Assisted Living Facility Owners Received Health Care Kickbacks and Committed Health Care Fraud

Assisted Living Facility Owners Received Health Care Kickbacks and Committed Health Care Fraud

Ten owners of Miami-Dade assisted living facilities have been charged with participating in a health care fraud scheme and for receiving kickbacks, in violation of Title 18, United Sates Code, Section 1347 and Title 42, United States Code, Section 1320.

Marlene Marrero, 60, of Miami, Blanca Orozco, 69, of Miramar, Norma Casanova, 67, of Miami Lakes, Yeny De Erbiti, 51, of Miami, Rene Vega, 57, of Miami, Maribel Galvan, 43, of Miami Lakes, Dianelys Perez, 34, of Miami Gardens, Osniel Vera, 47, of Hialeah, Alicia Almeida, 56, of Miami Lakes, and Jorge Rodriguez, 57, of Hialeah, are charged in a 30-count indictment for receiving cash kickbacks and bribes in return for referring individuals residing in their assisted living facilities to the former owner of Florida Pharmacy Inc., a Miami-Dade company, for prescription medications and durable medical equipment paid for by Medicare and Florida Medicaid.

The indictment also charges these ten individuals with health care fraud for allegedly participating in a scheme where they signed and submitted Non-Institutional Medicaid Provider Agreements wherein they falsely represented to Medicaid that they would comply with state and federal laws and all agency rules contained in the Florida Medicaid Provider Handbook which prohibits the solicitation and receipt of kickbacks.  As a result of the defendants’ submission of these false and fraudulent documents Medicaid renewed their provider numbers which allowed them to continue to submit claims for services purportedly rendered to eligible Medicaid beneficiaries.  The defendants caused their assisted living facilities to submit false claims to Medicaid.  As a result of these false and fraudulent claims, Medicaid made payments to the assisted living facilities owned and operated by the defendants.