Wednesday, July 31, 2013

Ma$$ Fraud at MassHealth

Meet your national model:

"Two allegedly stole about $490,000 in health scheme; Allegedly stole about $490,000" by Brian Ballou |  Globe Staff, January 12, 2013

Her job included writing checks to MassHealth clients to cover the cost of travel expenses to medical appointments, but Marilyn Beltran also entered false reimbursements to seven family members and later cashed or deposited the checks into her bank account, taking in more than $490,000 over nine years, according to the attor­ney general’s office.

A Suffolk grand jury indicted Beltran, 42, of Lynn, on seven counts of presentation of false claims and larceny over $250. Her longtime domestic partner, Eliu Matos, faces the same charge.

Beltran worked as a transportation specialist with ­Maximus, a contractor to MassHealth. Matos, 43, allegedly assisted Beltran in the scam by cashing checks she made out in his name. The two are scheduled to be arraigned in Suffolk Superior Court Thursday....

Maximus, the Virginia-based agency....

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MassHealth pays for health care for certain low- and medium-­income people, includ­ing for individuals who are HIV-positive.

I have it MassHealth. Can't afford to use it, but it's there.

It provides nonemergency transportation services and emergency ambulance service, according to the state’s website. It has an operating budget of about $11 billion and serves 1.3 million clients.

The alleged scam was discovered during an internal inves­tigation by the company and referred to Attorney General Martha Coakley’s office....

The Washington Post reported in July 2007 that Maximus, based in Reston, Va., had settled a Medicaid fraud lawsuit with the federal government for $30.5 million.

The government had alleged that the contractor had helped the District of Columbia’s Child and Family Services Agency submit false claims to the ­Medicaid program.

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