03/22/2023 | Press release | Archived content
Man Arrested in $400,000 Medicaid Fraud Case
Attorney General AshleyMoodysaid, "This defendant used vulnerable children and their families for his own financial gain by overbilling and stealing from a taxpayer-funded program. My Medicaid Fraud Control Unit uncovered this devious scheme and will now ensure this defendant faces justice."
According to an investigation by Attorney General Moody's MFCU, Cabrera worked as the administrator for Angels on Earth PPEC. PPEC businesses provide continual care for children with medically-complex conditions in a nonresidential setting. Cabrera, the person responsible for all Medicaid PPEC billing, billed a nearly 100% attendance rate to get the maximum payment per patient despite knowing that not everyone attended every day.
Further analysis of Medicaid recipient data and the Angels on Earth Daily Census Reports showed that services were not rendered for up to 34% of the claims submitted for reimbursement. The overall pattern of billing and submitting claims to Medicaid, despite children being absent, demonstrates an intent to maximize billing without regard for accuracy.
Cabrera faces one count of Medicaid provider fraud, a first-degree felony. The case will be prosecuted by Attorney General Moody's Office of Statewide Prosecution.
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