
Schuette Announces Conviction of Former S.E. Michigan Medical Center Director for $3.3 Million Medicaid Fraud External link
LANSING - Attorney General Bill Schuette today announced an Ingham County jury has convicted former Palmer Health Center medical director Deborah D'Anna, 57, of Ocala, Florida, of 25 counts of Medicaid Fraud and one count of Racketeering for her role in perpetrating a $3.3 million Medicaid fraud. DeAnna submitted thousands of fraudulent Medicaid claims to the State, collecting millions of taxpayer dollars to finance a lavish lifestyle in Florida.

September 2011

September 30, 2011; Florida Attorney General
Home Health Aide Arrested for Defrauding Medicaid Out of More Than $26,000 External link
Attorney General Pam Bondi announced that on Wednesday a St. Lucie County resident was taken into custody after being charged with defrauding the Florida Medicaid program out of more than $26,000. Margo Marie Sheridan, 56, of Port St. Lucie, was arrested on a felony warrant by the Attorney General's Medicaid Fraud Control Unit, with assistance from the Palm Beach County Sheriff's Office.
September 30, 2011; New Jersey Attorney General
Office Manager and Company Plead Guilty to Defrauding Medicaid & Medicare of $3 Million External link
TRENTON - Attorney General Paula T. Dow and Acting Insurance Fraud Prosecutor Ronald Chillemi announced that The Center for Lymphatic Disorders, LLC, and its office manager have pleaded guilty to charges that they defrauded Medicare and Medicaid of millions of dollars.
September 30, 2011; Massachusetts Attorney General
AG Coakley Announces 118 Criminal Indictments Against 10 Individuals in Connection with Four Medicaid Fraud Cases External link
BOSTON - Ten people and three companies have been indicted in connection with their involvement in four individual Medicaid Fraud investigations, for allegedly defrauding taxpayers and MassHealth of approximately $10 million, Attorney General Martha Coakley announced today.
September 29, 2011; Wisconsin Attorney General
Onalaska Woman Convicted of Filing Fraudulent (Medicaid) Insurance Claims External link
MADISON - Attorney General J.B. Van Hollen announced today that an Onalaska woman has been convicted of filing fraudulent insurance claims, a misdemeanor.
September 23, 2011; Florida Attorney General
Attorney General Bondi's Office Arrests Escambia County Nursing Assistant for Abuse External link
On Friday, Attorney General Bondi announced that Antoinette White, a Certified Nursing Assistant formerly employed by Specialty Center of Pensacola, was arrested and charged with striking an elderly resident in the chest. White, an Escambia County resident, was taken into custody by the Attorney General's Medicaid Fraud Control Unit for battery on a person sixty-five or older. The arrest was made by the Medicaid Fraud Control Unit with assistance from the Escambia County Sheriff's Office. If convicted, she could receive up to five years imprisonment and a $5,000 fine. The case will be prosecuted by the State Attorney's Office for the First Judicial Circuit.
September 21, 2011; Texas Attorney General
Convicted Dentist Sentenced to 70 Months in Federal Prison in Medicaid Fraud Case External link
SAN ANGELO, Texas - At a hearing today in a U.S. District Court in San Angelo, Texas, U.S. District Judge Sam R. Cummings sentenced convicted Brownwood, Texas, dentist, James Crow, 67, to 70 months in federal prison on multiple offenses related to a healthcare fraud scheme he ran, announced U.S. Attorney James T. Jacks of the Northern District of Texas. He must surrender to the Bureau of Prisons on or before October 26, 2011. In addition, Judge Cummings ordered that Crow pay $1,653,474 in restitution to Texas Medicaid and forfeit $1,653,474 in cash, a truck, several Harley Davidson motorcycles, a residence located on Lakeview Court in Brownwood, additional real estate in Brown County Texas, a camper and trailer and a boat and trailer.
September 21, 2011; Massachusetts Attorney General
Brookline Doctor Arrested and Arraigned in Connection with Allegedly Running Intricate Medicaid Kickback Scheme External link
MALDEN - A Brookline doctor has been arrested and arraigned in connection with allegedly running an intricate Medicaid fraud "kickback" scheme involving approximately $500,000 in taxpayer funds, Attorney General Martha Coakley's Office announced today. The investigation into the scheme remains ongoing.
September 16, 2011; New Jersey Attorney General
Hudson County Man Sentenced to 22 Years in Prison as Leader of Crime Network that Defrauded Medicaid External link
Trenton - Attorney General Paula T. Dow and Acting Insurance Fraud Prosecutor Ronald Chillemi announced that a Hudson County man was sentenced to 22 years in state prison today for leading a narcotics ring that defrauded Medicaid and distributed black market prescription pain pills such as OxyContin and Percocet in Hudson, Bergen, Ocean, Morris and Monmouth counties. A West Orange doctor was also sentenced to three years in prison today for his role in the fraud.
September 14, 2011; Rhode Island Attorney General
Maxim Health Services, Inc. Agrees to Pay $150 Million in Medicaid Fraud Investigation AND Rhode Island Medicaid Program to Receive $396,894 External link
Attorney General Peter F. Kilmartin announced today that Rhode Island has reached a settlement with Maxim Healthcare Services, Inc. Maxim, a home health agency based in Baltimore, MD with a local address of 148 West River Street, Providence, provides in-home nursing and home health aide services to people with disabilities in forty-one states, including Rhode Island.
September 14, 2011; Missouri Attorney General
Attorney General Koster reaches settlement with Greene County In-Home Personal Care Company External link
Jefferson City, Mo. -- Attorney General Chris Koster today announced a settlement with Southwest Center for Independent Living (SWCIL), a Springfield, Missouri, company that arranges for the provision of in-home personal care services for qualified individuals. The settlement resolves allegations that SWCIL failed to ensure that all personal care services billed to Medicaid were actually provided to Medicaid clients.
September 14, 2011; Massachusetts Attorney General
AG Coakley's Office Reaches Settlement with Maxim Healthcare Services Over Allegations of Medicaid Fraud External link
