TWELVE INDIVIDUALS CHARGED IN EXTENSIVE HEALTH CARE FRAUD CONSPIRACY TO DEFRAUD MEDICAID HOME CARE

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https://www.justice.gov/usao-wdpa/pr/twelve-individuals-charged-extensive-health-care-fraud-conspiracy-defraud-medicaid-home

Department of Justice
U.S. Attorney’s Office
Western District of Pennsylvania

FOR IMMEDIATE RELEASE
Tuesday, November 27, 2018

TWELVE INDIVIDUALS CHARGED IN EXTENSIVE HEALTH CARE FRAUD CONSPIRACY TO DEFRAUD MEDICAID HOME CARE PROGRAM

Sixteen Defendants Have Been Charged to Date in Connection with the Conspiracy

PITTSBURGH, Pa. – Ten residents of Western Pennsylvania, a resident of Georgia, and a resident of South Carolina were charged by a federal grand jury in a 22-count indictment related to a years-long conspiracy to defraud the Pennsylvania Medicaid program, United States Attorney Scott W. Brady announced today.

Arlinda Moriarty, Daynelle Dickens, Julie Wilson, Tamika Adams, Tony Brown, Terry Adams, Terra Dean, Tionne Street, Keith Scoggins and Larita Walls, all residing in and around Pittsburgh, Pennsylvania, along with Tia Collins, a resident of South Carolina, and Luis Columbie-Abrew, a resident of Georgia, are charged with one count each of conspiracy to commit health care fraud and health care fraud. Moriarty, Dickens, Wilson and Tamika Adams are also charged with one count of concealing material facts in relation to a health care matter. In addition, Moriarty, Tamika Adams and Columbie-Abrew each are charged with multiple counts of aggravated identity theft.

According to the Indictment, between January 2011 and April 2017, home health care companies owned and operated by the conspirators received more than $87,000,000 in Medicaid payments. During that time, all 12 of the defendants, along with other individuals, participated in a wide-ranging criminal conspiracy to defraud the Pennsylvania Medicaid program which resulted in the payment of millions of dollars in illegal Medicaid payments. The Indictment sets forth dozens of fraudulent acts by the defendants, including making false claims for services that were never provided, creating fake employees, improperly using consumers’ personal identifying information, and falsifying documentation during state audits of the companies. In some instances, the Indictment alleges that the defendants were actually working at other jobs or living out of the area. In other instances, Medicaid claims were submitted for services for consumers who were actually hospitalized, incarcerated, or deceased.
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In addition to the 12 defendants charged in the Indictment, four other defendants—Travis Moriarty, Tiffhany Covington, Brenda Lowry and Autumn Brown—have been charged in separate criminal Informations for their involvement in the conspiracy to commit health care fraud.
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