South Carolina Attorney General Alan Wilson announces that his Medicaid Recipient Fraud Unit has recently recovered just under $125,000 in fraudulently obtained Medicaid benefits from two recipients. One recipient is in the Charleston County area and the second recipient is in the York County area.
“Our Medicaid fraud teams work tirelessly to hold those accused of fraud accountable and to recover taxpayers’ money,” Attorney General Wilson said. “We have one team that roots out fraud committed by Medicaid recipients and another that finds fraud committed by Medicaid providers.”
Due to HIPPA privacy rules, we cannot release the names of the recipients. The recipients completed applications and/or annual review forms in order to get Medicaid benefits and intentionally misled the South Carolina Department of Health and Human Services by under-reporting their income in order to receive benefits. The recipients received the Medicaid benefits over several years.
After our office’s investigation, the recipients agreed to repay $50,000 and $73,240.15, which we received on May 20 and May 24, respectively. After our office received the payments, we returned the funds to the South Carolina Department of Health and Human Services, which administers the Medicaid program. So far this fiscal year, the Attorney General’s Medicaid Recipient Fraud Unit recovered just over $775,000 in Medicaid fraud and saved taxpayers an additional $686,000 of lost benefits due to fraud that the unit’s investigations have detected.