The "largest health care fraud takedown operation in American history," according to U.S. Attorney General Jeff Sessions, involved more than 400 licensed health professionals nationwide and totaled $1.3 billion in false billing.
Two separate rings of Minnesotans and a North Dakotan were charged for a combined $8.6 million swindled, according to Swanson.
"It's an affront to the taxpayers who finance these programs with their generosity when criminals steal money from the programs and bilk the systems," Swanson said.
She said the aim of the takedown is to deter people from abusing the system, to encourage people to report fraud, and to penalize those involved.
The investigation required 40 search warrants and 1 million separate files, Swanson said, but it all started with one person's tip to the Department of Human Services.
Swanson filed a criminal complaint against a mother-daughter duo Thursday for bilking $900,000, and a group earlier this week for $7.7 million.
A MINNESOTA MOTHER-DAUGHTER DUO
Juanita Swain, 54, of Brooklyn Center, and her daughter Aretina Williams, 34, of Brooklyn Park, used Your Way Home Care, Inc., a health care agency that they co-owned, to fraudulently bill Medical Assistance about $929,000, Swanson said.
The duo billed Medical Assistance by submitting bills for services which were not provided, usurping people's identities to submit false claims, and paying unlawful kickbacks to recipients who threatened to blow the whistle. Some of the services supposedly delivered were to a man who was in prison, according to criminal complaints filed in Hennepin County District Court.
In one instance, Your Way billed more than $200,000 for personal care attendant services that were not provided for a mother and her three children. Williams paid kickbacks to the mother to induce her to cooperate with the scheme, telling her "Christmas came early" in one text message about the kickbacks, according to Swanson.
When Your Way Home Health Care's authority to file claims was suspended by the Minnesota Department of Human Services, Williams' father, 57-year-old Michael Carson of Park Forest, Ill., acted as a "front," allowing Williams to open a new home health care, Swanson said.
Charged in the alleged operation were:
• Carson faces a charge of attempted theft by swindle.
• Swain faces 10 charges of aiding and abetting theft by false representation, eight of them for alleged thefts of more than $35,000 and two for alleged thefts of more than $5,000.
• Williams faces a charge of attempted theft by swindle and 10 charges of aiding and abetting theft by false representation — eight of them for alleged thefts of more than $35,000 and two for alleged thefts of more than $5,000.
RICHARDSON AND ACCOMPLICES
Earlier this week, Swanson charged Lillian Richardson (Swain's cousin), 53, and six accomplices, including a West Fargo, N.D. , woman for defrauding the Medical Assistance program through five different agencies.
Richardson was working remotely from Arkansas after she had previously been banned from working with Minnesota agencies after being convicted of medical costs theft in 2012.
Similar to the Williams-Swain cases, Richardson also charged Medical Assistance for services not provided, using the identity of unknowing people, and signing time sheets without completing work, among other complaints, Swanson said.
Richardson instructed her accomplices to keep the matter private, telling one of them in a text message to "get a little phone today that we can text each other" on, and "don't talk about dhs business on your phone," according to Swanson.
The others charged were
• Bridgett Burrell, 50, of Maple Grove; Richardson's sister
• Cherise Henry, 48, of Brooklyn Park; Richardson's sister
• Lasania Oda, 37, of Phoenix, Arizona; Richardson's daughter
• Deanna Williams, 53, of New Hope; Richardson's associate
• Tonette Brackins, 31, of West Fargo, N.D.; Richardson's associate
Each defendant was charged with multiple counts of felony theft by swindle and felony racketeering, according to Swanson.
"Healthcare fraud against public programs is not a victimless crime," Swanson said. "The victims are every single taxpayer who helps fund this program and take care of taxpayer needs."
She said there are most likely several other fraud schemes in Minnesota and nationally, and her department submitted many recommendations to the Department of Human Services to prevent fraud rather than catching it at the end.