OLYMPIA— The Attorney General’s Office Medicaid Fraud Control Unit (MFCU) has entered into diversion agreements with two defendants in connection with falsifying timesheets as paid caregivers under the Medicaid program.
The two Bellevue women, Nelya Simora and Galina Yablonskaya, each in separate instances, recorded in-home care hours for work not performed, resulting in payment of roughly $4,000 in Medicaid funds to which they were not entitled—$2,014.30 and $2,007.90, respectively.
Each charged with one count of Second Degree Theft and two counts of Medicaid False Statement, Simora and Yablonskaya agreed to full restitution and 40 hours of community service. If they comply with their obligations within two years, the charges will be dismissed.
The case was referred to the Office of the Attorney General by the Department of Social and Health Services Office of Program Integrity—a division of the Economic Services Administration.
The Washington State Medicaid Fraud Control Unit investigates and prosecutes fraud by health care providers. The unit also monitors complaints of resident abuse or neglect in Medicaid funded nursing homes, adult family homes and boarding homes providing valuable assistance to the local law enforcement in investigating and prosecuting crimes committed against vulnerable adults.
Report suspected Medicaid fraud: 1-800-562-6906 or send an email to HotTips@hca.wa.gov.
You can also report provider fraud via the Attorney General’s Office Web site.
The Department of Social and Health Services Office of Fraud & Accountability investigates client fraud. You can report Medicaid Client Fraud via the Department’s Online Complaint Form, call the Welfare Fraud Hotline at 1-800-562-6906 or send the complaint to Welfare Fraud Hotline, P.O. Box 45817, Olympia, Washington 98504-5817.
The Office of the Attorney General is the chief legal office for the state of Washington with attorneys and staff in 27 divisions across the state providing legal services to roughly 200 state agencies, boards and commissions. Attorney General Bob Ferguson is working hard to protect consumers and seniors against fraud, keep our communities safe, protect our environment and stand up for our veterans.
Contacts: Janelle Guthrie, Director of Communications, (360) 586-0725