For Immediate Release - July 09, 2013

Brockton Resident Pleads Guilty to Defrauding the State Medicaid Program of $107,000

Defendant Charged with Medicaid Fraud, Larceny and Conspiracy

BROCKTON – A Brockton resident has pleaded guilty to charges that he made claims of payments for personal care services that were not actually provided, causing an estimated overpayment of about $107,000 by the state’s Medicaid program, Attorney General Martha Coakley announced today.

Tiberio Massaro, age 51, pleaded guilty in Plymouth Superior Court on Monday to charges of Medicaid Fraud, Larceny over $250 by False Pretenses and Conspiracy (2 counts).

“This defendant engaged in a scheme that falsely charged the state’s Medicaid program for critical health care coverage that was never provided,” AG Coakley said. “This case makes clear that those who take advantage of MassHealth will be held criminally responsible for their actions.”

After the plea was entered, Superior Court Judge Frank Gaziano sentenced Massaro to probation for three years. Conditions of the probation are that Massaro continue to use a surrogate and not employ his co-defendants as it relates to his participation in the PCA program. Co-defendants Jennifer Massaro and Maria Gomes are scheduled for jury trial on October 9.

According to authorities, between April 21, 2003 and November 3, 2010, Massaro – as the receiver of the personal care services – conspired with PCA Maria Gomes by submitting fraudulent time sheets indicating a significant number of hours that she did not actually perform. In total, more than $54,000 was fraudulently billed to MassHealth.

Authorities further allege that Massaro engaged in the same scheme with his sister-in-law, Jennifer Massaro, between February 18, 2007 and May 13, 2010.  Authorities estimate that their submission of the fraudulent time sheets caused an additional $51,800 overpayment in MassHealth funds.

A Plymouth County Grand Jury returned indictments against Massaro on March 16, 2012. He was arraigned on March 28, 2012.

Assistant Attorney General Evelyn Y. Tang of Attorney General Martha Coakley’s Medicaid Fraud Division handled this case, which was investigated by Investigator Michael Russo, also of the Medicaid Fraud Division. The Massachusetts State Police, the State Auditor’s Bureau of Special Investigations, and the Boston office of the U.S. Department of Health and Human Services Office of Inspector General assisted with the investigation.

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