Indianapolis Man Charged In Medicaid Fraud Scheme
News Release
INDIANAPOLIS – Following an investigation by Attorney General Todd Rokita’s Medicaid Fraud Control Unit, an Indianapolis man has been arrested and charged with 43 counts of Medicaid fraud and one count of theft after he allegedly falsified documents to indicate a qualified physician was overseeing mental health services provided at his business, TRUTH Treatment Centers Inc.
A deputy attorney general on the Medicaid fraud control team will prosecute the case against Kevin L. Calvert in Marion Superior Court. According to records, the 57-year-old entrepreneur submitted bills totaling more than $2.7 million for addiction treatment services supposedly provided to patients by medical professionals.
Based on the state’s investigation, however, the business allegedly was using recent graduates of its drug treatment program – without the required education and licensure – to provide counseling.
The physician listed as the rendering provider on the majority of the business’s billings is an anesthesiologist who told investigators he never provided any medical services or held any role with the business – adding that he was surprised to learn the billing from the business was under his name.
“We take very seriously our responsibility to protect Indiana’s resources from fraudsters,” Rokita said. “The Medicaid program is meant to help low-income individuals get the health care they need. Our office will continue to ensure that Hoosiers’ tax dollars supporting this program are protected from fraud and abuse, and we would ask anyone with information about suspected fraud of this nature to please report it to our office.”
Rokita expressed gratitude to the Medicaid fraud control staff working on the case. Specifically, he named Investigator John Mills, Deputy Attorney General Georgeanna Teipen (who will prosecute the case) and unit director and Chief Counsel Matthew Whitmire.
It is important to remember that any accusation that someone has committed a crime, an arrest and/or the filing of a criminal charge is simply an allegation and is not evidence of guilt; all suspects are presumed innocent unless and until proven guilty beyond a reasonable doubt at trial, the attorney general’s office said in its news release.
The Indiana Medicaid Fraud Control Unit receives 75% of its funding from the U.S. Department of Health and Human Services under a federal grant. The remaining 25% is funded by the state of Indiana.
Visit the following links to see a probable cause affidavit and charging document.