Fifteen people in southern Illinois have been charged in 12 separate federal indictments for health care program fraud.
According to Stephen R. Wigginton, U.S. Attorney for the Southern District of Illinois, the charges carry a maximum penalty of 10 years imprisonment, a $250,000 fine and up to 3 years of supervised release.
Some of those individuals include 43-year old Betty Jean Mays and 53-year old Michael E. Mays, both of Centralia; along with 31-year old Brian D. Adams and 39-year old Donald Ray Keip, both of Mount Vernon. Also charged is 39-year-old Darron Suggs, a trustee in the southern Illinois town of Washington Park and a St. Clair County employee.
The indictments allege that the charged individuals exploited the home services program and received Medicaid funds to which they were not entitled. Several investigations uncovered services being billed, but not performed, due to the personal assistant being in jail or out of town. Other investigations revealed the beneficiary residing in a hospital, a nursing home or out of town at the time the services were supposedly rendered at the beneficiary’s home.
It was also learned that some personal assistants and beneficiaries were receiving the Medicaid payments for services not rendered and simply splitting the paychecks.