SHREVEPORT, La. – United States Attorney David C. Joseph
announced that two Northwest Louisiana residents who owned and ran the Positive
Change Counseling Agency LLC were indicted for improperly billing Medicaid for
almost $8 million, in addition to paying kickbacks in violation of the law.
The owner and operator of Positive Change, Marty Johnson,
57, of Shreveport, and the company’s supervisor and business manager, Keesha
Dinkins, 42, of Bossier City, Louisiana, were charged with one count of
conspiracy to commit health care fraud and wire fraud, 47 counts of health care
fraud and four counts of wire fraud.
Johnson also faces one count of paying a kickback.
According to the indictment, Positive Change billed Medicaid
$7,992,347 for psychiatric therapy, transportation, and other related mental
health services from January 2014 to December 2018 that were never
provided. In order to execute the
scheme, Johnson and his employees recruited clients to receive mental health
and related services. Johnson then paid
some of these clients kickbacks in exchange for enrolling in certain
programs. Johnson also obtained Medicaid
identification numbers from potential clients and their family members and,
without the potential clients’ authorization, billed Medicaid for services that
were not rendered.
In billing Medicaid, Johnson and Dinkins: (i) created false
documents showing that Positive Change provided services that were not
rendered; (ii) falsely listed employees with graduate and advanced educational
degrees as service providers in order to trigger a higher rate of payment from
Medicaid; and (iii) used false, fabricated and exaggerated mental health
diagnoses in order to obtain additional payments from Medicaid.
If convicted, the defendants face up to 20 years in prison
for each count of conspiracy, health care fraud and wire fraud. Johnson also faces 10 years in prison for
illegal kickbacks. Both defendants also
faces up to five years of supervised release, a $250,000 fine, forfeiture and
restitution. Arraignment is scheduled for September 10, 2019.
The U.S. Department of Health and Human Services, Office of
Inspector General; the FBI; and the Louisiana Attorney General’s Office,
Medicaid Fraud Control Unit, conducted the investigation. Assistant U.S. Attorney Earl M. Campbell and
Cadesby Cooper are prosecuting the case.
An indictment is merely an accusation and a defendant is
presumed innocent unless and until proven guilty beyond a reasonable doubt.
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