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Guilty: Thousands overbilled to Medicaid for services

Sentencing is set this spring for a Cottonwood woman convicted at trial last week for theft of thousands of dollars in state Medicaid overpayments.

Tina M. (Roush) Pitcher, 58, is out on her own recognizance pending a May 5 sentencing hearing in District Court.

Following a two-day trial held last Wednesday and Thursday, March 12-13, the jury convened for nearly two hours and returned with a guilty verdict against Pitcher on felony charges of grand theft and grand theft by acquiring lost property.

Pitcher was the owner of Above and Beyond Care, LLC, that provided attendant care and homemaker services to Medicaid clients from around March 2008 to August 2011 in Cottonwood, according to court documents. Prosecutors charged Pitcher received a total $56,594.79 in overpayments on 14 claims that were billed for services not provided to three of her clients during a period between Aug. 30, 2010, to May 31, 2011.

The overpayments were discovered in an investigation by the Medicaid Program Integrity Unit (MPIU) of the Idaho Department of Health and Welfare, which reviewed claims submitted by Above and Beyond’s during a period from July 4, 2010, to May 26, 2011. MPIU charged Pitcher knew she had been overpaid with funds, exercised unlawful control over these and took no reasonable measures to return state monies to Medicaid.

Idaho Deputy Attorney General Laura Perkovic prosecuted the case, presided in by District Judge Michael Griffin. Pitcher was represented by public defender Chris Lamont.

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