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Behavioral health worker sentenced for Medicaid fraud

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Updated: 11/04/2013 12:00 pm
LAS VEGAS – A Las Vegas woman was sentenced today in a Medicaid fraud case involving the submitting of false Medicaid claims.

Sherice Joann Williams, 39, was sentenced for one felony offense of submitting false claims Medicaid fraud. District Court Judge Lee Gates sentenced Williams to 12 to 48 months in prison and payment of $9,783 in restitution, penalties, and costs.

“Williams was turning in documentation that services had been provided to a Medicaid recipient,” Nevada Attorney General Catherine Cortez Masto said. “An investigation showed that no services had been provided. Williams will now spend at least the next year in prison.”

The case began after information was provided to the Nevada Attorney General’s Medicaid Fraud Control Unit from Nevada Medicaid’s Surveillance and Utilization Review Unit. The information provided alleged that Williams was not providing services to a Medicaid recipient.

Even though services were not being provided to this Medicaid recipient, Williams was turning in false documentation alleging that those services had been provided. The investigation found that there were progress notes and subsequent Medicaid claims which were submitted for time periods where the Medicaid recipient was not receiving the behavioral health services.

The fraud occurred between February and May 2012. Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation.

The case was investigated and prosecuted by the MFCU, which investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. The MFCU also investigates and prosecutes instances of elder abuse or neglect. Anyone wishing to report suspicions regarding any of these concerns may contact the MFCU at (702) 486-3420 or (775) 684-1100.

The case was prosecuted by Andrew Schulke, senior deputy attorney general.

– From news release
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