Attorney General: Brookville Woman Faces Medicaid Fraud Charges

BROOKVILLE, Pa. (EYT) – A Brookville woman is facing felony fraud and related charges following an investigation by the Pennsylvania Office of the Attorney General.

According to court documents, the Office of the Attorney General filed criminal charges against 42-year-old Angela M. Hulse, of Brookville.

A criminal complaint was filed by Albert J. Rivardo, III, Special Agent for the Pennsylvania Office of Attorney General, Bureau of Criminal Investigations, after the Jefferson County Area Agency for Aging (JCAAA) notified him that Angele Hulse allegedly billed for services that were not rendered.

The complaint states that Hulse billed Public Partnerships, LLC (PPL) for 35 hours per week for assisting a known individual in day to day living when she was not actually providing those hours of assistance. The complaint also alleged that Hulse billed PPL for two shifts every day (seven days a week), 9:00 a.m. until 12:00 p.m. and then 3:00 p.m. until 5:00 p.m. to assist the individual, but did not work or perform PCA duties on the weekends.

Hulse allegedly admitted to the JCAAA that she billed for services that were not rendered for the weekend of Saturday, February 25, 2017, and Sunday, February 26, 2017, when Hulse had made a Facebook post regarding a hotel stay that weekend.

Special Agent Rivardo interviewed Hulse, and she allegedly admitted that not all of the services documented on the PPL time sheets that she submitted were provided to the individual. When questioned about the overbilling Hulse stated, “I (expletive) up.” She admitted that she was in Erie on Saturday, February 25, and Sunday, February 26, 2017, and that she billed for those services that were not rendered. She then stated, “I screwed up, I will pay the money back.”

Furthermore, Hulse allegedly admitted that she was regularly submitting time sheets for 35 hours per week even though she was working much less time, specifically not working on Saturdays and Sundays. She also stated that when she started working for the individual, she was working seven days a week, five hours a day, but that around the end of May 2016 she stopped working on Saturdays and Sundays, but she continued to bill for the weekend hours that she didn’t work.

Rivardo obtained billing summaries from PPL which included start and end times for days worked and provided the PPL billing summaries, and the information that Hulse provided during her interview regarding her overbilling from June 4, 2016, through April 7, 2017, to a Medicaid Fraud Analyst. The analysis of the data determined that Hulse overbilled 434.00 hours for PCA services at a rate of $10.99/hour during this time period. Rivardo determined that Hulse submitted fraudulent claims in which she was reimbursed in the amount of $4,769.66 for hours which she did not perform PCA services to the individual.

Based on the investigation, Hulse was arraigned at 10:18 a.m. on February 5 in District Judge Gregory M. Bazylak’s office on the following charges:

– False/Fraud Med Assist Claim, Felony 3
– Theft By Decep-False Impression, Felony 3

She is currently free on $10,000.00 unsecured bail.

A preliminary hearing is scheduled for 10:30 a.m. on February 23 with Juge Bazylak presiding.

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