For Immediate Release - January 11, 2013

Lynn Woman Charged with Stealing More Than $490,000 from MassHealth

Defendant Allegedly Submitted Fraudulent Reimbursements to State Contractor that Administers MassHealth’s Transportation Programs

BOSTON – A Lynn woman has been indicted for stealing more than $490,000 from MassHealth by fraudulently obtaining transportation reimbursements for family members, Attorney General Martha Coakley announced today. Her longtime partner was also indicted in connection with the scheme.

Marilyn Beltran, age 42, of Lynn, was indicted Thursday by a Suffolk County Grand Jury on the charges of Presentation of False Claims (7 counts) and Larceny over $250. Eliu Matos, age 43, of Lynn, was also indicted by a Suffolk County Grand Jury on charges of Presentation of False Claims and Larceny over $250.

“We allege that this defendant abused her position in order to fraudulently obtain more than $490,000 in travel reimbursements from the Commonwealth,” AG Coakley said. “This deception not only defrauds taxpayers, it also exploits the integrity of a system that is meant to help those most in need.”

The AG’s Office began an investigation in July 2012 when the matter was referred by Maximus, a private company contracted by the state to administer MassHealth’s transportation programs. After discovering evidence of theft through their own internal investigation, Maximus immediately reported it to the AG’s Office and Executive Office of Health and Human Services.

Beltran was a transportation specialist at Maximus whose main responsibility was to enter transportation reimbursement information into a system so that eligible MassHealth members could receive assistance for travel to medical appointments. Investigation revealed that from October 2003 to July 2012, Beltran fraudulently entered reimbursements credited to her family members into a MassHealth database. These fraudulent entries allegedly led to the Commonwealth issuing more than $490,000 in checks made payable to those family members. According to authorities, Beltran either deposited these checks into her bank account or the checks were cashed upon receipt.

Authorities further allege that Matos, Beltran’s longtime partner, also knowingly participated in the scheme and cashed fraudulent checks he received in his name from Beltran.

A Suffolk Grand Jury returned indictments against Beltran and Matos on Thursday.  They are scheduled to be arraigned in Suffolk Superior Court on January 17.

The case is being prosecuted by Assistant Attorney General Michael Pine of AG Coakley’s Public Integrity Division. The investigation was handled by Financial Investigator Jack D’Isidoro of AG Coakley’s Financial Investigations Division and Massachusetts State Police assigned to the AG’s Office. Staff and investigators at MassHealth and the Executive Office of Health and Human Services have been instrumental throughout the investigation. MassHealth has worked closely with Maximus to tighten their internal controls to ensure this doesn’t occur again. Maximus has also offered restitution for losses due to the actions of their former employee.

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