On March 11, 2016 the Honolulu Star-Advertiser reported a mother and daughter on the Big Island pleaded guilty to Medicaid fraud. They knowingly and intentionally submitted false notes and timesheets to Medicaid in order to collect Medicaid payment.
During January and March, the U.S. Department of Justice reported convictions related to home health care schemes that stole from $6.2 million to $375 million from Medicare and resulted in as much as 15 years in prison for the convicted individuals.
Homebound elderly are particularly vulnerable to home health care fraud because they are not in a supervised health care setting such as a nursing home. For that reason, SMP Hawaii is working with Hawaii Meals on Wheels and Lanakila Meals on Wheels to take our April LOOKING OUT FOR YOU bulletin about home health care fraud to their homebound clients, their family members and caregivers. The bulletin gives tips for protecting yourself from home health care fraud, detecting billing errors and possible fraud, and reporting suspected fraud. Go to https://smphawaii.org/medicare-fraud/looking-out-for-you-bulletins/ to see the bulletin.