WORCESTER — The managers of Union Home Health Care Services, LLC (Union), a Worcester-based group adult foster care (GAFC) company, were arrested and arraigned yesterday in connection with a scheme to defraud the state’s Medicaid program (MassHealth) of more than $1.6 million, Attorney General Andrea Joy Campbell’s Office has announced.
Bernice Codjia, age 39, and Augustus Kormah, age 66, both of Worcester, were indicted by a Worcester County Grand Jury on November 15, 2023. Their company, Union, was also indicted. Each defendant was charged with Medicaid False Claims. Codjia and Union were also charged with Larceny Over $1,200.
MassHealth’s GAFC program is designed to provide sufficient assistance to MassHealth members who are elderly or have disabilities to enable them to live independently. GAFC services assist MassHealth members with performing daily life activities, such as eating, bathing, housekeeping and laundry. To be eligible for GAFC services, a registered nurse must conduct an assessment of the member and attest to their eligibility for GAFC services, which is then submitted to MassHealth.
The AG’s Office alleges that Union, as well as its former manager Codjia, used fraudulent nursing assessments and forms to sign up MassHealth members and bill MassHealth for GAFC services that had not been authorized by a registered nurse. The AG’s Office further alleges that Union billed for services it never rendered to MassHealth patients, including periods when those...
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