Rose Umana, a 49-year-old woman from Mechanicsburg, Pennsylvania, has been sentenced to 36 months in prison for her role in a massive Medicaid fraud scheme.
According to the investigation, Umana, the owner and operator of Vision Healthcare Services, Inc., created false identification documents and fictitious occupational licenses for workers between January 2012 and January 2014.
The scheme involved submitting bills to Medicaid for medical services not provided by the workers, billing Medicaid for services provided by someone other than the person claimed to be the provider, and billing Medicaid for services not provided or provided by someone not qualified to provide the service.
Medicaid is a joint federal-state program that provides health care and nursing home coverage to low asset/income individuals. In Pennsylvania, Medicaid is administered by the Department of Human Services. Vision Healthcare Services, Inc., is a medical staffing company and home care services provider servicing Dauphin, Cumberland, Perry and York Counties and has been enrolled under Medicaid since 2006.
The total loss resulting from Umana’s conduct was $1,184,224. In addition to the three-year term of imprisonment, Judge Sylvia H. Rambo also ordered Umana to pay $1,184,224 in restitution and ordered the forfeiture of $656,421.
Umana is scheduled to report to the Bureau of Prisons on January 23, 2017. The case was investigated by the Office of Inspector General, U.S. Department of Health and Human Services; Internal Revenue Service Criminal Investigations; and, the Medicaid Fraud Control Section of the Pennsylvania Office of Attorney General.
Special Assistant U.S. Attorney Heather M. Albright of the Pennsylvania Attorney General’s Office, and Assistant U.S. Attorney Joseph J. Terz prosecuted the case.
Umana’s sentencing is a significant blow to those who would seek to exploit the Medicaid system for personal gain. The investigation and prosecution of this case demonstrate the commitment of law enforcement to protecting vulnerable populations and ensuring that those who commit fraud are held accountable.
Related Federal Cases
- Emily Wilson, Investment Adviser Fraud, Pennsylvania, 2023 · Virginia
- Bruce Choi, COVID-19 Relief Fraud, Los Angeles CA, 2023 · Pennsylvania
- Gerardo Heriberto Nuñez Nuñez, Elder Fraud Scheme, Boston MA, 2026 · Pennsylvania
- Irina Segal, Medicare Fraud, Bucks County PA, 2023 · Pennsylvania
- Irina Segal, Medicare Fraud, Philadelphia PA, 2023 · Pennsylvania
Key Facts
- State: Pennsylvania
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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