JACKSONVILLE, Fla. – A Jacksonville woman who owns a personal care services company was arrested Tuesday, on a charge of Medicaid provider fraud, according to an arrest report from the Jacksonville Sheriff’s Office.
Tymeka Spears, 46, owner of Trucare Health Services, faces one count of Medicaid provider fraud in excess of $10,000 but less than $50,000.
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Fraud complaint triggers investigation
According to Spears’ arrest report, the investigation began July 29, 2025, when the Florida Office of the Attorney General’s Medicaid Fraud Control Unit received a complaint alleging that Spears was submitting fraudulent claims for personal care services that were never provided to Medicaid recipients.
The complaint was filed by a waiver support coordinator who oversaw the care of three Medicaid recipients, identified in the report only by their initials. The coordinator told investigators she noticed several dates of service for Trucare Health Services with missing notes in the Medicaid I-Connect system and contacted Spears about the discrepancy.
JSO: Witnesses describe limited or no services
Investigators interviewed the mother of one Medicaid recipient in August 2025. The mother told investigators that Spears began providing services for her son in June 2024, working Monday through Thursday from 1 to 5 p.m. and Fridays from 11 a.m. to 5 p.m.
According to investigators, the mother said she grew concerned about the services and contacted her son’s waiver support coordinator. She provided investigators with a wall calendar documenting the days Spears was absent.
Investigators also interviewed the mother of two other Medicaid recipients, both described as men with autism in their mid-30s. She stated that a caregiver employed by Spears was first assigned to provide services for her sons, coming Monday through Friday from 9 a.m. to 2 p.m. for approximately six months.
According to the arrest report, the mother told investigators the employee “mostly just slept on her sofa,” prompting her to dismiss him. She said Spears then took over providing services directly.
Surveillance conducted at recipient’s home
According to the arrest report, investigators conducted physical surveillance at the residence of two of the Medicaid recipients on multiple occasions in October 2025 to determine whether Spears was actually present during the hours she billed Medicaid.
During one visit, surveillance confirmed a resident exited the home at 9:15 a.m. and that the recipients’ mother left the residence at 10:42 a.m. without returning before investigators ended their observation. Two additional surveillance visits were conducted in October 2025.
The specific findings of what surveillance revealed about Spears’ whereabouts during billed hours are redacted in the public arrest report.
Spears interviewed by investigators
On Jan. 8, 2026, investigators conducted a recorded interview with Spears at her Adult Day Care Center on Arlington Road in Jacksonville. According to JSO, Spears acknowledged she was aware of the investigation after speaking with the parents of the Medicaid recipients.
The substance of Spears’ statements to investigators is also redacted.
She has been released on bond.