Attorney General Kane Announces Charges in Million Medicaid Fraud Scheme

HARRISBURG, Pa. (EYT) – Attorney General Kathleen G. Kane and the Office of Inspector General of the U.S. Department of Health & Human Services today announced Medicaid fraud and other charges against Philadelphia-based Infinite Care Inc., sister company Infinite Care Special Needs Inc., and the companies’ vice president and treasurer.

The company is accused of fraudulently billing Medicaid for more than $1 million.

“Infinite Care exploited a program designed to provide health care to our most vulnerable citizens and instead lined its pockets at taxpayer expense,” Attorney General Kane said. “Medicaid fraud adversely impacts all of us, and especially the beneficiaries of the Medicaid program. I am grateful to our Medicaid Fraud Control Section and the HHS Office of Inspector General for their efforts to eliminate this illegal activity.”

The Attorney General’s Medicaid Fraud Control Section presented evidence to a statewide investigating Grand Jury, which recommended charges against:

Infinite Care Inc., 6423 Rising Sun Ave., Philadelphia;

Vice President Julio Miranda, AGE, 7408 Barclay Road, Cheltenham, Montgomery County; and

Treasurer Wanda De Martinez, 46, 6330 Bingham St., Philadelphia.

According to the Grand Jury, Infinite Care Inc. fraudulently billed Medicaid by more than $1 million for services not rendered from January 2010 to the present.

After the company received a Grand Jury subpoena, the Infinite Care held a meeting where the decision was made to destroy the fraudulent paperwork submitted to the Commonwealth for services not provided and for inflated services.

In addition, Infinite Care Inc. “hired” patients’ family members to provide care and cover shifts when the company could not. Infinite Care paid family members out-of-pocket to monitor their loved ones alone and without any medical assistance, even though the company billed Medicaid for 24-hour medical care.

Infinite Care Inc. and Julio Miranda each are charged with: one continuous count of Medicaid fraud; one continuous count of dealing in proceeds of unlawful activities; one continuous count of corrupt organizations; one continuous count of theft by deception; one continuous count of conspiracy to commit theft by deception; one continuous count of receiving stolen property; and 13 counts of tampering with public records.

De Martinez is charged with one continuous count of Medicaid fraud, one continuous count of theft by deception and one continuous count of receiving stolen property.

The cases against Infinite Care Inc., Miranda and De Martinez will be prosecuted in Dauphin County by Senior Deputy Attorney General Christian Sondergaard Jr. of the Medicaid Fraud Control Section.

(A person charged with a crime is presumed innocent until proven guilty.)

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