Woman took more than $30,000 in payment from state for services she never provided
FRANKFORT, Ky. (March 5, 2018) – Attorney General Andy Beshear and his Office of Medicaid Fraud and Abuse today announced a Fayette County woman has been found guilty of taking more than $30,000 from the state’s Medicaid program.
A Fayette County jury found Amy Rector, 40, of Lexington, guilty on one count of Medicaid fraud, a Class D felony, and one count of theft by unlawful taking of property valued at $10,000 or more, a Class C felony.
During the two-day trial, Beshear’s Office of Medicaid Fraud and Abuse presented evidence that from 2013 to 2015 Rector, while participating as an employee of the Medicaid Consumer Directed Option (CDO), fraudulently billed the program.
As a CDO employee of her sister, a Medicaid recipient, Rector submitted timesheets for specific patient centered services that she never provided, resulting in overpayment of more than $30,000.
“Our Office of Medicaid Fraud and Abuse, along with our partners are committed to protecting Kentucky families from those who try to cheat a program that is intended to help those in need,” said Beshear. “As the state’s top Medicaid watchdog, we will continue to work vigorously to protect state taxpayers’ dollars.”
Beshear’s Office of Medicaid Fraud and Abuse investigated this case with assistance from the Cabinet for Health and Family Service’s Office of the Inspector General.
The jury recommended a sentence of five years. A sentencing and restitution hearing is scheduled for April 13 in Fayette Circuit Court.
To date, efforts by Beshear’s office through civil settlements and criminal restitution resulted in over $71 million in obligations to the state and federal Medicaid program, Medicare, Tricare, commercial payers and other entities.
The Attorney General’s tip line for reporting allegations of Medicaid fraud is 1-877-ABUSE TIP.