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Attorney General's News Release

January 10, 2012

Attorney General Koster files criminal charges in Medicaid fraud case

Jefferson City, Mo.— Attorney General Chris Koster said today Medicaid recipient Carolyn Koenig, 50, and three of her former in-home personal care attendants – Casie Koenig, 32; Melinda Alterauge, 47; and Alethea Stemick, 30 – have been charged with various counts of Medicaid Fraud and Stealing by Deceit for their involvement in a scheme that defrauded Missouri’s Medicaid system. The Attorney General’s Medicaid Fraud Control Unit is assisting Texas County Prosecuting Attorney Michael Anderson in the prosecutions.

Koster said his Medicaid Fraud Control Unit led the investigation after a personal care company that supervised Carolyn Koenig’s services and employed some of her attendants reported its suspicions of fraud to the Missouri Department of Health and Senior Services and the Greene County Sheriff’s Department.

The investigation revealed that Koenig and her attendants caused Medicaid to be fraudulently billed almost $13,000 between 2009 and 2011 for personal care services that were not actually provided.

The defendants face multiple felony and other charges for submitting falsified timesheets to Medicaid providers.

As in all criminal cases, the charges against the defendants are allegations, and the defendants are presumed innocent until or unless proven guilty in a court of law.

Koster said citizens should report suspected Medicaid provider fraud or abuse and neglect to his Medicaid Fraud Hotline toll free at 800-286-3932, e-mail the complaint to or complete a complaint form on the Attorney General’s Medicaid Fraud website.

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