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    Rutledge Announces a Second Arrest in Connection to Little Bitty City Therapeutic Services

    December 7, 2018

    LITTLE ROCK – Arkansas Attorney General Leslie Rutledge today announced the arrest of a Garland County man for Medicaid fraud. This arrest is in connection to an arrest made in November of Tonashae Echols, 33, of Hot Springs.

    James E. Heritage II, 36, of Hot Springs was in charge of billing for Little Bitty City Therapeutic Services, and is accused of billing private insurance companies as well as the Medicaid program for services not rendered. According to the affidavit, Heritage lied about services therapists were providing and billed Medicaid for 693 claims, totaling $56,338.40 between October 1, 2016 and April 30, 2017. He is charged in Pulaski County with one count of Medicaid fraud, a Class B felony.

    “Heritage is accused of stealing from insurance providers and the Medicaid program, which is a safety net for many Arkansans,” said Attorney General Rutledge. “I will not tolerate this deceptive behavior from those who should be committed to helping children.”

    Heritage is the brother of Echols, who was arrested in November as the Therapy Manager of Little Bitty City Therapeutic Services. Echols is accused of making false statements regarding her family’s income in order to receive Medicaid benefits for her children, and billing Medicaid through the business for services provided to her children from November 2015 through July 2017. She has been charged with one count of Medicaid fraud, a Class B felony.

    Medicaid fraud occurs when providers use the Medicaid program to obtain money to which they are not entitled. To report Medicaid fraud or abuse or neglect in residential care facilities, contact the Attorney General’s Medicaid fraud hotline at (866) 810-0016 or

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