AG Moody Busts $400K Medicaid Fraud Case

AG Moody Busts $400K Medicaid Fraud Case

Ashley Moody continues fight for Florida consumers

Jim McCool
Jim McCool
|
March 22, 2023

As Attorney General Ashley Moody (R-FL) continues her crusade to protect Florida against fraud, the Attorney General's office announced that a Florida man was arrested in a $400,000 Medicaid fraud case.

After an investigation from Moody's office, Cabrera worked for Angels on Earth PPEC.  This business provided continual care for children with medically-complex conditions in a nonresidential setting. Cabrera, the person responsible for all Medicaid PPEC billing, billed a nearly 100% attendance rate to get the maximum payment per patient despite knowing that not everyone attended every day.

MFCU charged Carlos Cabrera with Medicaid provider fraud. Cabrera ran Angels on Earth, a prescribed pediatric extended care business, and submitted fraudulent claims for services that should have been provided to children with medically-complex conditions, bilking Florida Medicaid out of more than $400,000.

AG Moody said, "This defendant used vulnerable children and their families for his own financial gain by overbilling and stealing from a taxpayer funded program.  My Medicaid Fraud Control Unit uncovered this devious scheme and will now ensure this defendant faces justice."

Further analysis of Medicaid recipient data and the Angels on Earth Daily Census Reports showed that services were not rendered for up to 34% of the claims submitted for reimbursement. The overall pattern of billing and submitting claims to Medicaid, despite children being absent, demonstrates an intent to maximize billing without regard for accuracy.

Moody has made defending consumers a large part of her mission at the Attorney General of Florida.  In 2021, Florida Attorney General Ashley Moody issued a Consumer Alert warning Floridians that there is an increase in imposter scam phone calls that are claiming to be from Florida law enforcement, proving Moody's active commitment to protecting Florida consumers.

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Jim McCool

Jim McCool

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