The Brief
- Wisconsin prosecutors announced charges that a 53-year-old Milwaukee woman submitted more than $1 million in false Medicaid claims.
- According to officials, from Nov. 2020 to Oct. 2023, she allegedly filed claims for prenatal and child care coordination services that were never provided.
- The woman received more than $470,000 from Medicaid.
MILWAUKEE – Wisconsin prosecutors say a 53-year-old Milwaukee woman fraudulently filed more than $1 million in claims to Medicaid for services that weren’t real.
$1 million Medicaid fraud scheme
The backstory:
According to the Wisconsin Department of Justice, between around Nov. 2020 and Oct. 2023, the woman submitted more than $1 million in claims and was paid more than $470,000 she was not entitled to receive. Prosecutors say the billing went through her agency, Abby’s Clubhouse, for prenatal care coordination (PNCC) and childcare coordination (CCC).
PNCC programs are services that connect at-risk pregnant women with medical, social and educational services to improve birth outcomes. Similarly, CCC programs are for families who would like to be connected to educational and health services to improve health outcomes.…