In June, a Pennsylvania woman appeared in federal court in connection with a $1 million-plus home care fraud scheme. Hemal Patel was charged with wire fraud, aggravated identity theft, and conspiracy to violate the federal anti-kickback statute. The 59-year-old Bucks County resident, according to the U.S Attorney’s Office for Pennsylvania’s Eastern District, pocketed payments for referring patients to home care agencies. Patel and others schemed to fraudulently bill Medicaid for ghost home care services.
The scam targeted Pennsylvania’s Community HealthChoices, which uses Medicaid funds to pay for home- and community-based personal assistance services for individuals with disabilities to help keep them out of nursing homes, according to court filings. Patel was one of hundreds of people charged in the Department of Justice’s National Health Care Fraud Takedown, the largest sweep of its kind covering some $14.6 billion in intended Medicaid losses.
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