Three women arrested in Medicaid fraud scheme
POSTED: Saturday, October 26, 2013 - 1:00pm
UPDATED: Saturday, October 26, 2013 - 1:04pm
BATON ROUGE, LA — Three members of a Kenner personal care agency have been arrested for defrauding the state’s Medicaid program, announced the Louisiana Attorney General’s Medicaid Fraud Control Unit.
The unit’s agents arrested 38-year-old LaPlace resident D’Wan Jeanpierre-Nunnery following an investigation into Family Resources Unlimited Inc., a personal care agency located at 2401 Veterans Memorial Blvd. in Kenner. As the agency’s program director, Jeanpierre-Nunnery is charged with filing and maintaining false public records for the purpose of fraudulently obtaining a Medicaid provider license. Jeanpierre-Nunnery knowingly submitted a workers’ compensation application which contained false information in order to receive workers’ compensation coverage — a requirement for Medicaid provider licensure. She then submitted those false insurance records to the state, causing the fraudulent issuance of a Medicaid provider license. From March 2012 through August 2013, the agency received more than $4 million in payments from the Medicaid program.
Also taken into custody were the agency’s executive director, 56-year-old Catherine Marshall and service coordinator, 46-year-old Juliette Jones, both of LaPlace. Marshall and Jones were charged with three counts each of Medicaid fraud and one count of criminal conspiracy to commit Medicaid fraud for their role in a false billing scheme aimed at defrauding the state’s Medicaid program. The women each submitted erroneous billing records for payment stating that they provided or supervised personal care services for a mentally disabled Medicaid recipient on the same dates and times the recipient was actually receiving care from a separate Medicaid provider agency. On at least 589 separate occasions, the women billed the Medicaid program for false services, amounting to approximately $11,085 in fraudulent payments.
Louisiana Attorney General Buddy Caldwell says, “This deceitful behavior is damaging to our reputable Medicaid providers and harms the patients they serve, all at the expense of Louisiana taxpayers. Our message is loud and clear — if you cheat the system, you will get caught.”
“Millions of taxpayer dollars are spent each year to care for those who truly need personal care services. They make it possible for individuals with disabilities to more successfully live in their communities with family members or alone,” said DHH Chief Compliance Officer William Root. “Falsifying charges to Medicaid strips the system of integrity. We are committed to putting new mechanisms in place to help detect these kinds of cases and catching those who steal from Louisiana citizens.”
All three women surrendered to Medicaid fraud investigators on Monday and were booked into the East Baton Rouge Parish Prison.