Ohio’s Medicaid has paid more than $5 million to a company that says it sends helpers to the homes of the elderly – even though the company’s president previously had a daycare shut down because of signs it was billing for nonexistent children, and her husband had a felony conviction for billing the government for nonexistent elder services. The tale raises questions about what, if any, effort the government makes to ensure it isn’t being tricked by Medicaid providers who bill the government vast sums.