|August 30, 2016
Contact: Whitney Ray
Phone: (850) 245-0150
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TALLAHASSEE, Fla.—Attorney General Pam Bondi’s Medicaid Fraud Control Unit today announced the arrest of the supervisor of targeted case management services at Play Big Therapy for allegedly defrauding the Florida Medicaid program out of more than $12,000. According to the MFCU investigation, while supervising and billing targeted case management services at Play Big Therapy, Kim Jones, 53, also held full time employment at the Florida Department of Highway Safety and Motor Vehicles.
The MFCU investigation revealed that Jones allegedly did not provide many of the services billed to Florida Medicaid. Further, analysis of Jones’s DHSMV computer and time card submissions revealed that on numerous occasions, Jones left DHSMV after only a few hours of work but submitted time cards as if working all day. Jones’ Play Big Therapy service logs corroborated this activity.
Jones faces one count of Medicaid fraud, a second-degree felony, and one count of official misconduct, a third-degree felony. If convicted, Jones faces up to 20 years in prison and more than $78,000 in fines and restitution. The State Attorney’s Office for the Second Judicial Circuit of Florida is prosecuting the case. The Attorney General’s Medicaid Fraud Control Unit investigation is ongoing and further arrests are anticipated.
The Florida Attorney General's Medicaid Fraud Control Unit investigates and prosecutes providers that intentionally defraud the state's Medicaid program through fraudulent billing practices. Medicaid fraud essentially steals from Florida's taxpayers. From Jan. 2011 to the present, Attorney General Bondi's MFCU has obtained more than $500 million in settlements and judgments. Additionally, the MFCU investigates allegations of patient abuse, neglect, and exploitation in facilities receiving payments under the Medicaid program.