Newton Male Purchased to Pay Back $25,000 for Medicaid Scams

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El Dorado– A Newton guy was brought to pay back $25,000 to the Kansas Medicaid Program after pleading guilty Oct. 5 to Medicaid fraud-related charges.

An examination exposed that Timothy Stephenson billed Medicaid for services supplied as a personal care attendant to a Medicaid recipient in Augusta sometimes he was operating at another business in Wichita or getting personal medical treatment in a healthcare facility in Newton. The criminal activities happened in between April 2013 and Dec. 2014.

Stephenson, 53, pleaded guilty in August in Butler County District Court to one felony count of making an incorrect claim to the Medicaid program. Judge Jan Satterfield bought Stephenson to pay back $25,000 to the Kansas Medicaid Program. Judge Satterfield also sentenced Stephenson to 12 months’ probation with an underlying prison sentence of 9 months. Convictions such as this one might also lead to a duration throughout which the offender is forbidden from being paid incomes through a federal government health care program.

Assistant Attorney General Ed Brancart of Kansas Attorney General Derek Schmidt’s workplace prosecuted the case versus Stephenson.

Roanoke psychological health company closes after Medicaid stops payments

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A Roanoke company that supplied assistance to people with mental disorders closed Tuesday without description.

East Mental Health published a notification to its Facebook page that stated it was “completely closed.”.

State authorities stated Wednesday that Virginia’s Medicaid program had stopped payment for East Mental Health’s psychosocial rehab services and psychological health assistance services. The company billed Medicaid almost $3 million throughout the previous.

The Department of Medical Assistance Services did not react to queries asking when and why the payments had stopped.

East Mental Health is the target of a pending federal whistleblower suit that was submitted in 2013 but stayed under seal up until March of this year. In it, previous staff members declare the company was double- and triple-billing Medicaid. The federal government also examined the company and in 2015 took countless pages of patient files and business records. It is unknown whether that examination has concluded.

Owner Christopher Dean East decreased to comment and stated his lawyer, Justin Lugar, would offer a declaration on behalf of the company. Lugar did not return phone messages.

Some 145 people who were offered psychological health services by East Mental Health are customers of the Virginia Department of Behavioral Health and Developmental Services, stated spokesperson Heidi Dix. She stated the company is assisting customers to find other suppliers.

One customer reached Wednesday stated her caseworker offered her a list of alternate firms. Another stated she had yet to get such a list.

It is unknown the number of staff members or customers East Mental Health had when it closed. In a court filing associated to the suit, the company stated it used 200 clinicians and staff and served 1,000 customers at its peak, but did not say when that was.

A few of its customers have case supervisors through the area’s public psychological health firm, Blue Ridge Behavioral Healthcare, which is dealing with them on recommendations and shifts to brand-new suppliers.

” It is constantly an issue when a behavioral health company like East Mental Health closes in our neighborhood, and our very first idea relies on whether the customers have excellent shifts to brand-new companies,” stated Blue Ridge Behavioral Healthcare CEO Debbie Bonniwell. “We are worried and wish to provide support to any previous customers of East Mental Health that need aid with shifts or recommendations to other neighborhood resources.”.

They can call 540-343-3007.

Bonniwell stated Blue Ridge also has job openings and would welcome inquiries from East Mental Health’s previous staff through www.brbh.org.

East, of Roanoke County, established East Mental Health in 2007, and the company inhabited a building in the 3400 block of Brandon Avenue. Its staff dealt with people with mental disorders and developmental conditions such as autism by supplying treatments, life and social ability training, medication management and transport to consultations.

Michelle Dooley of Vinton, who has anxiety, stated a clinician from East Mental Health visited her 5 days a week, which, she stated, is indispensable “to people that have things like that and need someone to assist them through things.” She has gotten training on life abilities such as budgeting and food options, she stated.

After being informed Tuesday that East Mental Health had closed, Dooley stated she started the procedure to sign up for help from Mainstream Mental Health Services in Roanoke.

Kim Holt’s 23-year-old child Jake, who has autism, has used East Mental Health for 4 years for day assistance services and has delighted in art and music treatment, bowling and fraternizing peers, she stated. While Medicaid spent for the services, Holt independently spends for a variety of other services for her boy.

