Home Health care provider Metro East Personal Assistant Faces Healthcare Fraud Charges | USAO-SDIL

Metro East Personal Assistant Faces Healthcare Fraud Charges | USAO-SDIL



EAST SAINT LOUIS, Illinois – Shomanicka Holly, 36, of East Saint Louis, Illinois, was arraigned in
federal court today after a grand jury issued an indictment charging him with three counts of
health care fraud crime.

The indictment alleges that Holly was a personal assistant from 2016 to 2019 for a
beneficiary enrolled in the Illinois Department of Social Services Home Care Program. The House
The Service Program is a Medicaid program in Illinois that provides personal assistants to
Medicaid recipients to help them with general household activities and personal care. He is
designed to reduce Medicaid spending by avoiding more expensive institutional care, including
nursing home care.

According to the indictment, Holly submitted false timesheets requesting payment of
personal assistant services that she never actually provided because she was working in another
work, not looking after the Medicaid recipient. In doing so, Holly would have defrauded the
program and violated its policies stating that personal assistants “cannot bill [the Home 
Services Program] for the same hours worked during another job ”and“ invoicing for
the hours not worked constitute Medicaid fraud.

The Holly case is to be tried on October 4, 2021 at 9:00 a.m., before the United States District Judge
David W. Dugan at the Federal Courthouse in East St. Louis. If convicted, Holly faces a maximum penalty
10 years in prison for each count of fraud.

An indictment is a formal charge against an accused. By law, a defendant is presumed to be
innocent of a charge until proven guilty beyond a reasonable doubt to the satisfaction of a jury.

This case was investigated by officers of the US Department of Health and Human Services, Office of
Inspector General (HHS-OIG) and Illinois State Police, Medicaid Fraud Control Bureau (MFCB).
The case is being pursued by Assistant United States Attorney Luke J. Weissler.