BOSTON - A Maryland health services company will pay Massachusetts more than $1.25 million to resolve allegations the company submitted false claims to the Massachusetts Medicaid program (MassHealth), Attorney General Martha Coakley announced today. The multi-state settlement resolves allegations against Maxim Healthcare Services (Maxim), a national provider of in home health services based in Baltimore, Maryland.
September 13, 2011; Nevada Attorney General
Healthcare Worker Rotasha Bates Sentenced For Medicaid Fraud External link
Las Vegas, NV - The Office of the Nevada Attorney General reports that Rotasha Bates, of Las Vegas, has been sentenced for Medicaid fraud. Bates, 27, pled guilty to a gross misdemeanor offense of Intentional Failure to Maintain Adequate Records. Bates was sentenced to 30 days in jail, suspended, 3 years of probation, performance of 20 hours of community service and payment of $1,249.25 in restitution, penalties, and costs. The case was investigated and prosecuted by the Attorney General's Medicaid Fraud Control Unit (MFCU).
September 13, 2011; New York Attorney General
A.G. Schneiderman Announces Recovery of $250,000 from Rochester Pharmacy to Pay Back State in Medicaid Fraud Case External link
ROCHESTER- Attorney General Eric T. Schneiderman today announced that Tops Market Pharmacy, with corporate headquarters in Williamsville, Erie County, has paid the state nearly $250,000 in restitution to resolve a Medicaid fraud case involving the misdeeds of a former pharmacist in one of their Rochester stores. Elizabeth Johnson, 49, of Rochester, was suspended from practice and excluded from the Medicaid program, but continued to dispense prescription medications while working at Tops Market Pharmacy.
September 12, 2011; Missouri Attorney General
External linkAttorney General Koster announces Medicaid settlement with Maryland home health provider
Jefferson City, Mo. - Attorney General Chris Koster announced today that Missouri has reached a settlement with Maxim Healthcare Services, Inc. Maxim, a home health agency based in Baltimore, Maryland, provides in-home nursing and home health aide services to people with disabilities in 41 states. The settlement will return $2.4 million to the state's Medicaid program.
September 12, 2011; Pennsylvania Attorney General
More Than $49 Million Recovered For PA Agencies In Drug Price Settlement With Pharmaceutical Company External link
HARRISBURG - More than $49 million has been recovered for three state agencies as part of a settlement between the Attorney General's office and Aventis, Bayer, Schering and Pfizer, concerning allegations that the companies artificially inflated drug prices in order to increase sales and profits.
September 9, 2011; Massachusetts Attorney General
AG Coakley's Office Inspects Nursing Homes After Tropical Storm Irene External link
BOSTON - Nursing homes across the state received unannounced visits by AG Coakley's Medicaid Fraud Division last week when investigators inspected the facilities to ensure resident safety in the aftermath of Tropical Storm Irene.
September 9, 2011; Virginia Attorney General
Woodbridge Woman Convicted of Defrauding Medicaid of Nearly $1 Million External link
ALEXANDRIA, Va. - Yanick Pierre, 51, of Woodbridge, Va., was convicted yesterday by a federal jury of fraudulently billing Medicaid nearly $1 million from August 2008 to May 2010.
September 8, 2011; Kansas Attorney General
Davis Sentenced for Medicaid Fraud External link
WICHITA - A Sedgwick County Court today sentenced Rachel E. Davis, Wichita, to prison after she pled guilty to one count of making a false claim to the Medicaid program, 12 counts of forgery, and one count of felony theft, Kansas Attorney General Derek Schmidt announced.
September 8, 2011; New York Attorney General
A.G. Schneiderman Secures Prison Time For Nursing Home Employee Who Committed $2.2 Million Medicaid Fraud External link
WESTCHESTER - Attorney General Eric T. Schneiderman today announced that a former administrator at New Rochelle's Glen Island Center for Nursing and Rehabilitation pleaded guilty to charges that she defrauded the Medicaid program out of $2.2 million and will face prison time. Eufemia Fe Salomon-Flores pleaded guilty to one count of Grand Larceny in the Second Degree, a class C felony, and one count of Criminal Tax Fraud in the Third Degree, a class D felony.
September 8, 2011; Florida Attorney General
Attorney General Pam Bondi's Office Arrests Owner of Hialeah Therapy Center for Defrauding Medicaid Out of More Than $1.1 Million External link
Tallahassee, Fla.-Attorney General Pam Bondi today announced that a Miami-Dade county resident is in custody after being charged with defrauding the Florida Medicaid program out of more than $1.1 million by filing fraudulent claims. Ruth Reveron, 49, of Miami Lakes, was arrested yesterday on a felony warrant by the Attorney General's Medicaid Fraud Control Unit.
September 7, 2011; North Carolina Attorney General
Charlotte doctor pays $40,000 for dumping patients' info, AG says External link
Charlotte - Dr. Ervin Batchelor of the Carolina Center for Development and Rehabilitation in Charlotte has paid $40,000 for illegally dumping files containing patients' financial and medical information, Attorney General Roy Cooper announced Wednesday.
September 6, 2011; Massachusetts Attorney General
Rhode Island Man Pleads Guilty to Defrauding Medicaid System Billing for Services While He Was Incarcerated External link
Fall River - A Rhode Island man has been sentenced to serve time in State Prison after pleading guilty to defrauding the Massachusetts Medicaid Program of more than $100,000 by claiming that he provided personal care attendant services to an associate while he was in fact incarcerated, Attorney General Martha Coakley's Office announced today.
September 6, 2011; Mississippi Attorney General
AG wins $38.2 million verdict for the State of Mississippi in Medicaid Fraud Suit External link
Jackson, MS-Attorney General Jim Hood has won the State more than $38 million in a Medicaid Fraud suit.
September 1, 2011; Connecticut Chief State's Attorney's Office
Operator Of Defunct Medical Labs Sentenced In Medicaid Fraud Scheme External link
The former operator of medical laboratories in East Hartford and West Hartford was sentenced today to serve two years in prison and ordered to pay $20,000 restitution for billing the government for lab tests and other services that were never provided. Tahir Saeed Sherani, age 46, formerly of South Orange, New Jersey, was sentenced in Hartford Superior Court, G.A. No. 14, by the Honorable Judge Elpedio N. Vitale to two years imprisonment and ordered to pay $20,000 restitution.

