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MassHealth

Mass Healthcare Professional Abused Power For Personal Financial Gains: AG Mass Healthcare Professional Abused Power For Personal Financial Gains: AG
Mass Healthcare Professional Abused Power For Personal Financial Gains: AG A healthcare professional and his accomplice are accused of collecting larges sums of money for providing fake services for a client that was not actually receiving care, officials said.   Donald Martel, 67, of Georgetown and Jessica Parisella, 42, of Danvers were both indicted for counts of medicaid false claims and larceny over $1,200 on Monday, Dec. 5, Attorney General Maura Healy reports.  The two allegedly submitted false timesheets and claims suggesting that Martel, a board certified behavior analyst and licensed mental health counselor, was providing services to Parise…
Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG
Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG A Plymouth resident is accused of cheating the state's Medicaid program out of hundreds of thousands of dollars through sex-related crimes and fraudulent claims, officials said.  Eric Melendez, age 43, was indicted for collecting large sums of money from MassHealth on Monday, Dec. 5, Attorney General Maura Healy's Office reports.  The office alleges that Melendez employed multiple people as Personal Care Attendants (PCAs) and submitted timesheets with hours and tasks the attendants never worked.  One of Melendez's accomplices, Angelica Pierni, 3…
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG A 28-year-old man from Lowell was sentenced to two years in jail for cheating MassHealth out of more than $100,000 as an employee, Attorney General Maura Healy announced on Thursday, Sept. 22.  Investigators determined that Abdinafa Maow, who worked as a Personal Care Attendant for MassHealth, got paid for services that he never performed between 2015 and 2020, Healy said. He along with his relative, Abdikadir Maow, were previously indicted on one count of false Medicaid claims and larceny over $1,200.  Overall, the duo received more than $112,000 for these fa…
Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme
Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme A Massachusetts woman has pleaded guilty to her participation in a scheme to defraud the Massachusetts Medicaid program commonly known as MassHealth. Robin Cronin, age 58, of Worcester, pleaded guilty to one count of conspiracy to commit health care fraud and one count of health care fraud, according to the US Attorney's Office. In January 2020, Cronin was indicted along with Dr. Anthony DiStefano and Dr. Scott Cale, dentists practicing in Worcester, for their roles in the Medicare fraud scheme. According to the indictment, from 2014 to 2018, the dental services that DiStefano personally d…
Women Accused Of Running $100 Million Health Care Scam Using Poor, Disabled People Women Accused Of Running $100 Million Health Care Scam Using Poor, Disabled People
Women Accused Of Running $100 Million Health Care Scam Using Poor, Disabled People Two Massachusetts women were arrested on Sunday, Jan. 31, in connection to a $100 million home health care fraud. The government is seeking to recoup funds as well as five properties allegedly bought with stolen funds. On Monday, Feb. 1, Faith Newton, 52, of Westford, and Winnie Waruru, 41, of Lowell, were each indicted on counts of conspiracy to commit health care fraud; health care fraud - aiding and abetting; and conspiracy to pay and receive kickbacks, according to the U.S. Attorney’s Office, Massachusetts. Newton was also charged with money laundering conspiracy and seven counts of mo…
COVID-19: Where To Get Tested In Hampshire County COVID-19: Where To Get Tested In Hampshire County
Covid-19: Where To Get Tested In Hampshire County The number of places providing COVID-19 testing has expanded over the last week as Massachusetts and surrounding states pass travel restrictions for people coming in from out of state. A lot of testing places will provide free tests to people with no health care insurance, according to the Massachusetts COVID-19 online resource center. Some places require an appointment to take a test; it’s best to call ahead. Depending on the kind of test a person gets - SARS Antigen, PCR or anti-body - makes a difference as to whether a health care insurance provider will cover the cost or not. It also m…
MassHealth Initiates Plan To Cut Off Worcester Nursing Home Due To Poor Care MassHealth Initiates Plan To Cut Off Worcester Nursing Home Due To Poor Care
MassHealth Initiates Plan To Cut Off Worcester Nursing Home Due To Poor Care A Worcester nursing home is among three facilities MassHealth is threatening to cut off due to alleged poor performance. Hermitage Healthcare in Worcester, as well as Town and Country in Lowell, and Wareham Healthcare in Wareham, were issued initial termination notices Monday, Aug. 3, according to the Boston Business Journal. The notice is the first step in the process to close a facility off from the state health insurance program for low-income families and those with disabilities. If MassHealth would cut off the facilities, it means that MassHealth would not pay for any of its clients to…