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Wednesday, October 23, 2019

South Dakota optometrist reaches settlement with state for alleged unnecessary Medicaid claims

State AG

By Marian Johns | Jul 31, 2018

PIERRE, S.D. — A South Dakota optometrist has agreed to a settlement with South Dakota Attorney General Marty Jackley to resolve allegations of submission for medically unnecessary claims for Medicaid payments. 

Jackley announced the recent settlement reached with Melanie Weiss and Weiss EyeCare Clinic PC. in Watertown, South Dakota, which will pay $25,869.15 to reimburse taxpayers' Medicaid expenses.

According to the Attorney General's Office, Weiss submitted claims for Medicaid payment for photography services that were not medically necessary. Weiss did not admit liability, the Attorney General's Office said, and fully cooperated throughout the case. 

"The settlement agreement is neither an admission of liability by Weiss, nor a concession by South Dakota that its claims are not well founded," Jackley's office said in a statement. 

The case involved the work of the South Dakota Medicaid Fraud Control Unit, the South Dakota Department of Social Services and the U.S. Department of Health and Human Services' Office of the Inspector General. 

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South Dakota Office of the Attorney General

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