June 27, 2011
Delaware County health worker arrested for $181,000+ Medicaid Fraud scheme
HARRISBURG - Agents from the Attorney General's Medicaid Fraud Control Section have arrested a Delaware County mental health worker accused of orchestrating a multi-year scheme to systematically submit false Medical Assistance claims for more than $181,000 in behavioral health and mental health services for children.
Attorney General Linda Kelly identified the defendant as Udo Robson Umoh, age 51, 117 Barrington Road, Upper Darby.
Kelly said that evidence and testimony about the alleged false billing was submitted to a statewide investigating grand jury which recommended the criminal charges that were filed today.
According to the grand jury, Umoh repeatedly billed for services that he could not have provided, including times and dates when he was out of the country, seeing other patients or working at a full-time job in New Jersey.
Kelly said the grand jury found that Umoh submitted overlapping claims that showed him working with as many as three patients simultaneously, even though the services were supposedly being provided in different cities or different states. At other times, the billing statements indicated that Umoh finished work at one location and then immediately began working at another location, without leaving time for travel, including numerous occasions where he appeared to instantly travel between New Jersey and Pennsylvania.
Additionally, the grand jury found numerous inconsistencies in the signatures of parents or teachers who were required to verify that services had been provided, along with other discrepancies in notes and forms that were supposed to be included in patients' files.
The grand jury determined that between 2007 and 2010, the Pennsylvania Medical Assistance Program paid at least $181,400 for services that could not have been provided, also noting that the total amount of the fraud could be significantly higher.
Umoh is charged with four continuous counts of Medicaid fraud, along with one continuous count each of theft by deception and receiving stolen property. Those charges are all third-degree felonies punishable by up to seven years in prison and $15,000 fines for each offense.
He is also charged with 23 counts of tampering with public records, which are all third-degree felonies punishable by up to seven years in prison and $15,000 fines for each offense, along with 23 counts of forgery, which are all first-degree misdemeanors punishable by up to five years in prison and $10,000 fines for each offense.
Umoh was preliminarily arraigned today before Richboro, Bucks County, Magisterial District Judge William J. Benz and jailed in lieu of $1 million bail. A preliminary hearing is scheduled for Thursday, June 30th, at 1:30 p.m., before Magisterial District Judge Benz.
The case will be prosecuted in Bucks County by Senior Deputy Attorney General Elizabeth M. Dilloway Cleek of the Attorney General's Medicaid Fraud Control Section.
Attorney General Kelly thanked the Upper Darby (Delaware County) and Northampton Township (Bucks County) Police Departments for their cooperation and assistance with today's arrest.
(A person charged with a crime is presumed innocent until proven guilty.)
# # #