Attorney General Laxalt Announces Sentencing of Medicaid Provider for Failure to Maintain Adequate Records
November 5, 2015
Las Vegas, NV – Nevada Attorney General Adam Paul Laxalt announced that Grace McKinley, 44, of Las Vegas, was sentenced for Medicaid fraud. The judge sentenced McKinley on one gross misdemeanor charge of intentional failure to maintain adequate records. The fraud was committed between November 2011 and June 2013.
“Medicaid fraud costs U.S. taxpayers billions of dollars each year,” said Laxalt. “Rules require that complete and accurate documentation be maintained for all services provided to Medicaid recipients. The prosecution of these crimes helps deter fraud committed by those hoping to obtain money from Medicaid illegally.”
Eighth Judicial District Court Judge Stefany Miley sentenced McKinley to 364 days in prison, suspended, and placed her on probation for three years. As part of her sentence, the judge ordered McKinley to pay $44,000 in restitution and to perform 150 hours of community service.
The investigation began after the Medicaid Fraud Control Unit (MFCU) received information that McKinley had allegedly not provided mental health services to Medicaid recipients, during her employment and ownership of Grace and Wellness, LLC. The investigation revealed that she submitted claims for services that were not in fact provided. McKinley also failed to maintain accurate records for services she allegedly provided to the Medicaid patients.
On behalf of the attorney general and the state, the MFCU investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid recipients. Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation. Anyone wishing to report suspicious activities regarding any related fraud may contact the MFCU at 702-486-3420 or 775-684-1100.
Senior Deputy Attorney General Andrew Schulke prosecuted this case.
To view the criminal Information, click here. To file a complaint with the Office of the Nevada Attorney General, click here.
(Photo Courtesy of the Las Vegas Metropolitan Police Department)