June 9, 2016
Provider Ordered to pay more than $100,000 in Restitution
Carson City, NV -
Today, Nevada Attorney General Adam Paul Laxalt announced that Malayla, Inc., doing business as No Child Left Behind Behavioral Health Services (NCLB) in Northern Nevada, and its owner, Candia Alea Tolbert, 39, of Reno, were sentenced for Medicaid fraud. The frauds were committed between September 2011 and December 2014.
Second Judicial District Court Judge Elliott Sattler sentenced NCLB to one count of submitting false claims, a category "D" felony, and ordered the company to pay more than $100,000 in restitution. Tolbert was sentenced to one count of intentional failure to maintain adequate records, a gross misdemeanor. The sentence was suspended, and she was placed on probation for a period of 2 years. She was also ordered to perform 200 hours of community service.
"Medicaid is designed to be used by those in need of its services, not by fraudulent companies looking to fill their personal bank accounts," said Laxalt. "My Office is committed to vigorously pursuing those who seek to defraud this program and deprive vulnerable children relying on these services."
The investigation began after the Medicaid Fraud Control Unit (MFCU) received information that NCLB was submitting Medicaid claims for services the company did not provide. NCLB operated a program to provide Medicaid services to children, but in many instances, the children never received any services or benefits while the company continued to collect funds from Medicaid. Additionally, its owner failed to maintain accurate records for the services that were actually provided by NCLB or herself.
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 patients. 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 Mark J. Krueger prosecuted this case.
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(Photos courtesy of the Washoe County Sheriff's Department)