August 2011

August 31, 2011; Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case -- St. Louis man faces 12 felony counts- External link
Jefferson City, Mo.- Attorney General Chris Koster said today Jornel Williams, 77, a personal care services provider and owner of Eagle Home Health Care, Inc., in St. Louis, has been charged with eleven felony counts of Medicaid fraud and one felony count of stealing by deceit. Williams is charged with submitting fraudulent claims to Medicaid for reimbursement by billing Medicaid for home nurse visits that were not actually provided.
August 31, 2011; Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case -- St. Louis woman faces 3 felony counts- External link
Jefferson City, Mo.- Attorney General Chris Koster said today Carrie Williams, 55, a personal care services provider and owner of Carrie's Caring In-Home Health Care, Inc., in St. Louis, has been charged with two felony counts of Medicaid fraud and one felony count of stealing by deceit. Williams is charged with submitting fraudulent claims to Medicaid for reimbursement by billing Medicaid for home nurse visits that were not actually provided.
August 31, 2011; Georgia Attorney General
Jeff Davis County Substance Abuse Counselor Pleads Guilty to Medicaid Fraud External link
Robert W. DeHaven, an individual and family mental health and substance abuse counselor in Jeff Davis County and owner of DeHaven Healthcare, Inc., pled to guilty to one count of Medicaid Fraud (O.C.G.A. § 49-4-146.1(b)) on August 26, 2011, in Jeff Davis County Superior Court. Between October 2006 and September 2009, DeHaven collected Medicaid reimbursements for counseling services which he did not perform.
August 30, 2011; Idaho Attorney General
Canyon County personal Care Service Provider Sentenced for Grand Theft External link
(Boise) - Virginia Corona, a Canyon County personal care service provider, was sentenced yesterday on one count of grand theft, Attorney General Lawrence Wasden said. Third District Judge Gregory Culet ordered her to serve 120 days in the county jail and pay $5,770 in restitution to Idaho Medicaid and her employers. She was also placed on probation for 10 years.
August 30, 2011; California Attorney General
Attorney General Kamala D. Harris Announces $49.5 Million Settlement with Labcorp External link
SAN FRANCISCO -- Attorney General Kamala D. Harris today announced a $49.5 million settlement with Laboratory Corporation of America, the state's second largest provider of medical laboratory testing, stemming from a lawsuit alleging illegal overcharges to the state's medical program for the poor. The settlement with Labcorp will bring the total recovered so far in the Attorney General's lab test pricing cases to $298 million.
August 30, 2011; Oklahoma Attorney General
Tulsa Doctor Found Guilty of Medicaid Fraud and Drug Distribution; Ordered to Pay Restitution External link
OKLAHOMA CITY - A Tulsa doctor was found guilty Tuesday of Medicaid fraud and distributing controlled substances, Attorney General Scott Pruitt said. David P. Crass, M.D., 53, was found guilty on 23 of 34 felony counts for distributing controlled, dangerous substances as well as one misdemeanor count for Medicaid fraud. He was fined more than $700,000.
August 30, 2011; Connecticut Chief State's Attorney's Office
East Haven Woman Sentenced for Medicaid Fraud External link
An East Haven woman was placed on probation for three years and ordered to pay $10,000 in restitution for defrauding the state's Personal Care Assistance program. Kathleen Dunn, age 52, of Messina Drive, East Haven, pled guilty today in Hartford Superior Court, G.A. No. 14, to one count of Larceny in the First Degree by Defrauding A Public Community, a class B felony.
August 28, 2011; Nevada Attorney General
Former Long Term Care Owner Sentenced External link
Las Vegas, NV - The Office of the Attorney General announced today that Nellie Magtaas was sentenced for Neglect of Duty in Willful or Wanton Disregard of Safety of Person or Property, a gross misdemeanor offense. Ms. Magtaas was formerly the owner of Garden of Eden Home Care, a residential facility for elderly people. Judge Melisa De La Garza sentenced Ms. Magtaas' to 30 days in jail, suspended, one year probation and payment of a $250.00 fine.
August 25, 2011; Florida Attorney General
Attorney General Bondi's Office Recovers More Than $26 Million From Pharmaceutical Company in Medicaid Fraud Settlement External link
TALLAHASSEE, Fla.-Attorney General Pam Bondi announced today that Florida, four other states, and the federal government have reached a $154 million settlement with Par Pharmaceuticals, Inc. and Par Pharmaceuticals Companies, Inc. to resolve claims of Medicaid fraud. Allegedly, these companies knowingly set and reported false and inflated prices for medications dispensed by pharmacies and other providers who were then reimbursed by the Florida Medicaid program. Florida's portion of the settlement is $26.6 million.
August 25, 2011; Kansas Attorney General
Derby man sentenced to prison for Medicaid fraud External link
WICHITA - A Sedgwick County Court today sentenced Francisco Montes, Jr., Derby, to nearly two years in prison after he pled guilty to two counts of unlawful acts relating to the Medicaid program and one count of making a false claim to the Medicaid program, Kansas Attorney General Derek Schmidt announced.
August 25, 2011; Louisiana Attorney General
Donaldsonville Health Care Agency Owner Arrested for Medicaid Fraud External link
Officials with the Attorney General's Medicaid Fraud Control Unit and the Ascension Parish Sheriff's Office arrested 47-year-old Marilyn Buggage Warr of 260 Reynaud Drive in Donaldsonville last week. Warr, owner and operator of Christian Foundation Inc. located at 2358 Highway 1 South, is accused of submitting Medicaid claims for more than $54,000 in services that her company did not provide.
August 24, 2011; Texas Attorney General
Attorney General Abbott Recovers $24.4 Million For State of Texas- Defendants' Fraudulent Pricing Scheme Overcharged Texas Medicaid Program For Pharmaceutical Products External link
AUSTIN - Texas Attorney General Greg Abbott today recovered $24.4 million for the State's general revenue fund. In 2008, the Texas Attorney General's Office charged Par Pharmaceutical Inc. of New Jersey and three other drug manufacturers with defrauding the Medicaid program by improperly reporting drug prices. Because the defendants provided inaccurate market prices for their drugs, the Medicaid program over-reimbursed pharmacies for Par's products.
August 23, 2011; New York Attorney General
A.G. Schneiderman Announces Sentencing Of Onondaga County Medicaid Contractor Who Defrauded System For More Than $541,000 External link
SYRACUSE - Attorney General Eric T. Schneiderman today announced the sentencing of Onondaga County resident James T. Pickard for stealing over $541,000 from the Medicaid system. Pickard was sentenced in Onondaga County Supreme Court before Judge Joseph E. Fahey to five years probation and 250 hours of community service.
August 22, 2011; Louisiana Attorney General
Medicaid Fraud Control Unit Arrests Shreveport Dentist External link
The Attorney General's Medicaid Fraud Control Unit has arrested a Shreveport dentist accused of unauthorized participation in medical assistance programs after having been issued a state exclusion, announced Louisiana Attorney General Buddy Caldwell.
August 19, 2011; Massachusetts Attorney General
Clinical Laboratory Pays State More Than $153,000 Dollars to Settle Allegations of Medicaid Fraud External link
BOSTON - A settlement has been reached with a Bedford clinical laboratory to resolve allegations it overcharged Medicaid for urine drug tests, which were not properly ordered by a doctor or other authorized prescriber for a medically necessary purpose, Attorney General Martha Coakley announced today.
August 15, 2011; Alabama Attorney General
Attorney General Announces Indictment Of Pell City Woman Charged With Assaulting Nursing Home Resident External link
(MONTGOMERY)--Attorney General Luther Strange today announced the indictment of a former nursing aide who is charged with assaulting a resident of a nursing home in Pell City. Aisha L. Embery, 34, of Pell City, was arrested yesterday by the St. Clair County Sheriff's Office, and has been released on bond.
August 8, 2011; Kansas Attorney General
Wichita woman sentenced to prison on Medicaid fraud charges External link
A Sedgwick County Court has sentenced Sharon D. Echols, Wichita, to prison after she pled guilty to conspiracy to commit Medicaid fraud, Kansas Attorney General Derek Schmidt announced today.
August 4, 2011; Missouri Attorney General
Attorney General Koster Files Criminal Charges In Medicaid Fraud Case -- Greene County Woman Faces 6 Felony Counts External link
Springfield, Mo.- Attorney General Chris Koster and Greene County Prosecuting Attorney Dan Patterson have jointly filed six counts of Medicaid Fraud against Angela Deanne Adams, 40.
August 4, 2011; Missouri Attorney General
Attorney General Koster Announces Sentencing In Pulaski County Medicaid Fraud Case External link
Jefferson City, Mo.- Attorney General Chris Koster said that Pulaski County Circuit Court Judge Tracy Storie has sentenced Lorraine R. Kusior, a Mountain Grove licensed professional counselor, to serve five years of supervised probation and ordered her to pay restitution, civil penalties, and investigative costs totaling $29,036.00. As a special condition of probation, Kusior was ordered to refrain from participation in the Missouri Medicaid Program, and Kusior has permanently relinquished her Missouri Medicaid provider number.
August 2, 2011; Missouri Attorney General
Attorney General Koster sues Mt. Vernon couple for Medicaid fraud External link
Jefferson City, Mo.- Attorney General Chris Koster today filed a civil lawsuit against a Mt. Vernon dentist and his wife alleging they made false and fraudulent claims to Missouri's Medicaid program.
August 2, 2011; Arizona Attorney General
Home Health Care Worker Charged in Vulnerable Adult Exploitation Case External link
Attorney General Tom Horne today announced the charging of Rosario Valenzuela Bravo in Tucson on allegations stemming from a large scale theft from vulnerable adult victims.
August 1, 2011; Nevada Attorney General
Healthcare Worker Tammy Murphy Sentenced For Medicaid Fraud External link
Las Vegas - The Office of the Nevada Attorney General reports today that Las Vegan Tammy Murphy was sentenced for Medicaid Fraud. Murphy pled guilty to a gross misdemeanor offense: Intentional Failure to Maintain Adequate Records. Murphy was sentenced to 30 days in jail, suspended, 3 years of probation, performance of 40 hours of community service and payment of $1,279.00 in restitution, penalties and costs. The case was investigated and prosecuted by the Attorney General's Medicaid Fraud Control Unit
August 1, 2011; Louisiana Attorney General
Three Winnsboro Women Charged with Medicaid Fraud External link
Three Winnsboro women, all former employees of Cookies Helping Hand Inc. in Rayville, have been arrested and charged with defrauding the state's Medicaid program, announced Attorney General Buddy Caldwell.
August 1, 2011; Massachusetts Attorney General
AG Coakley's Office Files Suit Against Ortho-McNeil-Janssen for Illegally Marketing Risperdal External link
Drug manufacturer Ortho-McNeil-Janssen ("Janssen") is being sued by Attorney General Martha Coakley's office for illegally marketing Risperdal, an atypical antipsychotic medication. The lawsuit alleges that Janssen promoted the drug to treat elderly dementia and a number of uses in children and adolescents when these uses had not been shown to be safe and effective and had not been approved by the U.S. Food and Drug Administration.
Related Content: Cause for alarm: Antipsychotic drugs for nursing home patients
Report: Medicare Atypical Antipsychotic Drug Claims for Elderly Nursing Home Residents

