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.