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Wednesday, December 11, 2019

St. Louis company to pay back Medicaid fraud money

By Mark Payne | Nov 19, 2014

Missouri Attorney General Chris Koster

A St. Louis-based business will be forced to pay back $224,616 for allegedly submitting false claims to MO HealthNet, according to an announcement by Missouri Attorney General Chris Koster.

The settlement, which includes the business Independent Home Care, owned by Sharlene Scruggs, didn't follow procedure by ensuring that personal care attendants, who worked for the company, actually did the job they were required to do. Independent Home Care also sent bills for services to Medicaid for home care for a client when that client was actually in the hospital. In a couple of other cases, they sent bills for additional services the employees didn't provide.

"My office will continue to aggressively investigate evidence of Medicaid fraud and stop those who illegally take scarce health-care dollars out of the system," Koster said.

In addition, she advises others to come forward with fraud or abuse for Medicaid funds.

The company received $87,654 in reimbursement money from MO HealthNet for the claims that allegedly weren't true. The company will pay back this amount to the MO HealthNet Fraud Reimbursement Fund and $136,962 in penalties.

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Missouri Office of the Attorney General