July 2011

July 27, 2011; Nevada Attorney General
Healthcare Worker Jianzhu Liang Sentenced For Medicaid Fraud External link
The Office of the Nevada Attorney General reports that Las Vegan Jianzhu Liang, age 51, was sentenced for Medicaid Fraud. Liang pled guilty to a gross misdemeanor offense: Intentional Failure to Maintain Adequate Records. Liang was sentenced to 60 days in jail, suspended, 3 years of probation, performance of 40 hours of community service and payment of $9,220.00 in restitution, penalties, and costs.
July 26, 2011; Louisiana Attorney General
Rayville and Crowville Personal Care Services Agency Owner Arrested for Medicaid Fraud External link
The owner of a personal care services agency has been arrested and charged with defrauding the state's Medicaid program, announced Attorney General Buddy Caldwell. Patricia A. Bell, 51surrendered to the Attorney General's Medicaid Fraud Control Unit for arrest last week. Bell, the owner of Cookies Helping Hand Inc., was charged with 60 counts of filing or maintaining false public records and seven counts of Medicaid fraud.
July 25, 2011; Kentucky Attorney General
Attorney General Conway Files Suit Against First DataBank, McKesson Corporation External link
July 25, 2011; New Jersey Attorney General
North Jersey Doctor Re-Arrested on Charges of Practicing Medicine without a License and
Medicaid Fraud
External link
July 22, 2011; Maryland Attorney General
Attorney General Gansler Announces Medicaid Fraud Indictment - Baltimore Mental Health Provider Charged External link
July 21, 2011; Washington State Attorney General
Medicaid Fraud Charges Land One Man Behind Bars, Another In Court External link
July 21, 2011; Louisiana Attorney General
Lake Charles Woman Arrested for Felony Theft External link
July 19, 2011; Missouri Attorney General
Pemiscot County Woman Pleads Guilty In Medicaid Fraud Case External link
July 18, 2011; Kentucky Attorney General
U.S. Attorney's Office Files Suit Against Erlanger Nursing Home Following Attorney General's
Investigation
External link
July 6, 2011; New Jersey Attorney General
Ringleader and Doctor Plead Guilty in Statewide Crime Network that Dealt Pain Pills and Defrauded Medicaid External link
Top

June 2011

June 27, 2011; Pennsylvania Attorney General
Delaware County Health Worker Arrested For $181,000+ Medicaid Fraud Scheme External link
June 23, 2011 - Ohio Attorney General
Attorney General DeWine and 37 States Announce $40.75 Million Pharmaceutical Manufacturing Settlement External link
June 22, 2011 - Ohio Attorney General
Ohio Attorney General DeWine Announces Sentencing of Cincinnati-area Dentist in
Medicaid Fraud Case
External link
June 20, 2011 - New Jersey Attorney General
North Jersey Doctor Indicted on Charges that He Defrauded Medicaid, Illegally Distributed Narcotics and Tried to Hire Men to Kill His Wife, His Lover & His Former Business Partner External link
June 20, 2011 - Georgia Attorney General
Former Fulton County Department of Family and Children Services Employee Pleads Guilty in Gwinnett County Following Guilty Plea in Fulton County External link
June 16, 2011 - New Jersey Attorney General
Manager of Adult Medical Day Care in Atlantic County Sentenced to State Prison for Health Care Claims Fraud External link
June 15, 2011 - Massachusetts Attorney General
Former Roxbury Pharmacist Sentenced to Four Years in Jail for Stealing Over $550,000 From MassHealth External link
June 15, 2011 - Ohio Attorney General
Attorney General DeWine Announces Agreement With Pharmaceutical Company To Recover Medicaid Funds External link
June 9, 2011 - Missouri Attorney General
Wright County woman pleads guilty to 4 felony counts in Medicaid fraud case External link
June 9, 2011 - Connecticut Attorney General and Department of Social Services
Former Nursing Home Owner Suspended From Medicaid Program External link
June 9, 2011 - Idaho Attorney General
Boise Chiropractor Sentenced for Medicaid Fraud External link
June 8, 2011 - Nevada Attorney General
Healthcare Recipient Phillip Harris Sentenced For Medicaid Fraud External link
June 3, 2011 - Georgia Attorney General
Former Fulton County Department of Family and Children Services Employee Pleads Guilty to Medicaid Fraud External link
June 2, 2011 - Nevada Attorney General
Healthcare Worker Jessica Enamorado Sentenced For Medicaid Fraud External link
Top

