Insurance Fraud NEWS
Former counselor pleads guilty to medicaid fraud, identity theft
November 04, 2016, Oklahoma City, OK
A former behavioral health counselor pleaded guilty to Medicaid fraud and identity theft following charges brought by Attorney General Scott Pruitt.
Toris Emanuel Louie, 28, of Oklahoma City, submitted documents to his employer indicating that he provided counseling services to children that had never occurred. Louie also used the children’s personal Medicaid identification numbers to fraudulently obtain payment from the Oklahoma Health Care Authority for services that were never provided.
Louie pleaded guilty to two counts of Medicaid fraud and three counts of identity theft. In addition to receiving a four-year deferred sentence, Louie was ordered to pay more than $14,000 in restitution and fines. Louie was further ordered to surrender any and all licenses and cannot work in any facility designated to the care of the elderly, vulnerable adults or children, or contract with the OHCA or any other federally funded health care program.
The Attorney General’s Medicaid Fraud Control Unit is the only Oklahoma law enforcement agency dedicated to the investigation and prosecution of Medicaid fraud. The unit also investigates and prosecutes abuse of residents in Medicaid-funded nursing homes and state facilities. To report suspected Medicaid fraud or abuse, contact the AG’s Office at (405) 522-2963.
Source: Oklahoma Office of the Attorney General