Man Sentenced for Medicaid Fraud Scheme Related to Child Abuse
NORFOLK, Va. – A Hampton man was sentenced today to over four years in prison for defrauding Medicaid out of approximately $109,000.
According to court documents, Maurice Moody, 41, and Dena Major, 49, conspired to defraud the Virginia Medicaid program out of approximately $109,000 by submitting fraudulent claims to Medicaid for their severely disabled son’s care, which he was eligible to receive. Major was the child’s primary caregiver and under Medicaid rules, she was also in charge of hiring a personal care aide to help in his care. Despite knowing that Medicaid does not permit the hiring of a parent to be a personal care aide, Major hired Moody to be their child’s personal care aide and falsely stated that Moody was the child’s uncle.
Moody also submitted claims for personal care hours provided to his son when Moody was incarcerated, and when he was out of the area traveling. In September 2015, the child was removed from Major’s custody on allegations of abuse and neglect. Nonetheless, Moody and Major continued to bill Medicaid for his care from September 2015 to April 2016. When challenged, the pair attempted to use another minor and pass him off as their child with the Medicaid service facilitator.
G. Zachary Terwilliger, U.S. Attorney for the Eastern District of Virginia, and Martin Culbreth, Special Agent in Charge of the FBI’s Norfolk Field Office, made the announcement after sentencing by Chief U.S. District Judge Mark S. Davis. Assistant U.S. Attorney Joseph L. Kosky prosecuted the case. The Virginia Medicaid Fraud Control Unit assisted in the investigation.
A copy of this press release is located on the website of the U.S. Attorney’s Office for the Eastern District of Virginia. Related court documents and information are located on the website of the District Court for the Eastern District of Virginia or on PACER by searching for Case No. 2:19-cr-033.