May 2011

May 26, 2011 - Kentucky Attorney General
Community Presence Caregiver Sentenced in Abuse of Mentally Handicapped Patients External link
May 10, 2011 - Oregon Attorney General
Lane County Man Sentenced To Prison For Abuse, Medicaid Fraud External link
May 26, 2011 - Connecticut Chief State's Attorney's Office
Former Haven Healthcare Official Convicted In False Evidence Scheme External link
May 20, 2011 - California Attorney General
Attorney General Kamala D. Harris Announces $241 Million Settlement to Recover Funds Quest Diagnostics Illegally Obtained from Medi-Cal External link
May 17, 2011 - Nevada Attorney General
Former Medicaid Provider Patricia Caldwell Sentenced For Medicaid Fraud External link
May 12, 2011 - Georgia Attorney General
Cuthbert Medical Equipment Company Owner Indicted for Medicaid Fraud External link
May 10, 2011 - Florida Attorney General
Attorney General's Office Arrests Miami-Dade County Resident for Defrauding Medicaid Out of More Than $299,000 External link
May 10, 2011 - Washington State Attorney General
National settlement over drug company kickbacks nets $338,000 for Washington state External link
May 5, 2011 - Maine Attorney General
Harrison Woman Sentenced for Stealing More Than $4 Million From the MaineCare Program External link
Top

April 2011

April 26, 2011 - Florida Attorney General
Attorney General's Office Arrests Woman for $100,000 of Medicaid Fraud External link
April 19, 2011 - Illinois Attorney General
Attorney General Madigan: Four Arrests In Chicago Area Nursing Home Compliance Sweep External link 
April 15, 2011 - New Jersey Attorney General
North Jersey Doctor Charged With Attempting to Hire Men to Kill His Wife, His Lover and His Former Business Partner External link 
April 13, 2011 - Connecticut Division of Criminal Justice
Physician, Hartford Man Charged in Prescription Drug Scheme External link 
April 12, 2011 - Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case -- Pemiscot County woman faces 6 felony counts External link 
April 12, 2011 - Nevada Attorney General
Healthcare Worker Youngsook Kwon Sentenced For Medicaid Fraud External link (PDF) 
April 12, 2011 - Connecticut Connecticut Division of Criminal Justice
New Haven Woman Charged in Scheme To Defraud Medicaid External link 
April 7, 2011 - Georgia Attorney General
DeKalb County Speech Pathologist Indicted for Medicaid Fraud External link 
April 5, 2011 - Florida Attorney General
Attorney General's Office Arrests Individual for Medicaid Fraud External link 
April 5, 2010 - Idaho Attorney General
Prestin Sentenced for Medicaid Fraud External link 
April 1, 2011 - Oregon Attorney General
Four Plead Guilty In Government Fraud Scheme External link 
Top

March 2011

March 23, 2011 - Alabama Attorney General
A.G. Strange Announces Arrest of Montgomery Dentist on Charges of Medicaid Fraud and Theft External link (PDF) 
March 17, 2011, Massachusetts Attorney General
Rhode Island Woman Pleads Guilty, Sentenced in Connection with Stealing Over $100,000 from Medicaid External link 
March 17, 2011, New York Attorney General
Attorney General Schneiderman Announces Guilty Plea by Former Rochester Pharmacist for Stealing From Taxpayers - Former Pharmacist Admits to Illegally Dispensing $191,000 in Medicaid Prescriptions External link 
March 17, 2010, Connecticut Chief State's Attorney's Office
Waterbury Woman Charged with Defrauding Medicaid Program External link 
March 17, 2011, Missouri Attorney General
Attorney General Koster announces sentencing in Jefferson County Medicaid fraud, forgery case External link 
March 15, 2011, Missouri Attorney General
Jasper County woman sentenced in Medicaid fraud case External link 
March 15, 2011, Missouri Attorney General
Attorney General Koster files felony charges against Marion County nurse's aide External link 
March 14, 2011, New York Attorney General
Attorney General Schneiderman Secures Criminal Conviction Against Orleans County Physician Who Defrauded New York State External link 
March 10, 2011, Texas Attorney General
Jury Convicts Durable Medical Equipment Business Owner For Fraud External link 
March 10, 2011, Georgia Attorney General
Thomaston Pediatrician Pleads Guilty to Medicaid Fraud External link 
March 10, 2011, New York Attorney General
Attorney General Schneiderman Announces Sentencing In Fulton County Home Health Aide Scam External link 
March 8, 2011 - Alabama Attorney General
A.G. Strange Announces Conviction and Jail Time for Theft of over $600,000 from Medicaid Agency External link (PDF) 
March 8, 2011, Georgia Attorney General
Atlanta Doctor Indicted for Submitting False Medicaid and Medicare Claims External link 
March 7, 2011, New York Attorney General
Attorney General Schneiderman Announces Sentencing In Western New York "Hidden Camera" Nursing Home Investigation External link 
March 7, 2011, Missouri Attorney General
Attorney General Koster announces plea-sentencing in Pemiscot County Medicaid fraud case External link 
Top

February 2011

February 25, 2011, New York Attorney General
Attorney General Schneiderman Secures Guilty Plea in Local "Hidden Camera" Nursing Home Investigation External link 
February 24, 2011; Florida Attorney General
Citrus County Occupational Therapy Assistant Arrested for Defrauding Medicaid of more than $450,000 External link 
February 24, 2011; Florida Attorney General
Miami Speech Language Pathologist Arrested for Defrauding Medicaid Out of More Than $586,000 External link 
February 24, 2011, Minnesota Attorney General
Attorney General's Office Charges Personal Care Agency For Submitting Nearly $1 Million In Fraudulent Bills To State Medicaid Program External link 
February 22, 2011, Georgia Attorney General
APS Healthcare Pays $13 Million to Settle Investigation into False Medicaid Claims External link 
February 18, 2011, New York Attorney General
Attorney General Schneiderman Recovers $2.5 Million For Taxpayers From Pharmaceutical Company That Inflated Drug Prices External link 
February 17, 2011, Oregon Attorney General
Attorney General John Kroger Announces Four Arrested In Alledged Medicaid Scam External link 
February 16, 2011, Missouri Attorney General
Attorney General Koster reaches settlement in Medicaid fraud case External link 
February 15, 2011 - New Jersey Attorney General
Alleged Leader, Doctor and Pharmacist Indicted in Statewide Crime Network that Dealt Pain Pills and Defrauded Medicaid External link 
February 15, 2011 - Arizona Attorney General
Attorney General Tom Horne Confirms the Arrest of Melissa Gizelle Pacheco on Charges of Vulnerable Adult Abuse External link 
February 15, 2011, Illinois Attorney General
Madigan: DHS Caseworker Arraigned On Charges In Alleged Kickback Scheme External link 
February 14, 2011, Oregon Attorney General
Fugitive In Health Care Fraud Scheme Captured While Seeking Medical Treatment In Oregon External link 
February 14, 2011 - Wyoming Attorney General and US Attorney for the District of South Dakota
Cheyenne Vision Clinic, P.C. Settles Claims Brought Under the False Claims Act External link 
February 14, 2011 - Oregon Attorney General
Fugitive In Health Care Fraud Scheme Captured While Seeking Medical Treatment In Oregon External link 
February 10, 2011, New York Attorney General
Attorney General Schneiderman Announces Arrest Of Former Rochester Pharmacist In $191,000 Medicaid Fraud Case External link 
February 10, 2011 - New York Attorney General
A.G. Schneiderman Announces Arrest Of Former Rochester Pharmacist In $191,000 Medicaid Fraud Case External link 
February 8, 2011 - Georgia Attorney General
St. Joseph's/Candler Health Systems To Pay $2.717 Million To Settle Investigation Into Medicaid Billing External link 
February 8, 2011 - New York Attorney General
Attorney General Schneiderman Announces Sentencing Of Broome County Resident For Bilking Medicaid For Over $50,000 External link 
February 2, 2011 - Massachusetts Attorney General
Former Certified Nursing Assistant Convicted for Abusing 91 Year Old Nursing Home Resident External link 
February 2, 2011 - Texas Attorney General
Joint State and Federal Health Care Fraud Probe Leads to Prison For Houston-area Doctor External link 
February 1, 2011 - Ohio Attorney General
Attorney General Mike DeWine Announces $26 Million Medicaid Fraud Settlement with Dayton Managed Care Firm External link 
February 1, 2011 - Texas Attorney General
Three-Week Trial Results in Jury Verdict Ordering Drug Maker To Pay Texas $170 Million In Damages For Fraud External link 

