That’s the Way the Ball Bounces

112

In the state of Oklahoma, Medicaid pays for behavioral health rehabilitation services that are designed to support and treat children and their families who are experiencing difficulties in their daily lives. The intent is to help them improve their lives through counseling by keeping the children in their natural environments. A behavioral health rehabilitation specialist in Oklahoma City befriended a family and used his position to bill Medicaid for more than $40,000 in services he did not provide.

The counselor, who contracted with the Oklahoma Health Care Authority to provide services to Medicaid recipients, became friends with a parent of four children with Medicaid benefits. He claimed that he spent several hours each day with all four kids. (In reality, he only spent time with the two male children playing basketball.)

The counselor used all four kids’ Medicaid identities to bill Medicaid for counseling services he did not perform. (A parent told investigators that he had never counselled the two female children.) In all, the Oklahoma Medicaid program was billed $42,267.66 using the children’s’ identities.

The 34-year-old counselor pleaded guilty to two counts of Medicaid fraud and one count of identity theft. The defendant was put on probation and not allowed to perform counseling services for any Medicaid beneficiary during his probationary period. He was also ordered to surrender any professional licenses.

Source: Today’s ”Fraud of the Day” is based on an article entitled, ”Oklahoma City counselor pleads guilty to Medicaid fraud, identity theft,” posted on KFOR.com on October 13, 2016.

OKLAHOMA CITY – An Oklahoma City counselor pleaded guilty to Medicaid fraud and one count of identity theft.

Damon N. Wells, 34, was employed as a Behavioral Health Rehabilitation Specialist at Pennington Creek Life House.

Read More

SHARE
Previous articleCollecting Fraud
Next articleCollateral Damage

Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.