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Twin Falls Woman Sentenced To Prison In Medicaid Fraud Case
Boise, Idaho ( KMVT-TV / KTWT-TV ) – A Twin Falls woman has been sentenced to at least one year in prison as part of a scheme to fraudulently bill Medicaid for thousands of dollars in transportation services according to Attorney General Lawrence Wasden. The judge also ordered 40-year-old Shaiyenne M. Anton to pay more than $47,000 in restitution to the Idaho Department of Health and Welfare, Division of Medicaid.
In December 2013, Anton pleaded guilty by entering an “Alford plea,” thereby admitting that the state has sufficient evidence that a jury would likely find her guilty. The plea covers one count of felony provider fraud and one count of felony grand theft.
On Tuesday, Fifth District Judge Richard Bevan sentenced Anton to one year fixed in prison and four years indeterminate on provider fraud. She was sentenced to one year fixed, but nine years indeterminate on the grand theft charge. The judge ordered the sentences to run concurrently.
From 2000-2011, Anton worked as a transportation provider for the Idaho Department of Health and Welfare and billed the agency on a per-mile rate for getting Medicaid recipients to and from doctor appointments or other approved services.
During that period, Anton billed and was reimbursed $105,831 for transportation services. Under the plea agreement, Anton will repay $47,541 to the department’s Medicaid Division.
An investigation launched in 2012 revealed Anton submitted claims for transporting recipients on days where those recipients never traveled for Medicaid-approved services. She was also shown to have billed for transportation for her children, family members, acquaintances and others who lived out of state and had never met Anton.