Missouri Attorney General Eric Schmitt announced that his office’s Medicaid Fraud Control Unit has obtained a $150,000 settlement against a former Poplar Bluff Medicaid provider for falsely billing services that weren’t provided. The settlement, which was entered in early June, was with the owner and operator of Shady Oaks Retirement Home, a residential care facility in Poplar Bluff. The owner filed 148 false claims with MO HealthNet for personal care and nursing services that her facility did not provide to six Medicaid recipients from January 1, 2018 through June 23, 2019. The Shady Oaks Retirement Home is no longer in service. The owner will pay $150,000 to the MO HealthNet Fraud Reimbursement Fund, including full restitution of $106,615.42 and $43,384.58 in penalties. She could not produce documentation to prove certain services were provided, including:
- Plans of care for the recipients,
- Daily service logs of personal care services received including dates, times, list of tasks performed and descriptions and signatures of the recipients, and
- Written notes by a nurse regarding on-site visits or annual personal care aide assessments.
