Attorney General Aaron D. Ford announced that Joy Behavioral Health, LLC (“Joy”) and its owner Edward Gamboa was sentenced in a Medicaid fraud case involving billing for services that were not provided to Medicaid recipients. Joy was sentenced for a gross misdemeanor offense of Intentional Failure to Maintain Adequate Records by District Court Judge Eric Johnson. As part of the plea deal, Edward Gamboa, the sole owner of Joy, was previously sentenced for a misdemeanor offense of Acting Without Lawful Authority. Judge Johnson sentenced Joy and placed it on probation for two (2) years. As part of the sentence, Joy was also ordered to pay $110,000 in restitution. The fraud occurred between February 2022 and July 2022. The investigation began after the MFCU received information which alleged that Joy was fraudulently billing Nevada Medicaid for recipient services that were never provided. The investigation revealed that Gamboa, through Joy, submitted fraudulent claims to Medicaid asserting that Rehabilitative Mental Health (RMH) services were provided to recipients when in fact they were not. The lack of services and the fraudulent claims were substantiated by the alleged provider of the services. Further, Joy failed to maintain the required documentation supporting such purported services.
