Audit of the Office of Medicaid (MassHealth)—Review of DME Providers
The Office of the State Auditor (OSA) has conducted a performance audit of MassHealth’s durable medical equipment (DME) providers for the period January 1, 2021,…
Oregon DOJ Successfully Places Care Agency on Probation in Medicaid Fraud Case
Oregon Attorney General Dan Rayfield announced that Rever Grand, Inc., a Standard Model Agency — meaning a private agency that hires Direct Support Professionals to…
Utah Woman Convicted of Three Felonies Including Medicaid False Claims Act
On Tuesday, October 21, 2025, Lillian Kaye Simiskey was sentenced to 364 days in jail and ordered to pay restitution in the amount of $2,698,488.95…
Iowa Nurse Who Stole $115,000 from Patient Agrees to Surrender License
A Clay County nurse convicted of stealing more than $115,000 worth of property from a home-health patient has agreed to surrender her license.
MA AG Indicts Nurse Staffing Agency and Owner for Fraud and Uncertified Staff
The Massachusetts Attorney General’s Office (AGO) announced that a Worcester County Grand Jury has returned 13 indictments against Blooming Staffing Agency, Inc., a temporary nurse…
Manhattan DA Announces Guilty Plea of Home Health Aide in Theft of $24K from Clients
Manhattan District Attorney Alvin L. Bragg Jr. announced the guilty plea of Jerona Smith, 48, a home health aide, to the top count in full…
Transportation Company Owner and Office Manager Indicted in $1.8M Medicaid Scheme
The owner of a Schenectady County medical transportation company was charged with stealing more than $1.8 million from the state’s Medicaid program over a nearly…
Two Guilty in Medicaid Fraud Case Investigated by MN AG and US Attorney’s Office
Attorney General Keith Ellison released a statement after Evergreen Recovery leaders Shantel Magadanz and Heather Heim pleaded guilty to conspiracy to commit wire fraud following…
SC Woman Pleads Guilty to Holding Vulnerable Adults in Unlicensed Home
South Carolina Attorney General Alan Wilson announced that on October 21, 2025, Estelle Amelia Hutchinson, 53 years old, of Orangeburg, SC, pleaded guilty in Orangeburg…
Two More CT Nurses Suspended as Part of Nightingale Fraud Degree Scheme
The Connecticut Board of Examiners for Nursing suspended last week two more nurses accused of obtaining their degrees fraudulently at Florida schools now under investigation…