Medicaid Fraud Schemes Detailed, Including One Leading to Patient Death

Añadido: 2026-05-26

[00:00:00]For example, one defendant is charged with defrauding the Integrated Community Supports Medicaid program. This program is designed to help individuals with disabilities live independently.

[00:00:12]One patient was supposed to be receiving 24-hour care through this program, but he was actually being serviced by a fraudster and received no services.

[00:00:23]This patient was later found dead.

[00:00:27]Meanwhile, the architect of this fraud scheme was billing Medicaid as if he was providing care to this patient.

[00:00:34]The defendant even submitted a claim of over $400 for services he never provided the day before this man died.

[00:00:45]In another example, two defendants have been charged for defrauding a program designed to offer medical services to those with autism spectrum disorder.

[00:00:54]As alleged, the defendants paid kickbacks to parents who brought their children to autism centers, diagnosed children with autism regardless of medical necessity, and billed for autism services that were never actually provided.

[00:01:10]In one final example, two defendants have been charged in an over $22 million fraud scheme involving the individualized home supports program.

[00:01:20]This program was meant to support disabled individuals who wanted to live in their own homes.

[00:01:27]Instead, these disabled individuals were used like lottery tickets by these defendants to generate millions of dollars, which these defendants used to expand their real estate holdings, purchase luxury vehicles, and splurge on expensive jewelry.