Tip to MFCU Hotline Results in Restitution to Florida Medicaid
TALLAHASSEE, Fla.—Attorney General Pam Bondi today announced the plea of a Gadsden County Home Health Care Provider, Melissa Simmons, for defrauding the Florida Medicaid program out of more than $13,000. After receiving an anonymous tip through the Florida Medicaid Fraud Hotline, the Attorney General’s Medicaid Fraud Control Unit began an investigation that revealed Simmons conspiring with two Leon County residents in billing Medicaid for services Simmons never rendered to a developmentally disabled child. The conspirators allegedly caused more than $13,000 in fraudulent claims to the Florida Medicaid program.
Simmons entered a plea to one count of patient brokering and one count of grand theft of more than $10,000, both third degree felonies. The conditions of Simmons’ plea include six months incarceration in the Leon County Jail and nine months of probation. Simmons is also required to pay restitution to Florida Medicaid along with additional fines and costs. The Second Circuit State Attorney’s Office prosecuted the case.
“I urge anyone with information about potential Medicaid fraud to contact our fraud hotline by calling 1-866-9-NO-SCAM or by visiting MyFloridaLegal.com,” said Attorney General Pam Bondi.
Apple users can also file complaints using the Florida Attorney General’s mobile application. If statutory conditions are met, citizens may be eligible for an award.
The Attorney General's MFCU investigates and prosecutes providers that intentionally defraud the state's Medicaid program through fraudulent billing practices. From Jan. 2011 to Nov. 2014, Attorney General Bondi's MFCU has obtained more than $466 million in settlements and judgments.