Twin Falls provider sentenced for fraud and obstruction of medicaid fraud investigation

BOISE, Idaho (KIFI) – Attorney General Lawrence Wasden announced a Twin Falls woman was sentenced on Monday for provider fraud and obstruction of a Medicaid fraud investigation.

52-year-old Patricia Anderson pleaded guilty in April.

Fifth District Judge John Butler sentenced Anderson to a suspended sentence of three years with one year fixed. Anderson was then placed on supervised probation for three years, ordered to pay $2,000 in fines and serve 300 hours of community service. She has paid $1,782 in restitution.

An investigation revealed that in 2017, Anderson billed Medicaid for services she didn’t provide. Investigators determined the fraudulent billing by establishing that Anderson traveled out of state on several occasions, yet billed Medicaid for services she purported to provide a family member in Idaho during the same periods. Payments for these services were reimbursed by the Idaho Medicaid Program. Investigators also determined that during questioning, Anderson did not accurately represent the extent of her travels during the periods in question.

The case was investigated by the Medicaid Program Integrity Unit of the Idaho Department of Health and Welfare and the Attorney General’s Medicaid Fraud Control Unit. Deputy Attorney General Kenneth M. Robins prosecuted the case.