|September 4, 2014
Contact: Whitney Ray
Phone: (850) 245-0150
|en Español||Print Version||Tweet|
TALLAHASSEE, Fla.— Attorney General Pam Bondi’s Medicaid Fraud Control Unit, the Miami-Dade Police Department, the Kansas Medicaid Fraud Control Unit, the Shawnee County Sheriff’s Office and the New Jersey Medicaid Fraud Control Unit today arrested Grisel Pena, 63, Barbara Oldham-Kennedy, 40, and Robert Patrick Garcia, 38, on felony warrants for allegedly defrauding Medicaid out of more than $1 million. The defendants allegedly submitted falsified claims for services not rendered to several Medicaid recipients and received payment based on falsified claims. Grisel Pena, Barbara Oldham-Kennedy and Robert Patrick Garcia are each facing charges of Medicaid fraud, grand theft and organized fraud, all first-degree felonies. If convicted, they each face up to 90 years in prison. This case will be prosecuted by the Attorney General’s Office of Statewide Prosecution.
“These arrests are the outcome of a great partnership among my Medicaid Fraud Control Unit and other law enforcement agencies to protect the integrity of the Medicaid program,” said Attorney General Pam Bondi.
According to the investigation, Pena, Oldham-Kennedy and Garcia were corporate officers of Family Behavior Services, LLC in Hallandale Beach and were allegedly paid more than $1 million by the Medicaid program for Targeted Case Management services that were never provided. Targeted Case Management services are designed to link Medicaid recipients with serious mental health disorders to community-based services. The investigation revealed services were not provided as frequently as billing indicated or not rendered at all.
The Attorney General's Medicaid Fraud Control Unit investigates and prosecutes fraud involving 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 Aug. 2014,
Attorney General Bondi's MFCU has obtained more than $460 million in settlements and judgment.