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Beshear: Elliott County Woman Sentenced for Medicaid Fraud

Kentucky Attorney General

Attorney General Andy Beshear and his Office of Medicaid Fraud and Abuse today announced an Elliott County woman has been sentenced on felony charges for Medicaid fraud.

Ruby Fraley, 56, of Isonville, was convicted earlier this month in Elliott Circuit Court on two counts of Medicaid fraud, both Class D felonies. Her sentencing was in Morgan Circuit Court this week, where she was sentenced to one year on each count, to run concurrent. The court probated her sentence. 

Additionally, Fraley paid $1,640 in restitution in advance of her sentencing.

Fraley, who was indicted by an Elliott County grand jury in May, was employed to manage the services of Medicaid recipients who were enrolled in the Consumer Directed Options Program that allows qualifying Medicaid members to receive nonmedical services in their home.

During her plea, Fraley admitted to fraudulently submitting documents to the Kentucky Medicaid Program causing a loss to Medicaid of more than $1,600. Fraley completed and submitted timesheets representing that an employee had provided personal care to a Medicaid recipient in her home when records indicated that the employee could not have provided services, according to court documents.    

Fraley admitted to submitting timesheets indicating she was providing personal care for a Medicaid recipient while at the same time billing and receiving payment for transporting other Medicaid recipients, according to court documents.

This case was investigated by Office of Medicaid Fraud and Abuse of the Kentucky Attorney General’s Office and the Cabinet for Health and Family Service’s Office of the Inspector General.

“I take my role as Medicaid watchdog very seriously,” Beshear said. “Medicaid is a vital service that our state can afford and must support. My office is committed to protecting Kentucky families from anyone who would defraud such a critical program.”

The Attorney General’s tip line for reporting allegations of Medicaid provider fraud is 502-696-5405. Since taking office on Jan. 3, Beshear has recovered over $8.5 million for the state through Medicaid provider fraud recoveries.

Story provided by (Kentucky Attorney General)