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OIG Posts a Podcast and Three Enforcement Actions - 6/27

New content posted on OIG.HHS.GOV

Today OIG Posts a Podcast and Three Enforcement Actions


Podcast: Quality of Care Oversight in Medicaid Waiver Programs

Check out OIG's new podcast about our report, "Quality of Care Oversight in Medicaid Waiver Programs," which found that 7 out of the 25 States reviewed lacked "adequate systems to ensure the quality of care provided to beneficiaries." Although the Centers for Medicare & Medicaid Services renewed the waiver programs in all 7 States, OIG found that 3 of these states still had not adequately addressed the problems long after renewal.

In this podcast, Meridith Seife, a Deputy Regional Inspector General for the Office of Evaluation and Inspections, provides an overview of the report's findings and recommendations and some key facts about home and community-based waivers, the vehicle through which a growing number of Medicaid's elderly and disabled beneficiaries receive services and care.


Enforcement Actions

June 25, 2012; U.S. Attorney; Southern District of Texas
Houston Man Headed to Federal Prison for Health Care Fraud
Kelvin Washington, 49, of Houston, has been handed a 24-month federal sentence following his convictions of health care fraud, conspiracy and violations of the anti-kickback statute, United States Attorney Kenneth Magidson announced today. Washington was convicted after six days of trial and three and a half hours of deliberation on Dec. 8, 2011.

June 25, 2012; U.S. Attorney; Middle District of Louisiana
Two Defendants in Baton Rouge, Louisiana Sentenced to Prison for Health Care Fraud
United States Attorney Donald J. Cazayoux, Jr. announced that Eunice Sparrow, age 68, and Uniecesco Smith, age 30, both of Plaquemine, Louisiana, have been sentenced to prison by Chief U.S. District Court Judge Brian A. Jackson as a result of their roles in a two-year health care fraud scheme.

June 25, 2012; U.S. Attorney; Southern District of Florida
Owner of Miami-Area Assisted Living Facility Sentenced to 37 Months in Prison for Role in Medicare Fraud Scheme
The owner of a Miami-area assisted living facility was sentenced today to 37 months in prison for her role in a kickback scheme that funneled patients to a fraudulent mental health provider, American Therapeutic Corporation (ATC), the Department of Justice, the FBI and the Department of Health and Human Services announced today.


That's all we have for today. If we can be of any further assistance, please send an email to public.affairs@oig.hhs.gov

Dee Ellison - Office of External Affairs


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