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4/16/2014 12:00:00 AM
20 arrested in Medicaid fraud roundup

The Louisiana Attorney General’s Medicaid Fraud Control Unit (MFCU) this week arrested 20 personal care attendants as part of a crackdown on provider fraud in the New Orleans area.

“We are sending a message loud and clear to those who steal from our taxpayers and prey on our most poor and vulnerable citizens— Medicaid fraud and abuse will not be tolerated,” said Attorney General Buddy Caldwell.

MFCU agents initiated an investigation after receiving a citizen tip reporting potential personal care service fraud. Investigators learned that the personal care attendant being accused of fraudulent activity was servicing a Medicaid recipient living at a senior residential facility in New Orleans. Many other elderly residents living at the same housing complex are eligible for personal care services rendered through private provider agencies that bill the Louisiana Medicaid Program.

The senior housing facility operates a 24-hour security desk that required all visitors, including personal care attendants, to sign in and out. After comparing service logs submitted to the to the provider agencies by the personal care attendants to sign-in and sign-out sheets, MFCU investigators were able to identify numerous attendants from four different Medicaid provider agencies who cheated the Medicaid program by submitting fraudulent claims for payment to the Louisiana Medicaid Program for services that were never rendered. MFCU agents estimate the total fraud to the Medicaid Program at $150,000 over the span of about a year.

Personal care attendants are hired by Medicaid providers to care for physically handicapped and disabled Medicaid recipients. The personal care attendants keep service logs and records of hours worked with each client and submit the hours to the Medicaid provider for payment. In turn, the Medicaid provider submits the hours to the Medicaid program for payment of services rendered.

“This week’s roundup would not have been possible if not for the help of the Orleans, Jefferson and East Baton Rouge Parish Sheriffs’ Offices. With this heightened level of cooperation, our Medicaid Fraud Control Unit is achieving great results,” said Caldwell.

The investigation remains ongoing, and additional arrests are possible.

The following individuals were arrested with assistance from the Orleans Parish Sheriff’s office and booked into the Orleans Parish Prison on 4/14/14:

Tonisha A. Ambeau, DOB 5/10/1977
4658 Cerise Ave, New Orleans, LA 70127
Personal Care Attendant for Courteous Care, Inc.
5 Counts Medicaid Fraud

Johnsie M. Bradford, DOB 1/5/1985
5545 Pasteur Blvd., New Orleans, LA 70122
Personal Care Attendant for Contin-u-Care Outreach Services
6 Counts Medicaid Fraud

Kiyanta R. Branch, DOB 9/24/1978
6316 Spain St., New Orleans, LA 70122
Personal Care Attendant for About Healthcare Services, Inc.
2 Counts Medicaid Fraud

Bertha A. Charles, DOB 6/10/1980
8501 I-10 Service Road Apt. 11B, New Orleans, LA 70127
Personal Care Attendant for Contin-u-Care Outreach Services
4 Counts Medicaid Fraud

Yolanda K. Duncan, DOB 9/2/1967
2522 Leonidas St., New Orleans, LA 70118
Personal Care Attendant for About Healthcare Services, Inc.
6 Counts Medicaid Fraud

Denise T. Hingle, DOB 8/28/1959
2425 Louisiana Ave., New Orleans, LA 70127
Personal Care Attendant for Contin-u-Care Outreach Services
4 Counts Medicaid Fraud

Shawn M. Johnson, DOB 3/23/1981
7030 South Dupree, New Orleans, LA 70122
Personal Care Attendant for Contin-u-Care Outreach Services
4 Counts Medicaid Fraud

Sydnee B. Jolla, DOB 10/15/1987
3430 West St. Roch, New Orleans, LA 70122
Personal Care Attendant for Contin-u-Care Outreach Services
6 Counts Medicaid Fraud

Catherine E. Lee, DOB 5/31/1960
2407 General Pershing St., New Orleans, LA 70115
Personal Care Attendant for Courteous Care, Inc.
2 Counts Medicaid Fraud

Regina Matthews, DOB 6/7/1960
4319 Chartres St., New Orleans, LA 70112
Personal Care Attendant for Contin-u-Care Outreach Services
6 Counts Medicaid Fraud

Mikkeshia A. Ricard, DOB 12/19/1985
1043Atlantic Ave., New Orleans, LA 70114
Personal Care Attendant for Positive Care, LLC
2 Counts Medicaid Fraud

Betty L. Sanders, DOB 2/9/1958
4624 Stephen Girard, New Orleans, LA 70126
Personal Care Attendant for Courteous Care, Inc.
6 Counts Medicaid Fraud

Cherie V. Simmons, DOB 10/20/1987
2930 Orleans Ave, New Orleans, LA 70126
Personal Care Attendant for Contin-u-Care Outreach Services
3 Counts Medicaid Fraud

Moniqusha M. Simmons, DOB 7/10/1984
10151 Curran Rd., New Orleans, LA 70127
Personal Care Attendant for Contin-u-Care Outreach Services
2 Counts Medicaid Fraud

Tiffany N. Davis, DOB 11/8/1984 (Arrested 4/15/14)
3712 Garden Oaks Dr. New Orleans, LA 70126
Personal Care Attendant for About Healthcare Services, Inc.
2 Counts Medicaid Fraud

Melissa S. Williams, DOB 5/14/1980
8540 Huntington Park, New Orleans, LA 70127
Personal Care Attendant for Contin-u-Care Outreach Services
3 Counts Medicaid Fraud

Latrice A. Woods, DOB 4/27/1983
2130 Cadiz St., New Orleans, LA 70115
Personal Care Attendant for About Healthcare Services, Inc.
2 Counts Medicaid Fraud


The following individuals were arrested with assistance from the Jefferson Parish Sheriff’s office and booked into the Jefferson Parish Correctional Center on 4/14/14:

Shantrelle T. Boothe, DOB 3/20/1978
13 Megehee Court, Waggaman, LA 70094
Personal Care Attendant for About Healthcare Services, Inc.
6 Counts Medicaid Fraud

Sandra A. Jackson, DOB 3/12/1968
1141 Caramadelle St., Marrero, LA 70072
Personal Care Attendant for Contin-u-Care Outreach Services
3 Counts Medicaid Fraud

Ariane M. Jones, DOB 12/29/1989
1136 Pailet Ave., Harvey, LA 70058
Personal Care Attendant for About Healthcare Services, Inc.
2 Counts Medicaid Fraud


All of the above subjects were later transported to the East Baton Rouge Parish Prison for booking.




     

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