Attorney General Pam Bondi’s Medicaid Fraud Control Unit and the Miami-Dade Police Department have arrested a Miami man for defrauding the Medicaid program.
Armando Gonzalez, 57, worked as a targeted case manager at New Beginning Case Management Agency, LLC., located in Hialeah. As a targeted case manager, Gonzalez assisted Medicaid recipients in gaining access to needed educational, medical, and social services – with the goal to optimize the functioning of patients with complex needs.
“Unfortunately, the defendant cataclysmically neglected to do perform these duties in the best interest of Medicaid recipients,” Bondi said in a news release.
As a case manager, Gonzalez managed the facilitation of specific treatment plans for appropriate care and service to patients. Gonzalez is alleged to have created fraudulent progress notes in patients’ files to make it appear that he rendered services to Medicaid recipients.
The MFCU began investigating the agency after receiving a complaint by an anonymous caller, stating the agency billed Medicaid for services not rendered. As a result of the investigation, investigators discovered Gonzalez fraudulently billed Medicaid more than $9,500.
Gonzalez faces one count of Medicaid fraud and grand theft, both third-degree felonies. The Attorney General’s Office of Statewide Prosecution is prosecuting this case.
