Colorado Attorney General John Suthers today announced the criminal conviction of occupational therapist Cheryl Moss (47) of Castle Rock, for stealing from the Colorado Medicaid Program. Moss pled guilty to one count of felony theft and one count of felony forgery. She will repay the program $54,332 in criminal restitution and serve 60 days home detention in addition to performing 300 hours of community service. Moss also agreed to pay the Medicaid program an additional $46,000 to resolve any potential civil issues and is required to report her conviction to the Colorado Department of Regulatory Agencies (DORA), which licenses occupational therapists. She will also pay all fees and court costs.
“This criminal case reflects this office’s resolve to combat fraud within the Medicaid program, safeguarding both the public purse and the program itself,” said Suthers. “All providers within this taxpayer-funded program are on notice that Colorado will not tolerate providers who commit fraud and take funds from an important state program that benefits children, the infirm, and those most in need.”
Based on a citizen complaint, the Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General initiated an investigation of Moss into allegations that she had improperly billed the Colorado Medicaid Program. The investigation by the MFCU confirmed the fraudulent billings, as investigators discovered at least 83 forged treatment records. Moss forged those records to support the fraudulent bills submitted to the Colorado Medicaid Program. Moss had claimed that she was providing occupational therapy services for Medicaid recipients when she did not in fact perform those services. Based on forged invoices submitted by her, Medicaid paid Moss for services that she never rendered. The numerous forged invoices for payment were submitted to Medicaid by Moss between November 1, 2009 and August 29, 2011