Monday, August 7, 2017

MEDICARE-TRICARE-State Enforcement July 2017


July 31, 2017; Arkansas Attorney General
Rutledge Announces Arrest of Jacksonville Women for Medicaid Fraud
LITTLE ROCK - Arkansas Attorney General Leslie Rutledge today announced the arrest of a Pulaski County woman.
July 26, 2017; Tennessee Department of Finance and Administration
Franklin Co. Man Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Franklin County man is charged with TennCare fraud for selling prescription drugs paid for by TennCare, the state's healthcare insurance program.
July 25, 2017; Nevada Attorney General
Attorney General Laxalt Announces Sentencing of Medicaid Provider Business
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that JMD Counseling & Outreach Center, LLC (hereinafter JMD), based out of Las Vegas, was sentenced today for Medicaid fraud.
July 21, 2017; Arkansas Attorney General
Rutledge Announces Oklahoma Man Sentenced for Medicaid Fraud
LITTLE ROCK - Arkansas Attorney General Leslie Rutledge today announced the conviction of a Pocola, Oklahoma man for Medicaid fraud. Shawn Howard pleaded guilty in Pulaski County Circuit Court and was sentenced to five years in the Arkansas Department of Correction (ADC), with an additional 15 years suspended. He will pay $23,980 in restitution to the Arkansas Medicaid Program if and when he is paroled. His sentence will run consecutively to a separate case prosecuted in Sebastian County.
July 13, 2017; Arkansas Attorney General
Rutledge Announces Arrest of Two Central Arkansas Women for Medicaid Fraud
LITTLE ROCK - Arkansas Attorney General Leslie Rutledge today announced the arrest of a Pulaski County woman and a Garland County woman.
July 14, 2017; Tennessee Department of Finance and Administration
Putnam Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A middle Tennessee woman is charged with TennCare fraud involving the sale of prescription drugs which were obtained through TennCare benefits.
July 14, 2017; Tennessee Department of Finance and Administration
Hamblen Co. Woman Charged 2nd Time with TennCare Fraud
NASHVILLE, Tenn. - A northeast Tennessee woman is charged for the second time with doctor shopping, a crime involving fraudulent efforts to obtain prescription drugs through TennCare benefits.
July 13, 2014; New York Attorney General
A.G. Schneiderman Announces Guilty Plea, $500K Settlement With Binghamtom-Area Transport Company Owners For Stealing From Medicaid By Failing To Secure Proper Insurance
BINGHAMTON - Attorney General Eric T. Schneiderman today announced the convictions of Kenneth Cohn and Sharon Cohn and Yellow Medi-Van and Taxi, Inc., for Medicaid fraud and related charges. Broome County residents Kenneth Cohn and Sharon Cohn owned and operated Yellow Medi-Van and Taxi, Inc., a transportation company providing transportation to medical appointments for Medicaid recipients in Broome County. During the period June 2, 2012, to January 30, 2014, the defendants knowingly operated Yellow Medi-Van and Taxi in violation of Broome County transportation regulations and the New York State Workers' Compensation Act, by failing to have Worker's Compensation insurance.
July 13, 2017; Louisiana Attorney General
Medicaid Fraud Takedown a Success in Louisiana
BATON ROUGE, LA - Louisiana Attorney General Jeff Landry's Medicaid Fraud Control Unit has arrested 19 and obtained a grand jury indictment against two individuals and their company this week as part of the 2017 National Health Care Fraud Takedown - a nationwide initiative aimed at bringing to justice those accused of Medicaid welfare fraud, conspiracy to commit health care fraud, violations of the anti-kickback statutes, and money laundering. 
July 13, 2017; U.S. Attorney; Western District of Texas
Two Austin Psychologists, Owners of Psychological A.R.T.S., P.C., and a Patient Recruiter Indicted for Federal Health Care Crimes
As part of the largest coordinated Health Care Fraud enforcement action to date, Federal and state authorities arrested two Austin psychologists who own and operate Psychological A.R.T.S., P.C., announced United States Attorney Richard L. Durbin, Jr., FBI Special Agent in Charge Christopher Combs, San Antonio Division, and Texas Attorney General Ken Paxton.
July 13, 2017; U.S. Attorney; Northern District of Indiana
Three Arrested In The Fort Wayne Area As Part Of the National Health Care Fraud Takedown
HAMMOND- Acting United States Attorney Clifford D. Johnson announced today that a federal grand jury returned a ten -count indictment against Fort Wayne physician Dr. James E. Ranochak and two Fort Wayne area pharmacists, Brent A. Losier and Charles N. Ringger. 
July 11, 2017; Massachusetts Attorney General
Owner of Home Health Agency and Employee Arrested for Allegedly Stealing Nearly $2.7 Million From MassHealth
BOSTON - The owner of a Boston-based home health agency and an employee have been arrested in connection with allegedly stealing nearly $2.7 million from the state's Medicaid program (MassHealth) by routinely overbilling and falsely billing for services that were not authorized or provided to patients, Attorney General Maura Healey announced today.
July 7, 2017; Tennessee Department of Finance and Administration
Hamblen Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - After being on the run for a year, a Hamblen County woman has been booked on TennCare fraud charges involving prescription drugs paid for by TennCare.
July 7, 2017; Arkansas Attorney General
Rutledge Announces Malvern Woman Sentenced for Medicaid Fraud
LITTLE ROCK - Arkansas Attorney General Leslie Rutledge today announced the conviction of a Hot Spring County woman for Medicaid fraud. Wendy Beasley pleaded guilty in Pulaski County Circuit Court and was sentenced to three years probation. She will pay $1,080 in restitution to the Arkansas Medicaid Program and a $3,240 fine and court costs in the criminal case.
July 7, 2017; U.S. Attorney; Western District of Oklahoma
Oklahoma City Mother and Son Sentenced to Prison for $770,000 Fraud Against Medicaid
Oklahoma City, Oklahoma - DEBORAH A. GRAY, 51, and KEITH B. GRAY, II, 27, both of Oklahoma City, were sentenced to prison this week by United States District Judge David L. Russell for submitting false claims to Medicaid for behavioral health counseling, announced Mark A. Yancey, United States Attorney for the Western District of Oklahoma, and Mike Hunter, Attorney General for the State of Oklahoma. Deborah Gray, who was sentenced on Thursday, will serve 37 months in federal prison. Keith Gray, who was sentenced today, will serve 12 months and one day in federal prison. Both will serve three years of supervised release after imprisonment. The Court also ordered the Grays to pay $769,578.38 in restitution to Medicaid.
July 6, 2017; U.S. Attorney; Southern District of Texas
Nurse Imposter Pleads Guilty to Health Care Fraud
VICTORIA, Texas - A 42-year-old former resident of Goliad has admitted to posing as a nurse, announced acting U.S. Attorney Abe Martinez. Leticia Gallarzo pleaded guilty to five counts of making false statements relating to health care today in federal court.
July 6, 2017; Tennessee Department of Finance and Administration
Three People in West Tennessee Charged with TennCare Fraud
NASHVILLE, Tenn. - Residents of Lauderdale and Dyer counties are charged in separate TennCare doctor shopping cases, accused of using TennCare to visit multiple doctors within 30-days to obtain prescriptions for controlled substances.
July 6, 2017; Tennessee Department of Finance and Administration
Five People Charged with TennCare Fraud in Northeast Tennessee
NASHVILLE, Tenn. - Five people are charged with TennCare fraud in separate cases out of upper east Tennessee. All five involve using TennCare to purchase prescription pain medication.

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