Three Admit Half-Million Dollar Healthcare Fraud Conspiracy

The former owner, office manager, and business manager of a St. Louis County, Missouri-based home healthcare company pleaded guilty to a federal charge Monday and admitted involvement in a healthcare fraud conspiracy that fraudulently billed the Missouri Medicaid program more than $552,000. Doriann Morgan, 58, of St. Louis County, Thalisa Walton, 46, of Hazelwood, and Barbara Jackson, 59, of St. Louis, pleaded guilty to a felony charge of conspiracy to commit healthcare fraud in three separate hearings. They each admitted that from roughly January 2018 to August 2021, they conspired to submit fraudulent reimbursement claims to Missouri’s Medicaid program for personal care services that were never provided. They admitted receiving $552,659. The three submitted fraudulent claims for personal care services purportedly provided by Jackson for a woman who did not live in Missouri and received no services, their plea agreements say. They also submitted claims for providing services for clients at times when their own social media posts showed them doing something else.

In a separate civil settlement, Morgan, Walton, and Jackson agreed to pay $910,000 to resolve allegations that they violated the False Claims Act by billing Missouri Medicaid using false timesheets and payroll records for in home services that were never provided. The civil settlement resolves claims brought under the qui tam or whistleblower provisions of the False Claims Act by Michele Bickley. Under those provisions, a private party can file an action on behalf of the United States and receive a portion of any recovery. Ms. Bickley will receive $90,090 of the proceeds from the settlement.

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