|July 17, 2014
Contact: Whitney Ray
Phone: (850) 245-0150
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TALLAHASSEE, Fla. –Attorney General Pam Bondi’s Medicaid Fraud Control Unit, the Winter Garden Police Department, the Orlando Police Department and the Polk County Sheriff’s Office arrested three Orange County residents, Shirley Simmons, 46, Keisha Carter, 36, and Kandida Michel-Ross, 36, following allegations of Medicaid fraud for billing more than $45,000 worth of fraudulent, duplicative and unauthorized mental health targeted case management services. Mental Health Targeted Case Management services are designed to link Medicaid recipients having persistent and serious mental health disorders to community based services.
According to the investigation, Shirley Simmons, owner of A & S Quality Care, allegedly paid monetary incentives to both employees and clients who referred Medicaid recipients to her company. Simmons, Carter, and Michel-Ross allegedly billed the Medicaid Program for duplicative services, prohibited services, and submitted other false and fraudulent claims.
The defendants are facing charges of Medicaid Fraud and Organized Scheme to Defraud, second degree felonies. If convicted, they face up to 15 years in prison, $20,000 in fines and restitution. The Attorney General’s Office of Statewide Prosecution will prosecute this case.