Social employee, case supervisor scammed Medicaid from almost $160K, police officers say

A 58-year-old social employee and his fiancée, a case supervisor, were apprehended after authorities say they scammed Medicaid from almost $160,000, inning accordance with court files.

Anthony Handal and Sandra Mora, 46, billed Medicaid in between September 2015 and March for services they never ever supplied, stated detectives from the Florida Attorney General’s Medicaid Fraud Control Unit.

They say Handal and Mora worked for MTS Health Services, which has a workplace at 5025 S. Orange Ave. Handal was a certified scientific social employee and Mora was a case supervisor, files state.

“In most cases, Mora started contact with these kids and households in need of services and gathered their Medicaid details,” detectives composed in an arrest affidavit. “After collecting the needed information, Handal and Mora would produce incorrect documents to support the deceptive billing later on sent to MTS and after that the Medicaid Program.”

In one case, Handal and Mora were billing Medicaid for child treatment sessions 2 or 3 times a week when they in fact were just doing them two times a month, the files say.

Authorities say the suspects billed Medicaid for sessions in December and January, but the child’s mom informed authorities they ran out town for the majority of those months.

Sessions consisted of Christmas Day and New Year’s Eve, inning accordance with files.

In all, authorities stated Handal and Mora billed Medicaid almost for 900 hours of services for the very same customer when they in fact carried out about 100 hours’ worth of treatment for the child, authorities stated.

Inning accordance with the affidavit, detectives had the child’s mom make a tape-recorded telephone call to Handal where he informed her to support the inflated billing and he would “make sure” of her.

Handal and Mora were required to the Orange County Jail on charges of Medicaid scams and arranged scams

Handal’s bail was set at $200,000. Mora is being hung on $120,000 bail.