Faison pleads guilty in Medicaid fraud case

Mar. 27, 2013 @ 06:26 PM

Bobby Faison pleaded guilty to two felonies this week involving fraud in the state’s Medicaid system, according to Attorney General Roy Cooper.

In a statement from the attorney general’s office, Cooper said Faison pleaded guilty to one felony count of medical provider fraud and one felony count of offering or paying kickbacks by a Medicaid provider for billing child behavioral health services that were not provided.

In September, Faison was arrested and charged with 16 felony counts.

Faison, a counselor with Prodigious Health Services at the time, was charged with involvement in $103,075 of fraudulent activities. He faced a potential prison sentence of 182 months, or just over 15 years, for the 16 charges.

Faison was ordered 24 months of supervised probation by Wake County District Court Judge Vince Rozier. He was also ordered to provide restitution of $56,179.68 to Medicaid, given 50 hours of community service and is banned during his term of probation from employment in a job that could result in billing Medicaid.

If in violation of probation, Faison could be sentenced to between six and eight months in jail.

“We’re cracking down on Medicaid fraud because it wastes taxpayers’ money, squanders funds that should go to needed care, and drives up health care costs for all of us,” Cooper said in a statement provided by his office.

Cooper’s office said Faison was one of six health care providers that has pleaded guilty within the past month during the attorney general’s crackdown on fraud.

Faison came under investigation while a counselor in December of 2011. A tip came from a Medicaid recipient, according to Cooper, saying the family’s recipient numbers had been used despite no services from Prodigious.

Faison’s case was prosecuted by John Parris, the assistant attorney general, and the investigation was led by Richard Bedford with assistance from the State Bureau of Investigation and the N.C. Division of Medical Assistance.

Although Prodigious is a mental health provider in Vance County, the charges were issued in Wake County because the fraudulent bills were sent to the N.C. Division of Medical Assistance in Raleigh for payment processing.

When he was arrested in September, Faison was also served with two outstanding warrants, which were unrelated to the fraud investigation, from Guilford and Vance counties alleging sexual battery and assault on a female.

The Medicaid Investigations Division in the attorney general’s office has recouped more than $500 million in the last 10 years, convicting hundreds on criminal charges.

Contact the writer at awooten@hendersondispatch.com.