Ocala Woman Sentenced To Federal Prison For Medicaid Fraud

Tampa, FL - U.S. District Judge James S. Moody, Jr. today sentenced Tiffany McIntyre (34, Ocala) to three years in federal prison for committing health care fraud and aggravated identity theft. As part of her sentence, the court ordered restitution and entered a money judgment in the amount of $128,051.76, the proceeds of the health care fraud. McIntyre pleaded guilty on June 3, 2013.

According to court documents, McIntyre engaged in a scheme to defraud the State of Florida Medicaid Program ("Medicaid") by billing for services that were not rendered, using the identities of Medicaid recipients without their knowledge or permission. Medicaid, a federal health insurance program that provides coverage for indigent persons, children, and certain disabled individuals, is funded through federal and state tax revenue.

In August 2009, McIntyre was issued an Adult Family Care Home license by the Agency for Health Care Administration (AHCA). The license allowed her to operate an adult family care home in Ocala. She also submitted an application to become a Medicaid Provider to AHCA, requesting approval to provide daily living assistance as an assistive care provider, in her Ocala adult care family home, to Medicaid recipients who are not able to function by themselves. For a period of time in 2009 and 2010, McIntyre provided some of these services. Thereafter, she submitted false claims to Medicaid for assistive care services for Medicaid recipients who never resided at her adult family care home. From January 2011 through at least September 2012, McIntyre submitted false and fraudulent claims to Medicaid in the amount of approximately $148,681, using the identities of Medicaid recipients without their knowledge or authorization. McIntyre was paid a total of $128,051.76 by Medicaid for these false and fraudulent claims.

This case was investigated by Department of Health and Human Services and the Medicaid Fraud Control Unit of the Office of the Florida Attorney General. It was prosecuted by Assistant United States Attorney Kelley C. Howard-Allen.