Cape Gazette
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Milton counselor charged with Medicaid fraud

Sep 04, 2014

A woman who counseled people from her Milton home faces charges after officials say she overbilled Medicaid.

Rosa M. Fernandez, 52, a licensed clinical social worker, offered counseling from her home office on Rudder Lane in Milton, said Jason Miller, spokesman for the Attorney General's Office.

The Division of Medicaid and Medical Assistance discovered Medicaid reimbursed Fernandez for several thousand visits over a four-year period, and there is no office documentation for the visits, Miller said.

Upon investigation by the Attorney General’s Medicaid Fraud Control Unit, Miller said, investigators learned Medicaid was billed for office visits on some dates when the supposed clients were out of the country.

Agents arrested Fernandez Aug. 28 and charged her with six counts of healthcare fraud, five counts of felony theft, and one count each of conspiracy, misdemeanor theft and falsification of business records. She was arraigned at Justice of the Peace Court 3 and released on $42,000 unsecured bail. A preliminary hearing is scheduled for Sept. 4.

Anyone who may have information to provide about the ongoing investigation is asked to call the Delaware Medicaid Fraud Control Hotline at 302-577-5000. Anonymous tips are accepted.

 

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