A Texas woman was sentenced to 50 months in prison for defrauding the Virginia Medicaid program out of nearly $3 million. According to court documents, Katrina Lynch, 39, of Cypress, Texas, owned and operated A Tender Heart, LLC, a company based in Midlothian. A Tender Heart was enrolled with the Virginia Medicaid Program as a Service Facilitator, a Medicaid provider that ensures Medicaid recipients receive needed and required services. Between 2011 and 2018, Lynch routinely submitted bills to Medicaid for services that her company never provided. For example, Lynch submitted bills to Medicaid for services supposedly provided to Medicaid recipients that had died, recipients that were hospitalized, recipients that transferred to other service facilitators, and recipients that had not been visited by any company employees for months. Due to these fraudulent submissions, Medicaid paid Lynch at least $2,816,633 to which she was not entitled. Lynch received warnings about her billing practices during two audits performed at the direction of the Virginia Department of Medical Assistant Services (DMAS). As a result of these audits, A Tender Heart was required to repay over $335,000 to Virginia Medicaid. Lynch, however, continued her fraudulent scheme after these audits. Lynch used the fraudulently obtained Medicaid funds to engage in extensive personal expenditures, including overseas travel, restaurants, gambling, cosmetic surgery, jewelry, and vehicles.
