FWA (TX)- Paxton’s Office Investigates and Successfully Prosecutes Woman Who Attempted to Defraud Medicaid of Over $615,000


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[MM Curator Summary]: Kay used her ex-hubbys provider ID and info on Medicaid kids who came into the pediatrician’s office. She got away with it for 5 years.



Clipped from: https://www.texasattorneygeneral.gov/news/releases/paxtons-office-investigates-and-successfully-prosecutes-woman-who-attempted-defraud-medicaid-over

Attorney General Paxton’s Medicaid Fraud Control Unit secured a conviction for a woman who attempted to steal over $615,000 by submitting fraudulent reimbursement claims for services that were never provided.  

Kay Le Farmer was convicted of using the provider number of her ex-husband, a therapist and Medicaid provider, to fraudulently submit claims to Medicaid. Farmer used the provider number, as well as patient information from the pediatrician’s office where she worked, to submit Medicaid claims without her ex-husband’s knowledge. From 2013 to 2018, Farmer submitted or caused the submission of claims worth over $615,000 and admitted that she was paid more than $430,000 based on the false claims.  

The investigation was led by Captain Alexander Chancia, Lt. Scott Mitchell, and Sgt. Edward Wilkerson of Attorney General Paxton’s Medicaid Fraud Control Unit, in collaboration with the Department of Health and Human Services’ Office of Inspector General. The case is being prosecuted by Kathryn Olson of the Medicaid Fraud Control Unit, who serves as both a Special Assistant United States Attorney and Assistant Attorney General. 

“From start to finish in this case, my office demonstrated our commitment to rooting out those trying to steal from our Medicaid program, investigating any and all suspicious actors, and ensuring that lawless individuals are prosecuted to the full extent of the law,” said Attorney General Paxton. 

In the last fiscal year, Attorney General Paxton’s Medicaid Fraud Control Unit recovered over $236 million in taxpayer funds. If you suspect Medicaid fraud or abuse, or patient neglect, please report it by visiting the Texas Attorney General’s website