Missouri Attorney General Catherine Hanaway announced that the Medicaid Fraud Control Unit secured a Medicaid fraud conviction against Melissa Bates in connection with false personal care service claims submitted while her daughter, Dajah Sanders, was incarcerated.
According to the attorney general’s office, Bates used her own phone to clock Sanders in and out as though Sanders were providing personal care services. The arrangement allowed Sanders to receive Medicaid payments for services she could not have performed while incarcerated at the St. Louis County Justice Center.
Sanders was incarcerated at the St. Louis County Justice Center from Sept. 10 through Sept. 20, 2022. During that period, Bates submitted information to Missouri Medicaid indicating that she received personal care services on eight separate days, averaging approximately four hours per day.
Seven false claims for services purportedly provided by Sanders to Bates were submitted while Sanders was incarcerated and unable to perform the work. Missouri Medicaid sustained a loss of $533.01 from the fraudulent claims. The state is holding each defendant responsible for half of the restitution.
An analysis by a Medicaid Fraud Control Unit investigator of bank account deposits and withdrawals indicated that Bates and Sanders were engaged in what investigators described as check-splitting. The practice involves a Medicaid recipient and personal care attendant working together to submit false claims and then...
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