Former Personal Care Assistant Arraigned for Allegedly Defrauding the State Medicaid Program of More Than $32,000
Defendant Allegedly Billed MassHealth for Services Not Provided
WORCESTER – A former personal care assistant has been arraigned for allegedly defrauding MassHealth of more than $32,000, Attorney General Martha Coakley announced today.
Ann M. Hudson, 69, of Gainesville, FL, formerly of Worcester, MA, was arraigned on charges of Medicaid False Claims (12 counts) and Larceny Over $250 (12 counts).
According to authorities, Hudson allegedly billed for personal care attendant services for a MassHealth member while the member received inpatient care in hospitals and nursing homes. By regulation, Personal Care Attendant (PCA) services cannot be provided while a MassHealth member is admitted in an inpatient facility or nursing home.
The MassHealth PCA Program helps people with chronic or long-term disabilities live independently. The program provides funds to hire PCAs, who can help patients with Activities of Daily Living (ADLs) while members receiving the services act as the PCA’s employer.
An investigation conducted by the Attorney General’s Office found that between April 2006 and November 2007, Hudson billed MassHealth for PCA services during 12 periods of time in which the MassHealth member was admitted in a hospital or a nursing home. Authorities allege that Hudson kept the money received as payment for falsely billed services. As a result of this alleged scheme, Hudson defrauded MassHealth of roughly $32,400.
Hudson was arraigned in Worcester District Court on July 18, where she pleaded not guilty and was released on personal recognizance. Hudson is due back in court on August 29, for a pre-trial conference. Judge David Locke presided over the arraignment.
These charges are allegations, and the defendant is presumed innocent until proven guilty.
Assistant Attorney General Kriss Basil of Attorney General Martha Coakley’s Medicaid Fraud Division is prosecuting this case, which was investigated by MFD Investigator Gregoire Ucuz and investigators from Office of the State Auditor’s Bureau of Special Investigations and the Boston office of the United States Department of Health and Human Services Office of Inspector General.