Elma Myles Pleads Guilty to Medicaid Fraud Scheme

Elma Myles, 52, of Baltimore, Maryland, has pleaded guilty to orchestrating a years-long health care fraud scheme that bled Medicaid and other benefit programs of over $1.2 million. Myles, a former biller at RX Resources and Solutions (RXRS), admitted to submitting false claims for medical supplies never delivered, overbilling for services, and using patients’ identities without consent—all while living off the illicit proceeds.

The guilty plea, entered December 19, 2016, also includes charges of aggravated identity theft and conspiracy to defraud the IRS. Myles conspired with RXRS owner and CEO Harry Crawford, her former domestic partner and co-manager of the Randallstown-based medical equipment provider. Together, they ran RXRS like a criminal enterprise, falsifying delivery records and billing for supplies patients neither needed nor wanted—even continuing bills for a deceased beneficiary past November 12, 2013.

From 2010 through May 2014, Myles and her co-defendants exploited the Medicaid system by fabricating claims for disposable incontinence supplies and other medical gear. Patient files recovered from Myles and Crawford’s home showed systematic fraud, including forged delivery tickets and emails revealing the criminal blueprint from RXRS’s inception. Federal agents found nearly $60,000 in cash stashed in a clothes bin during a February 4, 2014, raid on the property.

Myles lived lavishly off the fraud. Investigators uncovered a makeshift closet packed with designer clothing and shoes—some purchased for her three-year-old granddaughter, who competed in beauty pageants. Bank records revealed a trail of luxury spending: private school tuition, mortgage payments, restaurant bills, travel, and social events—all funded by stolen taxpayer dollars funneled through RXRS accounts.

The IRS determined Myles owes $40,194.36 in unpaid federal taxes from unreported fraud proceeds. She admitted to deliberately hiding income, part of a broader conspiracy to obstruct tax authorities. Meanwhile, the total loss to Medicaid for incontinence supplies alone—billed but never delivered—rings in at approximately $1.2 million.

The case was announced by U.S. Attorney Rod J. Rosenstein, HHS-OIG Special Agent in Charge Nicholas DiGiulio, IRS-CI Acting Special Agent in Charge Thomas J. Holloman, and Baltimore County Police Chief James W. Johnson. Myles now faces federal prison as investigators continue to dismantle the financial web behind this brazen health care rip-off.