Four persons have been arrested in a Medicaid fraud case investigated by the Missouri attorney general's office. 

Four persons have been charged – including two residents of Texas County – in a Medicaid fraud case, Missouri Attorney General Chris Koster said Tuesday afternoon.

Koster said Medicaid recipient Carolyn Koenig, 50, of Licking; and three of her former in-home personal care attendants – Casie Koenig, 32, Licking; Melinda Alterauge, 47, Branson; and Alethea Stemick, 30, Kirbyville – have been charged with various counts of Medicaid fraud for their involvement in a scheme that defrauded Missouri’s Medicaid system. Alterauge and Stemick also face a theft/stealing charge.

The Attorney General’s Medicaid Fraud Control Unit is assisting Texas County Prosecuting Attorney Michael Anderson in the prosecutions.

Koster said his 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, Koster said.

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

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.


Missouri’s attorney general said his unit led theinvestigation after a personal care company that supervised CarolynKoenig’s services and employed some of her attendants reported itssuspicions of fraud.

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