Lynn Man Pleads Guilty, Sentenced to Jail in Connection with Scheme to Steal From MassHealth
Defendant Participated in Scheme to Submit Fraudulent Reimbursements to State Contractor that Administers MassHealth’s Transportation Programs
BOSTON – A Lynn man has pleaded guilty and been sentenced to jail for cashing more than $24,500 in transportation reimbursement checks that were fraudulently obtained, Attorney General Martha Coakley announced today.
“This defendant was involved in a scheme to fraudulently obtain travel reimbursements from a program that is intended to help those most in need,” AG Coakley said. “He will now serve time in jail for stealing taxpayer dollars and undermining the integrity of the system.”
Eliu Matos, age 44, pleaded guilty on Monday in Suffolk Superior Court to the charges of Presentation of False Claims and Larceny over $250. After the plea was entered, Superior Court Judge Carol Ball sentenced Matos to two years in the House of Correction, with one year to serve and the balance suspended for a probationary period of three years.
Matos participated in a scheme with his longtime partner, Marilyn Beltran, also of Lynn, who stole more than $490,000 from MassHealth by fraudulently obtaining transportation reimbursements for her family members. Matos cashed $24,698 in transportation reimbursement checks that were fraudulently obtained by Beltran.
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.
The 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 led to the Commonwealth issuing more than $490,000 in checks made payable to those family members. Beltran either deposited these checks into her bank account or the checks were cashed by Beltran or a family member.
Matos knowingly participated in the scheme and cashed fraudulent checks in his name he received as result of Beltran’s fraudulent entries.
Maximus paid restitution for losses due to the actions of their former employee.
A Suffolk Grand Jury returned indictments against Beltran and Matos on January 11, 2013. Matos pleaded guilty on Monday in Suffolk Superior Court and was sentenced. Marilyn Beltran pleaded guilty on December 17, 2013 and was sentenced to one to two years in state prison.
The case was 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 were instrumental throughout the investigation. MassHealth has worked closely with Maximus to tighten their internal controls to ensure this doesn’t occur again.
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