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[MM Curator Summary]: Another member stole more money using NEMT. This is getting to be a thing.
Clipped from: https://www.doj.nh.gov/news/2023/20230217-hayes-medicaid-fraud.htm
Concord, NH – Attorney General John M. Formella announces that Stacey Hayes, age 49, of Hudson, New Hampshire, has been indicted for theft and Medicaid fraud in connection with fraudulent claims for non-emergency medical transportation services.
On February 15, 2023, the Merrimack County Grand Jury indicted Hayes on charges of Theft by Deception, Medicaid Fraud – False Claims, and Medicaid Fraud – False Records. The indictments allege that between September 1, 2020, and September 30, 2021, Hayes, pursuant to one scheme or course of conduct, created false records that were kept as documentation of expenses for Medicaid services, which caused false claims for payment of Medicaid services to be filed, resulting in Hayes obtaining more than $1,500.00 in Medicaid funds. During that timeframe, Hayes allegedly submitted fraudulent mileage reimbursement forms for 337 non-emergency medical appointments that did not exist, which resulted in her receiving $7,232.18 for reimbursement of mileage expenses that she did not incur.
The maximum penalty on the Theft by Deception charge, a class A felony, is 7½ to 15 years in the New Hampshire State Prison. The maximum penalty for the False Claims and False Records charges, both class B felonies, are each 3½ to 7 years in the New Hampshire State Prison.
Hayes is next scheduled to appear in Merrimack County Superior Court at 8:30 a.m. on February 27, 2023. The charges and allegations are merely accusations, and Hayes is presumed innocent unless and until proven guilty.
Senior Assistant Attorney General Thomas T. Worboys and Attorney Andrew Yourell of the Attorney General’s Medicaid Fraud Control Unit are prosecuting this case. Investigator Eric Shirley, also of the Attorney General’s Medicaid Fraud Control Unit, investigated the matter based on a referral from the New Hampshire Department of Health and Human Services’ Program Integrity Unit and AmeriHealth Caritas New Hampshire’s Special Investigations Unit.
The Medicaid Fraud Control Unit investigates and prosecutes fraud by healthcare providers who treat Medicaid beneficiaries. Healthcare providers include, but are not limited to, hospitals, nursing homes, doctors, dentists, pharmacies, ambulance companies, and anyone else who is paid for providing healthcare services to Medicaid beneficiaries. If you would like to report a case of provider fraud, please contact the Medicaid Fraud Control Unit at (603) 271-1246.