Mathies-Hill Charged in $1M Medicaid Fraud

Milwaukee woman faces felony charges over alleged fraudulent childcare and prenatal claims billed to Wisconsin Medicaid.

Updated on Nov. 6, 2026 in Child Care

Bold flat-color editorial illustration of a civic building facade with a lone flagpole and empty steps, in deep red and cream. — Wisconsin prosecutors charged Milwaukee woman Caprice Mathies-Hill, 53, with felony counts alleging more than $1 million in fraudulent Medicaid claims through her childcare agency, Abby's Clubhouse. AI Illustration. Upload story photo >

The Wisconsin Department of Justice has filed criminal charges against Caprice Mathies-Hill, 53, of Milwaukee, for allegedly submitting more than $1 million in fraudulent Medicaid claims through her agency, Abby's Clubhouse. The case was referred by the Wisconsin Department of Health Services Office of the Inspector General.

Why it matters

The alleged scheme targeted services for expectant and new parents, a vulnerable population relying on public assistance programs. Prosecutors say the claims were filed over several years before the activity was uncovered.

The complaint alleges Abby's Clubhouse billed Medicaid for two-hour care appointments that were never conducted and for services covering prenatal and childcare coordination. Mathies-Hill faces multiple felony counts, including theft by fraud, wire fraud as a party to a crime, and two counts of public assistance fraud involving kickbacks.

The players

Caprice Mathies-Hill

Milwaukee woman, 53, who operates Abby's Clubhouse and is charged with multiple felony counts of Medicaid fraud.

Josh Kaul

Wisconsin Attorney General whose Department of Justice filed the criminal charges against Mathies-Hill.

Wisconsin Department of Health Services Office of the Inspector General

State office that investigates Medicaid program fraud and referred the case to the Department of Justice.

The details

Prosecutors allege Mathies-Hill enticed families to enroll with Abby's Clubhouse by providing non-covered promotional items such as diapers and baby wipes, then billed the state for those items. She is also accused of billing for appointments that did not take place.

November 2020 to October 2023: Period in which the alleged false claims were submitted.
November 5, 2026: Attorney General Josh Kaul announced the criminal charges.

Big Picture

The case follows the Wisconsin Office of the Inspector General's referral pathway for suspected Medicaid misuse, which routes allegations from state program auditors to prosecutors for criminal review. It shows how state enforcement applies to home-based and community childcare coordination billing.

Families who receive childcare coordination or prenatal support through Medicaid-funded providers should verify billing and service documentation with their provider. Anyone seeking Wisconsin Medicaid services can contact the state's public assistance office to confirm approved providers.

The takeaway

Medicaid programs depend on accurate provider billing, and families using these services can benefit from keeping copies of their service records. Reporting suspected fraud to the state Office of the Inspector General helps protect public assistance funds for eligible families.