January 2011

January 26, 2011 - Vermont Attorney General
Aide Jailed For Narcotics Substitution And Abusing A 93 Year Old Nursing Home Resident External link 
January 26, 2011 - Kentucky Attorney General
AmeriHealth Mercy to Pay $2 Million for Submitting False Report External link 
January 26, 2011 - Vermont Attorney General
Care Provider Convicted For Falsely Obtaining Monies From Medicaid Program External link 
January 25, 2011 - Oregon Attorney General
Attorney General John Kroger Announces 19-Month Prison Sentence In Medicaid Fraud Case External link 
January 24, 2011 - Connecticut Division of Criminal Justice
Former Haven Healthcare Official Charged In False Evidence Scheme External link 
January 24, 2011 - Georgia Attorney General
Owner of Henry County Treatment Center Pleads Guilty to Medicaid Fraud and Identity Fraud External link 
January 24, 2011 - Missouri Attorney General
Jasper County woman pleads guilty in Medicaid fraud case External link 
January 21, 2011 - New Jersey Attorney General
Owner of Totowa Nursing Home Sentenced for Billing Medicaid Program for More than $100,000 in Personal Expenses External link 
January 12, 2011 - Nevada Attorney General
Healthcare Worker Angelia Chupa Sentenced For Medicaid Fraud External link (PDF) 
January 6, 2010 - Mississippi Attorney General
Jackson Woman Facing Charges of Exploiting Vulnerable Adults External link 
January 5, 2011 - Idaho Attorney General
Urrabazo Sentenced to Jail for Using Medicaid Client's Credit Cards External link 
January 4, 2011 - Nevada Attorney General
Healthcare Worker Yolanda Hoskins Sentenced For Medicaid Fraud External link (PDF) 
January 4, 2011 - New Hampshire Attorney General
Transportation Provider Indicted For Fraudulently Billing Medicaid External link 
January 5, 2011 - Idaho Attorney General
Urrabazo Sentenced to Jail for Using Medicaid Client's Credit Cards External link 
Top

December 2010

December 30, 2010 - Nevada Attorney General
Residential Facility Caregiver Sentenced External link (PDF) 
December 29, 2010 - Wisconsin Attorney General
Manitowoc Woman Charged With Medicaid Assistance Fraud External link 
December 28, 2010 - Connecticut Division of Criminal Justice
Self-Proclaimed "Nurse of the Year" Sent to Jail External link 
December 27, 2010 - New Mexico Attorney General
Women Sentenced for Medicaid Fraud...Valencia County Pair Conned State for $96K External link 
December 22, 2010 - Texas Attorney General
Medicaid Fraud Investigators Recover Gold Coins Valued at $250,000 External link 
December 20, 2010 - Mississippi Attorney General
Gulfport Resident Found Guilty of Operating Unlicensed Personal Care Home External link 
December 20, 2010 - Mississippi Attorney General
Gulfport Resident Found Guilty of Operating Unlicensed Personal Care Home External link 
December 20, 2010 - Florida Attorney General
Duval County Woman Arrested For Operating Unlicensed Assisted Living Facility External link 
December 16, 2010 - New Jersey Attorney General
Co-Owners of Defunct Mercer County Mental Health Clinic Sentenced For Medicaid Fraud External link 
December 15, 2010 - Nevada Attorney General
Healthcare Worker And Recipient Sentenced For Medicaid Fraud External link (PDF) 
December 13, 2010 - Mississippi Attorney General
Wayne County Resident Facing Second Indictment for Taking Narcotic from Nursing Center External link 
December 10, 2010 - Florida Attorney General
Marion County Woman Arrested for Grand Theft, Medicaid Fraud External link 
December 9, 2010 - Mississippi Attorney General
Coast Resident Pleads Guilty As Trial Gets Underway for Crime Against Vulnerable Person External link 
December 7, 2010 - Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case --Greene County counselor faces 6 felony counts External link 
December 3, 2010 - Mississippi Attorney General
Jackson Caregiver Arrested for Forgery External link 
Top

November 2010

November 30, 2010 - Florida Attorney General
Polk County Couple Arrested for Operating Assisted Living Facility Without License External link 
November 29, 2010 - New Jersey Attorney General
Medical Director of Defunct Mercer County Mental Health Clinic Sentenced for Defrauding the Medicaid & Medicare Programs External link 
November 19, 2010 - Louisiana Attorney General
Kenner Doctor Indicted for Medicaid Fraud and Felony Theft External link 
November 19, 2010 - New Hampshire Attorney General
State Settles Medicaid Billing Dispute With Orthodontist External link 
November 18, 2010 - Maryland Attorney General
Bowie Social Worker Sentenced for Felony Theft and Medicaid Fraud External link 
November 17, 2010 - Florida Attorney General
Manatee County Woman Arrested for Exploiting a Disabled Adult External link 
November 9, 2010 - Mississippi Attorney General
Nursing Home Employee Pleads Guilty to Exploitation and Embezzlement External link 
November 9, 2010 - Maine Attorney General
Attorney General Janet T. Mills Announces Results of Fraud Investigations External link 
November 5, 2010 - Texas Attorney General
Investigation by Texas Attorney General And Federal Officials Leads To Medicare And Medicaid Fraud Charges External link 
November 4, 2010 - Florida Attorney General
South Florida Speech Pathologist and Assistants Arrested for Defrauding Medicaid External link 
November 3, 2010 - Vermont Attorney General
State Employees To Receive Health Care Fraud Training External link 
November 2, 2010 - Missouri Attorney General
Jefferson County woman pleads guilty to felony Medicaid fraud, forgery External link 
November 1, 2010 - Wisconsin Attorney General
Brown County Nurse Convicted of Abuse and Neglect of a Patient External link 
Top

