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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 by a judge in the Third District Court. Simiskey pleaded guilty to one count of Pattern of Unlawful Activity for violations of the Utah False Claims Act, a second-degree felony, one count of Tax Evasion, a third-degree felony, and one count of Public Assistance Fraud, a third-degree felony. A restitution hearing is scheduled for January 13, 2026, to evaluate Simiskey’s financial declaration and establish a payment schedule. In February 2021, the Department of Health and Human Services, Licensing Division, referred a case to the Medicaid Fraud and Patient Abuse Division (Medicaid Fraud Division) at the Office of the Utah Attorney General (OAG) including allegations that a Medicaid provider, Measures of Affect Theoretically Relative (MATR), had submitted claims to Medicaid for services which were not provided by qualified professionals and were documented in a fraudulent manner. MATR was a behavioral health company offering substance use disorder treatment. MATR had a residential treatment center in Mt. Pleasant and multiple offices in other areas of the State.