EAST ST. LOUIS — A Granite City woman was sentenced to five years of probation Tuesday on a charge she engaged in a scheme to defraud a health care program.
In a press release, Acting U.S. Attorney James L. Porter said Jessica A. Teets, 28, also was ordered to pay $1,292 in restitution to the Home Services Program.
During her plea hearing, Teets admitted she 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, claiming that she had rendered personal assistant services to a customer when she had not. 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, who was her mother, was found on July 1, 2014, in an incoherent state, 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.
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 was prosecuted by Assistant U.S. Attorney Adam E. Hanna.
Individuals or companies that are not complying with 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.