October 2010

October 28, 2010 - Texas Attorney General
Houston Man Indicted for Health Care Fraud in Investigation by Texas Attorney General and Federal Officials External link 
October 28, 2010 - Florida Attorney General
Monroe County Doctor Convicted of Medicaid Fraud External link 
October 27, 2010 - Florida Attorney General
Eleven Arrested in Operation "Crooked Clean Up" 
October 25, 2010 - Florida Attorney General
Brevard County Woman Arrested for Medicaid Fraud External link 
October 22, 2010 - Connecticut Division of Criminal Justice
Owner of Defunct Medical Labs Charged in Million Dollar Medicaid
Fraud Scheme
External link
October 22, 2010 - Missouri Attorney General
AG Koster announces sentencing of Perryville bookkeeper for abuse of Medicaid
recipient, forgery
External link
October 22, 2010 - Massachusetts Attorney General
Three People Arraigned in Connection with Stealing Over $120,000 from State
Medicaid Program
External link
October 22, 2010 - Massachusetts Attorney General
Newton Man and Three Former Employees of Regional Transit Authority Arraigned in Medicaid Kickback Scheme External link 
October 20, 2010 - Vermont Attorney General
Oral Surgeon Charged Criminally With Medicaid Fraud External link 
October 14, 2010 - Texas Attorney General
Probe by Texas Attorney General and Federal Officials Leads To Health Care Fraud Conviction for North Texas Ambulance Company Operator External link 
October 12, 2010 - Missouri Attorney General
Attorney General Koster settles with St. Louis physician in Medicaid fraud case -- state to receive more than $440,000 -- External link 
October 1, 2010 - New Jersey Attorney General
North Jersey Pharmacist Sentenced to State Prison for Bilking the Medicaid Program External link 
Top

September 2010

September 30, 2010 - Florida Attorney General
Miami-Dade Assisted Living Facility Owner Arrested for Defrauding Medicaid Out of More Than $45,000 External link 
September 29, 2010 - Vermont Attorney General
Caregiver and His Employer Charged With Medicaid Fraud External link 
September 21, 2010 - Missouri Attorney General
Attorney General Koster obtains $200,000 judgment in Medicaid fraud case External link 
September 17, 2010 - Texas Attorney General
Houston Man Sentenced to Prison in Texas Attorney General & FBI Medicaid Fraud Investigation External link 
September 15, 2010 - Vermont Attorney General
Caregiver Convicted For Falsely Obtaining Monies from Medicaid Program External link 
September 15, 2010 - New York Attorney General
Attorney General Cuomo Announces Arrests of Husband and Wife for Operating Queens Pharmacy without a Licensed Pharmacist External link 
September 13, 2010 - South Dakota Attorney General
Huron Woman Sentenced in Grand Theft Case External link 
September 10, 2010 - Massachusetts Attorney General
AG Coakley�s Office Recovers More Than $500,000 From Clinical Laboratory to Settle Allegations of Medicaid Fraud External link 
September 9, 2010 - Florida Attorney General
Former Hospital Chief Financial Officer Arrested for Racketeering and Fraud External link 
Top

August 2010

August 30, 2010 - Georgia Attorney General
WellStar Health Systems Agrees to Pay $2.7 Million To Settle Investigation Into Medicaid Billing External link 
August 24, 2010 - Alabama Attorney General
A.G. Announces Arrest in Major Medicaid Fraud Prosecution External link 
August 20, 2010 - Pennsylvania Attorney General
Bradford County speech pathologist charged with fabricating more than $366,000 in fraudulent Medicaid claims External link 
August 18, 2010 - Delaware Attorney General
Attorney General�s Medicaid fraud investigation leads to arrest of Wilmington dentist External link 
August 19, 2010 - Florida Attorney General
Duval County Speech Pathologist Sentenced To Seven Years for Medicaid Fraud 
August 18, 2010 - Delaware Attorney General
Attorney General�s Medicaid Fraud Investigation Leads to Arrest of Wilmington Dentist (PDF)
August 18, 2010 - New Jersey Attorney General
Hoboken Pharmacist Sentenced for Medicaid Fraud 
August 17, 2010 - Oregon Attorney General
Ringleader Sentenced In Medicaid Fraud Scheme 
August 17, 2010 - Idaho Attorney General
Coeur d�Alene Home Care Provider Jailed for Overbilling Medicaid 
August 12, 2010 - Nevada Attorney General
Healthcare Worker Constance Edwards Sentenced For Medicaid Fraud External link (PDF)
August 9, 2010 - Idaho Attorney General
Herrin Sentenced for Medicaid Fraud External link 
Top

July 2010

July 28, 2010 - Florida Attorney General
Four Miami-Dade Medical Professionals Arrested For Defrauding Medicaid over $539,000 External link
July 23, 2010 - California Attorney General
Brown's Elder Abuse Bureau Seeks Other Victims of Home Health Care Worker Who Stole Thousands from Elderly Client External link 
July 22, 2010 - Florida Attorney General
Okeechobee County Care Provider Arrested For Medicaid Fraud, Grand Theft External link 
July 22, 2010 - New York Attorney General
Cuomo Announces Arrests of Rockland County Mother and Home Health Care Nurse for Conspiring To Bill Medicaid for Services Never Provided To Sick Child External link 
July 20, 2010 - Florida Attorney General
Five Arrested For Criminal Racketeering, Medicaid Fraud External link 
July 19, 2010 - Florida Attorney General News Release
Hardee County Woman Charged With Running Unlicensed Assisted Living Facilities, Neglecting Elderly Victim External link 
July 19, 2010 - New York Attorney General
Attorney General Cuomo Announces Conviction Of Western New York Hospital Contractor Who Bribed County Worker In Medicaid Scam External link 
July 15, 2010 - Ohio Attorney General
Cleveland Ringleader Sentenced in Medicaid Theft External link 
July 15, 2010 - New York Attorney General
Attorney General Cuomo Announces Mother and Daughter Sentenced To Jail for Stealing More Than $105,000 from Medicaid External link 
July 15, 2010 - Nevada Attorney General
Former Long Term Care Administrator Sentenced External link 
July 13, 2010 - Florida Attorney General
Former Hospital Security Guard Arrested For Battering Disabled Adult External link 
July 9, 2010 - Florida Attorney General
St. Lucie County In-Home Care Provider Arrested for Medicaid Fraud, Grand Theft External link 
July 8, 2010 - Nevada Attorney General
Former Home Health Care Owner and Worker Sentenced for Medicaid Fraud External link (PDF)
July 8, 2010 - Kentucky Attorney General
Attorney General's Office Files Motion to Revoke Probation of Former Community Presence Caregiver External link 
July 7, 2010 - Florida Attorney General
McCollum, AHCA Apply for Waiver to Launch Florida Medicaid Fraud Enforcement Pilot Program External link 
July 6, 2010 - Missouri Attorney General
Attorney General Koster files criminal charges in Medicaid fraud case --Jasper County woman faces 3 felony counts External link 
July 6, 2010 - Kentucky Attorney General
Former Frankfort Nurse Indicted for Neglect of Nursing Home Resident External link 
July 2, 2010 - Washington Attorney General
Spokane woman pleads guilty to Medicaid fraud External link 
July 1, 2010 - California Attorney General
Brown's Agents Arrest Nine Suspects in Medi-Cal Fraud Scam External link 
July 1, 2010 - Michigan Attorney General
Cox Files Charges against Pharmacy for Medicaid Fraud Scheme External link 
July 1, 2010 - Nevada Attorney General
Healthcare Worker Sentenced For Medicaid Fraud & Elder Neglect External link  (PDF)
July 1, 2010 - Michigan Attorney General
Cox Files Charges against Pharmacy for Medicaid Fraud Scheme External link 
Top

