Largest Medicaid fraud case in history nets arrests

POSTED: Saturday, March 3, 2012 - 11:00am

UPDATED: Saturday, March 3, 2012 - 11:04am

A Dallas, Texas doctor and several others were arrested Tuesday in the biggest Medicare and Medicaid fraud case in U.S. history.

The 27 page indictment alleges Dr. Jacques Roy, a former office manager and five owners of home health care agencies in the area conspired to defraud Medicare and Medicaid out of $374 million.

One of the ways the group allegedly bilked the system was signing up people who would never meet the requirements for home health care benefits.

"One defendant allegedly paid recruiters $50 for each beneficiary the recruiter could deliver from a Dallas homeless shelter," said Inspector General Daniel Levinson.

Dr. Roy would allegedly certify them anyway, registering 11,000 people over five years for health care services they either didn't need or never received.

"No doctor in the entire country certified as many patients for home health services or had as many patients under his care as Dr. Roy did," noted US Attorney Sarah Saldana.

Medicare and Medicaid payments were stopped to 78 other home health care services with known ties to Dr. Roy.

Those payments won't be reinstated until each one is investigated individually. 

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