Pretty Prairie woman pleads guilty to health care fraud

TOPEKA, Kansas — A Pretty Prairie woman, who fraudulently received payments from the Kansas Medicaid program to care for her sister with Downs Syndrome, has pleaded guilty to federal health care fraud charges.
Lupe Adela Mains pleaded guilty to one count of health care fraud and one count of mail fraud.
In her plea, she admitted that from Oct. 1, 2007, to March 31, 2009, she received Medicaid funds for providing supportive home care services to her sister even though she had ceased to provide those services.
In fact, Mains’ sister was being cared for by another family member in Wichita during that time.
In addition, Mains admitted that she fraudulently continued to collect her sister’s Railroad Retirement Board survivor disability benefits. Mains failed to disclose to the Railroad Retirement Board that her sister was no longer in her care.
Sentencing is set for July 1. The parties have agreed to recommend a sentence of one month incarceration, 13 months community confinement and restitution of $50,242.
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