Page 170 - 2023 PPIAC RMIC BOOK

MEDICAID FRAUD CASE

•Children’s dental office took Medicaid

•Office manager created medicaid claim forms

•Office owner entered information from forms into
Medicaid computer payment system

•Medicaid payments made to dental office account

MEDICAID FRAUD CASE CON’T

• Medicaid claim information was false

• Dental office owner charged with fraud

• Defense attorney wanted defendant to plead

• Defendant said he was innocent and independently hired a
CFE to investigate case (Cici Williams)