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.
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