June 2010

June 30, 2010 - Florida Attorney General
Jackson County Caregiver Arrested For Abusing Disabled Adult External link 
June 29, 2010 - Arizona Attorney General
Terry Goddard Announces Indictment of Doctor in Prescription Drug Case External link 
June 29, 2010 - Missouri Attorney General
Attorney General Koster lauds decision in Missouri Supreme Court case -- Court upholds Medicaid fraud judgment External link 
June 23, 2010 - South Dakota Attorney General
Good Samaritan Settles Improper Billing Case with United States and South Dakota External link 
June 22, 2010 - Kentucky Attorney General
Former Madison County Caregivers Charged with Abuse of Mentally Handicapped Victim External link 
June 21, 2010 - Alaska Attorney General
Medicaid Fraud Unit Continues Advocacy for Elderly Recipients External link 
June 17, 2010 - Florida Attorney General
Columbia County Doctor Arrested on Charges of Drug Trafficking, Fraud External link 
June 15, 2010 - Kentucky Attorney General
Former Madison Manor Nurse's Aide Ordered to Serve Jail Sentence after New Conviction External link 
June 2, 2010 - Nevada Attorney General
Healthcare Worker Convicted of Medicaid Fraud External link (PDF)
June 2, 2010 - New York Attorney General
Attorney General Cuomo Announces Arrests in Multi-Million Dollar Medicaid Fraud Scheme Run Out Of Three New York City Dental Clinics External link
June 1, 2010 - New Jersey Attorney General
Hoboken Pharmacist Pleads Guilty to Medicaid Fraud External link
Top

May 2010

May 27, 2010, Connecticut Chief State�s Attorney�s Office
Former State Employee Charged In �Double-Dip� Scheme to Defraud Medicaid External link
May 24, 2010, Connecticut Chief State�s Attorney�s Office
Stamford Woman Charged In Scheme to Defraud Medicaid External link
May 19, 2010, Florida Attorney General
St. Lucie County Woman Arrested for Operating Unlicensed Assisted Living Facility External link
May 17, 201, New Jersey Attorney General
Essex County Pharmacist and His Son Sentenced for Defrauding Medicaid of More Than $700,000 External link
May 17, 2010, Wisconsin Attorney General
Van Hollen Adds Medicaid Fraud Investigator External link
May 10, 2010, Indiana Attorney General
Danville Office to Investigate Patient Abuse, Neglect External link
May 5, 2010, Tennessee Bureau of Investigation
TBI Arrests Former Nursing Home Nurse External link (PDF)
May 3, 2010, Washington State Attorney General
Kittitas County Woman Charged with Medicaid Fraud External link
May 2, 2010, New Mexico Attorney General
AG's Office Gets 4 Indictments for Medicaid Fraud External link
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April 2010

April 28, 2010 North Carolina Attorney General
AG�s Medicaid Fraud Investigators Recover $3.4 Million for NC
April 26, 2010 New Jersey Attorney General
Owner of Home Health Care Agency in Orange Arrested for Allegedly Defrauding Medicaid of Nearly $5 Million
April 26, 2010 Florida Attorney General
Miami Speech Pathologist Arrested for Defrauding Medicaid Out of More Than $1 Million
April 26, 2010 Florida Attorney General
Georgia Woman Arrested for Abusing Disabled Adult at Jacksonville Facility
April 26, 2010 Florida Attorney General
Miami Speech Pathologist Arrested for Defrauding Medicaid Out of More Than $1 Million
April 22, 2010 New York Attorney General
Queens Nurse Accused of Knocking Resident Out Of Wheelchair and Stealing Medication
April 21, 2010 - South Dakota Attorney General
Dara Lee Carlson Sentenced in Fraud Case External link 
April 21, 2010 Kansas Attorney General
Emporia woman sentenced for Medicaid fraud, ordered to pay over $100,000
April 21, 2010, Florida Attorney General
Orange County Woman Arrested for Defrauding Medicaid Program Out of More Than $84,000
April 12, 2010, New York Attorney General
Attorney General Cuomo Announces Medicaid Fraud Unit Sets Record with 148 Criminal Convictions In 2009
April 9, 2010, Texas Attorney General
Former Chief Executive Officer of Alvin Medical Facility Arrested, Charged with Two Felonies External link
April 7, 2010, Ohio Attorney General
Cordray Files Suit against Nursing Home Provider
April 6, 2010, New Jersey Attorney General
Essex County Pharmacy Owner Sentenced in Medicaid Fraud Investigation External link
April 1, 2010, Maryland Attorney General
Bowie Social Worker Charged with Medicaid Fraud External link
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March 2010

March 30, 2010, Connecticut Chief State�s Attorney�s Office
Manchester Pharmacist Sentenced for Medicaid Fraud External link
March 29, 2010, Florida Attorney General
Duval County Woman Arrested for Abusing Disabled Victim External link
March 23, 2010, New Jersey Attorney General
Fifteen Defendants Plead Guilty to Participating in Hudson County Crime
Network Dealing in Prescription Pain Pills
External link
March 23, 2010, Missouri Attorney General
Koster says Joplin dentist sentenced for 13 felony counts of Medicaid fraud External link
March 17, 2010, Maryland Attorney General
Burtonsville Man Sentenced for Medicaid Fraud External link
March 16, 2010, Hawaii Attorney General
Daughter Pleads Guilty to Manslaughter in Elderly Mother's Death External link (PDF)
March 12, 2010, Maryland Attorney General
Fallston Woman Pleads Guilty to Felony Medicaid Fraud External link
March 9, 2010, Louisiana Attorney General
Attorney General�s Medicaid Fraud Control Unit Makes Arrest External link
March 9, 2010, Maryland Attorney General
Attorney General Gansler Announces Agreement with Pharmaceutica
Manufacturer Alpharma, Inc.
External link

February 2010

February 9, 2010, Indiana Attorney General
Attorney General Zoeller reaches $1.95 million settlement with CVSClick here to review our disclaimers External link
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