In an Eastside St. Paul apartment, 39-year-old Rick Clemmer was found dead on March 7, 2025. Police body-camera video from the scene captures a paramedic stating, “He’s got rigor and lividity – so he’s been deceased for a long amount of time.”
Rick Clemmer (Credit: KARE 11)
Clemmer’s death was ruled natural. The medical examiner cited an enlarged heart, but his mother, Mickey Clemmer, believes what’s written on the autopsy report tells only part of the story.
“If they were really providing him the services they should have been,” she told KARE 11, “he would be here with me.”
Rick battled serious mental illness for most of his adult life and struggled with addiction when off his court-ordered medication.
His past included civil commitments, incarceration, and living in supervised settings such as group homes. His family says he’d never lived on his own.
That changed in the summer of 2024, when he moved into his own apartment supported by a Medicaid-funded program called Integrated Community Supports or ICS.
Overseen by the Minnesota Department of Human Services (DHS), ICS is designed to help adults with disabilities live independently with daily one-to-one assistance – help with health, safety, and household tasks so people can maintain stability and independence in their own homes and communities.
For that individualized support, private ICS companies can bill hundreds of dollars a day.
But for Rick, “that’s where I think things went downhill,” his mom said.
Records obtained by KARE 11 show Rick’s ICS provider, Ultimate Home Health Services LLC, billed taxpayers $461.94 every single day, claiming to provide, on average, 12 hours of service daily.
Ultimate Home Health Services’ office suite, locked and empty during business hours (Credit: KARE 11)
“Fraud,” Mickey said bluntly. “They’re billing for something that never happened.”
She says she visited weekly, usually spending whole days at his apartment. “I can definitely confirm that those days there was nobody there,” she said, “I was there; there was nobody there.”
When Rick was found dead, St. Paul Police questioned an employee of Ultimate Home Health Services at the scene, his answers sharply undercut the company’s Medicaid billing:
Officer Rodriguez: When is the last time you guys know, seen him, or known that he was alive?
Abdul Ibrahim: Yesterday.
Officer Rodriguez: Around what time?
Abdul Ibrahim: It was yesterday morning…He is the most, one of the most independent, you know, residents here. So, we don’t got to do that much checking on him.
When asked if Rick was currently using drugs, the ICS worker responded, “I mean, to be honest, I do my daily check-ins, I have no idea what he does.” (Read more: KARE 11, 11/20/2025) (Archive)