Office of the Attorney General
Attorney General Conway Announces Sentencing of Former Caregiver

Press Release Date:  Friday, November 21, 2014  
Contact Information:  Daniel Kemp
Deputy Communications Director
502-696-5659 (office)

FRANKFORT, Ky. -  Attorney General Jack Conway and his Medicaid Fraud and Abuse Control Unit today announced the sentencing of a former caregiver on a charge of defrauding the Kentucky Medicaid program.  This morning, 47-year-old Heriberto Ortiz was sentenced in Lee Circuit Court to three years in prison, which will be probated for a period of five years.  Ortiz was also ordered to pay $42,115 in restitution to the Kentucky Department of Medicaid Services.

Ortiz worked as a caregiver for Rock Arch Refuge, a company based in Lee County that provides Medicaid-funded services to disabled patients.  On Aug. 15, 2014, Ortiz pleaded guilty to defrauding the state Medicaid program. In pleading guilty, Ortiz admitted that from February 2013 until December 2013, he submitted false timesheets for services he did not perform, resulting in a loss to the Medicaid program of $42,115. 

Ortiz’s conviction is the result of a broader investigation of Medicaid-funded in-home caregiving companies located in Jessamine, Fayette and Lee counties.  The investigation was conducted by Attorney General Conway’s Medicaid Fraud and Abuse Control Unit and the Cabinet for Health and Family Services’ Office of the Inspector General.  To date, the investigation has yielded two additional felony convictions involving Medicaid fraud. 

Medicaid Recoveries
Since Attorney General Conway took office in January 2008, his Office of Medicaid Fraud and Abuse Control has recovered or been awarded more than $260 million for the state and federal Medicaid programs. These cases range from lawsuits and settlements against pharmaceutical companies to cases against individual providers.

In 2013, General Conway’s Medicaid Fraud Unit was named one of the most aggressive in the country by the nonprofit watchdog group Public Citizen.

The Attorney General’s tip line for reporting allegations of Medicaid fraud is 1-877-228-7384.

You can follow Attorney General Conway on Twitter @kyoag, visit the Attorney General’s Facebook page or view videos on our YouTube channel.