The OIG Benefits Program Integrity team worked with the Social Security Administration to resolve a Smith County case involving a client who failed to report several properties she owned when filing Medicaid and Supplemental Security Income applications for her child.
The fraudulent documents led the state to overissue $214,585 in Medicaid benefits to the client from November 2007 to December 2013. The OIG and Social Security Administration filed the case jointly in federal court, and the client was charged with securing the execution of a document by deception. The client plead guilty and was sentenced to 12 months in federal prison with an additional year of supervised release. The client was also ordered to pay the Social Security Administration $49,798 in restitution and a total of $214,585 in restitution for the over issuance of Medicaid benefits.