EAST ST. LOUIS — A Brighton woman pleaded guilty Tuesday to engaging in a scheme to defraud a health care program.
In a press release Wednesday, U.S. Attorney Stephen R. Wigginton said sentencing for Jessica A. Teets, 27, has been set for Feb. 9 in U.S. District Court in East St. Louis. She faces up to 10 years in prison, a fine of up to $250,000, and up to three years of supervised release.
During her plea hearing, Teets admitted she had submitted false and fraudulent bills in relation to her alleged performance of personal assistant services in the Illinois Home Services Program, a Medicaid Waiver Program designed to allow individuals to stay in their homes instead of entering a nursing home. Teets admitted to falsely billing the program between Dec. 7, 2012, and June 30, 2014, falsely claiming she had rendered personal assistant services to a customer. As a result, Teets improperly billed 111 hours of services and obtained $1,312 in payments for services not performed.
Teets further admitted that her customer was found July 1, 2014, in an incoherent state and partially covered in dried excrement by a friend checking on her welfare. Emergency responders transported the customer to a hospital and she was hospitalized for multiple days. Teets had not performed personal assistant services for the customer for more than a week prior to July 1, 2014.
This prosecution is part of the fourth wave of the Operation Home Alone initiative announced June 5, 2014, by Wigginton.
The investigation was conducted by the U.S. Department of Health and Human Services-Office of Inspector General, the Federal Bureau of Investigation, the Illinois State Police-Medicaid Fraud Control Bureau and the Wood River Police Department. The case is being prosecuted by Assistant U.S. Attorney Adam E. Hanna.
Suspected fraud involving health care laws or public aid programs can be reported to the local office of the U.S. Department of Health and Human Services, Office of Inspector General, or by calling (800) 447-8477.
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