Attorney General Koster reaches settlement in Medicaid fraud case - KMOV.com

Attorney General Koster reaches settlement in Medicaid fraud case

Jefferson City (KMOV) - Attorney General Chris Koster announced a settlement with Smith & Associates Home Care that resolves allegations that the company failed to ensure personal care services were properly delivered to its Medicaid clients.

The agreement reached on Wednesday requires Smith & Associates to pay $74,067.36. This agreement is a compromise of disputed claims and does not contain an admission of wrongdoing by Smith & Associates.

This settlement comes after The Attorney General’s Medicaid Fraud Control Unit investigated and prosecuted Crystal Abernathy, a Smith & Associate’s employee, for submitting false claims to Medicaid for personal care services she did not provide to a Medicaid recipient, her ex-mother-in-law. 
 
Abernathy pled guilty to the charges in March 2011 after evidence showed she was not providing the hours claimed on the timesheet billed to Medicaid. 
 
“Medicaid pays companies like Smith & Associates to supervise and ensure Medicaid personal care services are delivered appropriately. In this case, the company failed to carry out its duties,” Koster said. “There was sufficient evidence in this case that Smith & Associates should have paid closer attention to the hours Abernathy claimed she worked. I am committed to holding the companies responsible for doing what Medicaid pays them to do – make sure the services are provided properly.” 
 
Koster said citizens should report suspected Medicaid provider fraud or abuse and neglect to his Medicaid Fraud Hotline toll free at 800-286-3932, e-mail the complaint to attorney.general@ago.mo.gov or complete a complaint form at the Attorney General’s Medicaid Fraud Website at http://ago.mo.gov/divisions/medicaid-fraud-control-unit-faqs.htm.

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