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November 20, 2023

Worcester home care service provider arraigned for alleged $1.6M Medicaid fraud

PHOTO | Courtesy of Google Maps Union Home Health Care Services offices at 10 Winthrop St. in Worcester

Worcester-based Union Home Health Care Services, an adult foster care company, and its owners have been arrested and arraigned related to an alleged $1.6-million scheme to defraud MassHealth, the state’s Medicaid program. 

Union’s owners, Bernice Codjia and Augustus Kormah, were indicted by a Worcester County grand jury on Wednesday on charges of Medicaid false claims and larceny along with the company, according to a Friday press release from the office of Attorney General Andrea Campbell. 

Group Adult Foster Care is a MassHealth program giveing eligible members who are unable to live independently access to care. A registered nurse must conduct an assessment of potential recipients of the program’s services before they are enrolled.

The attorney general’s office alleges the owners and the company used fraudulent nursing assessments in their claims to MassHealth, billing for unauthorized GAFC services, according to the press release. 

Additionally, the AG’s office alleges the company billed MassHealth for services never provided, including billing for services when the individual associated with the billing was receiving care from a different agency. 

The court proceedings are not yet completed, and neither Codjia and Kormah have yet been charged with any crimes. The AG’s Medicaid Fraud Division is handling the case, according to the press release.

During the arraignment, both Codjia and Kormah were ordered to surrender their passports and told not to travel out of the state. They were ordered not to hold any future leadership roles at MassHealth providers and refrain from contacting former Union employees or service recipients, according to the press release.

Union Home Health Care Services did not immediately respond to a WBJ request for comment Monday morning.

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