All CA, NA, and MA combo cases throughout the state. PHOENIX Attorney General Mark Brnovich announced that a State Grand Jury has indicted 13 individuals and 14 related business entities on criminal charges of Illegal Control of an Enterprise, Theft, Conspiracy, and Fraudulent Schemes and Artifices. And that, said Auditor General Lindsey Perry, comes at a cost. The statistical population includes 127 teachers. Death while a Member is a resident of a Behavioral Health Inpatient Facility or other psychiatric hospital or other inpatient institution. But even then, she said, the agency did not complete its preliminary inquiry within the year as required under its policy. Subscribe to stay connected to Tucson. Monica Klapper, Assistant U.S. Attorney, District of Arizona, Phoenix, is handling the prosecution. The following incident types are required to be reported by the provider: Providers must submit incident, accident, or death reports involving sentinel events within 6 hours of the occurrence. ), include requirements for the types of agency actions that must provide hearing rights, the format of the notice of the agency AHCCCS had not completed a preliminary investigation of 87% of potential provider fraud or abuse to the Attorney General's Office within three months, the time frame established in an agreement . concerning persons with a Serious Mental Official websites use .gov Common examples include: If you suspect that AHCCCS fraud has occurred, please contact the Medicaid Fraud Control Unit promptly. 11) Sharon Lawson, 48 13) Kayla Sol, 34 Individuals are presumed innocent until proven guilty beyond a reasonable doubt. The indicted defendants are listed below: 2) Kevin Maulson, 60 Nez received outpatient services through Sunrise Native Recovery, an outpatient drug-and-alcohol treatment center. A .gov website belongs to an official government organization in the United States. A conviction for healthcare fraud or wire fraud carries a sentence of up to 20 years, a conviction for money laundering carries a sentence of up to 10 years, and a conviction for aggravated identity theft carries a mandatory, consecutive 24-month prison sentence in addition to hefty maximum fines for each offense. tG4!#T;vJ+5JJo=SNYD43cI(eJLo-(Wctfa[PEo+I;9VP)?Us{ccnjoe1GHWaXYV Q n'gT~4 wv-nSjs`kDWCjtJaoPTB;+"0.5"Sr]sUA&SbCZ,os6&(.37{ITm>EDW d Criminal Division | Arizona Attorney General The office has statutory authority to issue subpoenas and place For non-Behavioral Health providers, potential quality of care incident reports should be submitted to the Quality of Care mailbox within the timeframes indicated above. Out-of-State Toll Free: 1-800-523-0231, How to Apply AHCCCS wouldnt comment on a question from ABC15 on whether the proposed change is an effort to reduce fraud in the state Medicaid system. 605 0 obj <>stream A locked padlock Investigations must be conducted pursuant to A.A.C. These same provisions also exhibit an intent to provide law enforcement access to . 8) Aaron Wright, 40. AHCCCS is primarily federally funded, and it provides healthcare programs for Arizona's low-income residents. The couple is alleged to have submitted $1.2 million in fraudulent bills to AHCCCS over a 9-month period in 2019-2020, and then to have used some of the proceeds to purchase a $1.3 residence in Gilbert, Arizona. The Medicaid Fraud Control Unit is a federally funded unit charged with investigating and prosecuting: Medicaid (AHCCCS) fraud; fraud in the administration of the Medicaid program; and abuse, neglect or financial exploitation occurring in Medicaid facilities or committed by Medicaid providers or their employees. Tucson: (520) 620-7300 Provider Compliance Investigator - REMOTE OPTIONS, Arizona, United If, at any point in an investigation, elements of criminal conduct and/or a reliable indication of fraud is determined, OIG partners with the appropriate Main Office: And Perry said there clearly are such cases. Our investigation indicated that about 36.7% of accidents were caused by exposures to electricity transmission networks during in buildings (10%) and during unauthorized construction operations of residential houses in the areas of Medium Voltage (MV) and Lowest Voltage (LW) lines (26.7%). law enforcement agency. The investigation developed allegations of multiple forms of fraudulent billing, including overbilling/double billing for services, billing for services that had not been rendered, and billing for AHCCCS members/patients who were deceased.
Patsy Perin Dubash,
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