Woman Pleads Guilty to Medicaid Fraud
On Tuesday, January 19, 2016, E’Terica Rucks was sentenced to two years in prison followed by eight years on probation after pleading guilty to Medicaid Fraud in DeKalb County Superior Court. As part of the sentence Rucks will have to pay restitution in the amount of $659,183.44 to the State.
Between July 19, 2010 and June 25, 2012, Rucks owned and operated Family Functions, LLC. Family Functions held itself out to the public as a behavioral health provider that served many Medicaid recipients in both the Atlanta area and at a satellite site in northern Georgia. An investigation by the Georgia Medicaid Fraud Control Unit revealed that Rucks’ business submitted numerous claims for payments that were fraudulent in nature.
The Medicaid Fraud Control Unit’s investigation uncovered claims that were submitted for Medicaid recipients who were never seen by Family Functions. A substantial amount of billing was also done for undocumented services or for services whose documentation had been falsified. The money received was spent on personal items and other non-business related expenses.
The case was investigated by Investigator Matthew Rouse, Investigative Auditor Kenyetta Smith, Intelligence Analyst Kirste Young, Nurse Investigator Judy Cooper, and Investigative Auditor Anita Reddick all of the Medicaid Fraud Control Unit. Assistant Attorney General Jim Mooney prosecuted the case on behalf of the State.