She discovered Tuesday that East Mental Health had closed.

” I did not sleep last night for wishing all the customers,” she stated.

In 2013, 4 present and previous staff members– Michelle Chittum, Billie Graham, Camille Hughes and Julia Switzer– declared in a whistleblower claim that East Mental Health was billing the federal government as though it were offering services to people when it was dealing with 2 or 3 customers concurrently.

They declared East Mental Health “is defrauding the United States and the American taxpayer in the numerous countless dollars yearly,” according to the match, which asked for an award of damages of $30 million.

” I experienced widespread Medicaid scams on the part of East Mental Health Services,” Chittum stated in documents submitted in Roanoke federal court. She declared team member regularly took a trip in one car with 2 or more customers but billed the federal government for different journeys.

” If 3 clients were taking a trip in an automobile, Medicaid would be billed for 3 hours of travel time even though just one hour of travel time really took place,” her declaration stated.

In addition, East Mental Health staff members cannot clock out after taking customers to visits and rather billed for the time invested waiting on the customer to end up, the declaration stated.

Switzer has stated in court filings that after East Mental Health discovered she was taking part in the fit, the company treated her with hostility. She left in 2015. Her retaliation allegation was contributed to the suit.

A whistleblower claim allows a resident to grumble on behalf of the federal government about scams or theft of federal government funds. The suit starts under seal and the celebration implicated of misbehavior does not get a copy. Before the seal is raised, the federal government has time to examine and choose whether it wants to take control of the case. Both the United States lawyer’s workplace and the Medicaid Fraud Control Unit of the state’s attorney general of the United States workplace decreased to intervene in the suit. It is uncertain if they are pursuing different examinations.

Until March, the suit had stayed a sealed court record, unattainable to the public, for 3 years and 5 months. Already, federal representatives had browsed East Mental Health’s Roanoke and Rocky Mount workplaces, called Google and other e-mail companies to get worker e-mails, gotten in touch with banks to acquire worker monetary records and required the company to disgorge 5 million pages of records, East Mental Health has stated in court documents.

East Mental Health undertakings “to stroll side-by-side with each individual customer, operating in cooperation to cultivate self-reliance, empowerment, health and expect a complete, significant life while handling signs of mental disorder through individual option, advancement of a distinct identity and neighborhood combination in an environment of self-respect and regard,” it stated in court documents.

The company stated the federal government’s actions left its credibility “irrevocably harmed” and it is looking for to have the suit dismissed.

U.S. District Judge Elizabeth Dillon held a hearing Sept. 5. Since late Wednesday, she had not released a judgment on East Mental Health’s movement to dismiss.

Bipartisan Costs Would Minimize Medicaid Scams, Secure Clients

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Washington D.C.—- U.S. Representatives Tim Walberg (R-MI) and Peter Welch (D-VT) presented bipartisan legislation Sept. 28 too much better recognize Medicaid scams and safeguard those who are served by the program.

H.R. 3891 gets rid of unneeded federal policies that limit the capability of Medicaid Fraud Control Units (MFCUs) to determine, examine, and prosecute possible scams, patient abuse or overlook within Medicaid.

” We ought to constantly be trying to find methods to reinforce the stability of the Medicaid program, secure the susceptible who need these services, and avoid tax dollars from being lost,” stated Congressman Walberg. “With this bipartisan cost, we are eliminating needless federal barriers to examining Medicaid scams and assisting guarantee recipients are safeguarded from abuse and disregard.”.

Welch stated Medicaid offers crucial services to more than 30 percent of the homeowners of Vermont.

” This bipartisan legislation will permit states to punish deceptive stars to guarantee that Medicaid stays an effective and efficient program for those in need,” he stated.

Medicaid Fraud Control Units (MFCUs) run in 49 States and the District of Columbia, and examine and prosecute Medicaid company scams in addition to patient abuse or overlook. Presently, MFCUs are just enabled to use federal funds to examine patient abuse or disregard problems at health care centers getting Medicaid payments. H.R. 3891 widens the acceptable use of funds and permits MFCUs a larger scope to perform examinations.