Youth Counselors Charged with Defrauding Georgia Medicaid of More than $600K

GA 2013 Behavioral Health

OIG False Claims Medicaid Fraud

Penalty

$600,000

Outcome

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Details

Youth Counselors Charged with Defrauding Georgia Medicaid of More than $600K — $600,000 Settlement

Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.

Official websites use .gov A .gov website belongs to an official government organization in the United States.

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On April 17, 2013, the Gwinnett County Grand Jury indicted co-defendants Derrell Jackson and Shayla Darrington Jackson for violation of the Georgia Racketeer Influenced and Corrupt Organizations Act, Medicaid Fraud, and Theft by Taking. Derrell Jackson and Shayla D. Jackson, husband and wife, obtained over $600,000.00 of Medicaid funds by submitting false billing to the Georgia Medicaid program over the course of three years. Their company, Project Focus, LLC, was enrolled in the Medicaid program known as Intensive Family Intervention, which provides in-home mental health

HHS Office of Inspector General

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.

Source: Youth Counselors Charged with Defrauding Georgia Medicaid of More than $600K

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