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Three charged with Medicaid fraud, forging prescriptions in Lawrence County

A doctor and two others have been indicted in Lawrence County on charges of Medicaid fraud and prescription forgery.

Dr. Alfred Baldera, 63, Kevin Gauze, 47, and Janice Gauze, 47, of Tri-State Family Medical Center, were arrested after being indicted by a grand jury Friday, according to a news release from the Kentucky Attorney General’s office.

Baldera and Kevin Gauze are accused of billing Medicaid “for office visits and drug testing where the patients were not present” between 2010 and 2013, according to the attorney general.

And earlier this year, the men billed Medicaid for services Baldera allegedly performed when he “was not present to perform the services,” according to the news release.

They also are accused of forging prescriptions for controlled substances when Kevin Gauze “forged Baldera’s name” on prescriptions, including “prescriptions for controlled substances for himself.”

Janice Gauze “presented prescriptions for controlled substances which were not authorized by law,” the news release stated. She faces a felony charge “related to unauthorized procurement of controlled substances.”

Kevin Gauze is charged with two counts of Medicaid fraud, one count of forgery of a prescription, two counts of unlawful prescribing of controlled substances and one count related to unauthorized procurement of controlled substances.

Baldera is charged with two counts of Medicaid fraud, one count of forgery of a prescription and two counts of unlawful prescribing of controlled substances.

The Kentucky Board of Medical Licensure’s website lists Baldera’s address as Ona, W.Va., and his area of practice as family medicine. He has been licensed in Kentucky since 1987, according to the website.

Tri-State Family Medical Center could be fined up to $20,000 for two counts of Medicaid fraud and one count of forgery of a prescription, according to the attorney general’s office.

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