Attorney General Pam Bondi News Release
December 10, 2014
Contact: Whitney Ray
Phone: (850) 245-0150
Four Miami-Dade County Residents Arrested for More Than $196,000 in Medicaid Fraud
TALLAHASSEE, Fla.—Attorney General Pam Bondi’s Medicaid Fraud Control Unit and the Miami-Dade Police Department today arrested Luz Alvelo, 40, Maria Fernanda-Flores, 24, Manuel Otero, 42, and Yaniel Leal, 36, for more than $196,000 in Medicaid fraud. The defendants allegedly paid Medicaid recipients kickbacks of $20 per day to receive psychosocial rehabilitative services and then submitted falsified claims for targeted case management services that were not rendered to Medicaid recipients.
The defendants are each charged with one count of Medicaid fraud, grand theft and organized fraud, all first-degree felonies. They are also each charged with one count of conspiracy to commit Medicaid fraud, a second-degree felony. If convicted, they each face up to 105 years in prison, fines and restitution. The Attorney General’s Office of Statewide Prosecution is prosecuting this case.
The Attorney General's MFCU investigates and prosecutes providers that intentionally defraud the state's Medicaid program through fraudulent billing practices. Medicaid fraud essentially steals from Florida's taxpayers. From Jan. 2011 to Nov. 2014, Attorney General Bondi's MFCU has obtained more than $466 million in settlements and judgments. Additionally, the MFCU investigates allegations of patient abuse, neglect, and exploitation in facilities receiving payments under the Medicaid program.