{"id":2423,"date":"2026-06-30T14:09:07","date_gmt":"2026-06-30T14:09:07","guid":{"rendered":"https:\/\/usmovingexpertss.com\/?p=2423"},"modified":"2026-06-30T14:09:07","modified_gmt":"2026-06-30T14:09:07","slug":"sc-attorney-general-charges-7-in-cases-tied-to-health-care-fraud-takedown","status":"publish","type":"post","link":"https:\/\/usmovingexpertss.com\/?p=2423","title":{"rendered":"SC attorney general charges 7 in cases tied to \u2018health care fraud takedown\u2019"},"content":{"rendered":"<article><!-- --><!-- --><!-- WPS-5038 -- removed the script from WPS and added the placeholder for trinity player --><!-- --><!-- --><!-- --><!-- --><!-- --><!-- --><!-- CONTENT --><!--[--><!--[--><\/p>\n<p>Every year, providers work through the cracks in the United States health care system, using state and federal beneficiaries \u2014 most of the time, their trusting patients \u2014 to spend government funds.<\/p>\n<p>Read more <a href=\"https:\/\/usmovingexpertss.com\/?p=2421\">Man was shot twice and tried to run when he killed his attacker, SC cops say<\/a><\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>A part of the nation\u2019s \u201chealth care fraud takedown,\u201d South Carolina released a round of fraud busts June 25, raising questions about abuse in a state where more than 60% of Medicaid spending goes to vulnerable and elderly adults.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>The South Carolina Attorney General\u2019s Office announced criminal charges against seven people accused of Medicaid fraud or financially exploiting vulnerable adults. The cases involve more than $46,000 in alleged fraud.<\/p>\n<p><!--]--><!--[--><\/p>\n<p>Led by the U.S. Department of Justice, which has ramped up enforcement in the health care system, nationwide roundups have uncovered $6.5 billion in alleged fraudulent claims submitted to Medicare, Medicaid and other federal health care benefit programs.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Among those accused in South Carolina was a Medicaid patient\u2019s attorney, who used Cash App to transfer around $16,500 from the victim\u2019s funds to make payments on a new vehicle. A Seneca resident allegedly tried to steal a vulnerable adult\u2019s property by forging a deed that falsely transferred ownership to herself. A nursing assistant in Walterboro is being prosecuted for falsifying timesheets to make it appear she had cared for a Medicaid patient when she had not, resulting in a nearly $15,000 loss to the program.<\/p>\n<p><!--]--><!--[--><\/p>\n<h2>What is the cost?<\/h2>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>As a policy officer at the Robert Woods Foundation, a philanthropic organization that funds health care research, Dr. Katherine Hempstead has become familiar with all types of scams within the system.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Her research in South Carolina found that while families make up about 80% of Medicaid enrollees, seniors and people with disabilities account for most of the spending because of their complex health care needs.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Home-based services, which a lot of seniors and people with disabilities need, typically cost a lot, Hempstead said.<\/p>\n<p><!--]--><!--[--><\/p>\n<p>Patients in the state\u2019s rural counties, many that are battling accessibility issues, can drive up spending because they require care in their homes. They are also commonly targeted by corrupt providers, she said.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>\u201cFraud is a problem in all kinds of insurance programs, public and private,\u201d Hempstead said. \u201cInsurance creates an opportunity for fraud. Medicaid is no different.\u201d<\/p>\n<p>Read more <a href=\"https:\/\/usmovingexpertss.com\/?p=2420\">SC to start spending year without budget in place. What it means for taxpayers<\/a><\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Out of the $11.5 billion the S.C. Department of Health and Human Services has expended on Medicaid so far in 2026, South Carolina courts ordered about $1.3 million in restitution during that period.<\/p>\n<p><!--]--><!--[--><\/p>\n<p>\u201cWhile the collective impact of enforcement actions like the Takedown is monumental, our work extends far beyond this roughly two-week window,\u201d said Attorney General Alan Wilson in a press release about the seven arrested for fraud.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<h2>What enforcements look like without Medicaid expansion<\/h2>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>By not expanding Medicaid under the Affordable Care Act, South Carolina\u2019s program does not have to implement federal work requirements, a policy that requires certain adults to complete 80 hours of work each month to maintain eligibility for health care benefits.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Instead, the state\u2019s enforcements target providers, a move that could limit access to care for patients who rely on home-based services or live in rural communities, Hempstead said.<\/p>\n<p><!--]--><!--[--><\/p>\n<p>Hempstead described efforts to gradually tighten regulations as a \u201cbait and switch,\u201d saying they can lead the public to assume that people who lose coverage must have committed fraud.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>\u201cThey are trying to create this idea that the people who are going to lose their coverage are somehow committing fraud and that\u2019s why they\u2019re losing their coverage,\u201d she said.<\/p>\n<p><!-- --><!--]--><!--[--><\/p>\n<p>Each of the 41-related cases currently being prosecuted by the Attorney General\u2019s Office fall under vulnerable adult abuse or Medicaid provider fraud, according to a press release that was timed to coincide with World Elder Abuse Awareness Day on June 15.<\/p>\n<p><!--]--><!--[--><\/p>\n<p>\u201cThis historic takedown highlights the critical importance of stopping fraud and protecting our neighbors,\u201d Wilson said.<\/p>\n<p>Read more <a href=\"https:\/\/usmovingexpertss.com\/?p=2419\">Man had flamethrowers and crossbows as he sat outside church service, NC police say<\/a><\/p>\n<p><!-- --><!--]--><!--]--><!-- --><!-- --><!-- --><!-- --><\/article>\n","protected":false},"excerpt":{"rendered":"<p>South Carolina AG charged seven with Medicaid fraud, vulnerable adult exploitation after a national health care fraud takedown, billions in alleged claims.<\/p>\n","protected":false},"author":1,"featured_media":2422,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2423","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-interesting"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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