ARIZONA NEWS

13 people indicted in alleged fraudulent billing scheme of Arizona’s Medicaid agency

Oct 21, 2021, 12:15 PM

PHOENIX — A grand jury in Maricopa County has indicted 13 people and 14 related businesses on various felony charges for an alleged health care fraud billing scheme, the Arizona Attorney General’s Office said Wednesday.

The individuals are accused of fraudulently billing the state’s Medicaid agency for millions of dollars of services they claim to have provided to patients, according to a press release.

They face felony criminal charges of illegal control of an enterprise, theft, conspiracy, and fraudulent schemes and artifices.

An investigation revealed allegations of multiple forms of fraudulent billing, such as overbilling/double billing, billing for services that had not been rendered and billing for patients who were dead, the office said.

The Arizona Attorney General’s Office investigated the case with the Office of the Inspector General for the U.S. Department of Health and Human Services as well as the Office of the Inspector General for the Arizona Health Care Cost Containment System, the office said.

The 14 related businesses indicted as part of the alleged scheme are below:

  • Sun Valley Services, Inc.
  • Lutheran Association of Missionaries and Pilots U.S., Inc. (d/b/a Lutheran Indian Ministries)
  • Gentle Touch Behavioral Health, LLC
  • Together Time, LLC
  • Nevada First Choice, LLC
  • Good Samaritan Homes, LLC
  • Agnes’ Center for Domestic Solutions
  • Mary Group Home, a.k.a. Mary Group Home II
  • Babbitt Bowers Behavioral Health
  • A-Making Changes, LLC
  • Ohana Behavioral Health, LLC
  • L & L Investments, LLC
  • Anchored Hearts, LLC
  • Rising Youth, LLC

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13 people indicted in alleged fraudulent billing scheme of Arizona’s Medicaid agency