A Lexington female who was paid $45,000 for the personal care services of a psychologically handicapped patient now deals with felony charges after she apparently sent incorrect time sheets.
Amy Sue Rector, 40, was arraigned by a Fayette County grand jury previously this summer season on charges of felony theft of more than $10,000 and creating or participating in a plan to defraud the Kentucky Medical Assistance Program of $300 or more.
From Dec. 19, 2013, through Aug. 18, 2015, Rector “purposefully signed time sheets which were sent to Blue Grass Area Development District for the time she did not really work,” according to court files submitted in the criminal case.
Displays in the court file suggest that Rector was to offer personal care services through a “consumer-directed alternative” program that permits clients to get care in your home instead of in an institutional setting.
Timesheets that Rector sent to dispute with Facebook holiday posts, medical consultation records, monitoring, and declarations from 2 witnesses. They all show that Rector was in other places, according to court files.
Rector, through her lawyer, Eric Ray, had to discuss the case Tuesday.
Ashley Morgan, an assistant chief law officer with the Medicaid Fraud and Abuse Control Unit in Frankfort, also decreased to talk about the case.
The state chief law officer’s workplace has used a plea arrangement to Rector, but there is no record in the court file that she has accepted.
The deal was this: In exchange for a guilty plea, the state would consent to dismiss the count of theft of more than $10,000, and the state would suggest that a 1-year prison sentence on the scams charge would be probated for 3 years so Rector would not serve time.
An extra requirement of the plea arrangement is that Rector would pay back the money she is implicated of taking.
A status hearing on the case is arranged Friday before Fayette Circuit Judge Pamela Goodwine.
A 2016 federal report looking at Medicaid personal care services throughout the nation found “considerable and relentless compliance, payment and scams vulnerabilities.”.
Medicaid is the biggest healthcare program in the United States, with about 73 million people registered since July 2016. It represents one-sixth of the nationwide healthcare economy. Personal care services scams take many kinds, but typical plans include services that were unneeded or not offered.
” Often scams include revealing that PCS attendants and companies sent incorrect documents of activities,” the report stated. “Most scams cases including PCS pertained to the attention of police just through recommendations from people who know individuals dedicating the acts.”.
In one case in Missouri, a personal care services attendant sent claims for supplying take care of 4 recipients all at once while working a full-time job. Her time sheets for more than 130 days showed that she remained in 2 locations at the exact same time.