Miami-Dade Man Arrested for Defrauding Medicaid

Florida Attorney General
Florida Attorney General
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Attorney General Pam Bondi News Release

Miami-Dade Man Arrested for Defrauding Medicaid

TALLAHASSEE, Fla.—Attorney General Pam Bondi’s Medicaid Fraud Control Unit and the Miami-Dade Police Department today arrested a Miami man for defrauding the Medicaid program. According to the investigation, Armando Gonzalez, 57, worked as a targeted case manager at New Beginning Case Management Agency, LLC., located in the City of 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 preform these duties in the best interest of Medicaid recipients.

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.

The Florida Attorney General’s Medicaid Fraud Control Unit investigates and prosecutes providers that intentionally defraud the state’s Medicaid program through fraudulent billing practices. Medicaid fraud essentially steals from Florida’s taxpayers. From Jan. 2011 to the present, Attorney General Bondi’s MFCU has obtained more than $852 million in settlements and judgments. Additionally, the MFCU investigates allegations of patient abuse, neglect, and exploitation in facilities receiving payments under the Medicaid program. In 2017, the MFCU was awarded the Inspector General’s Award for Excellence in Fighting Fraud, Waste and Abuse. This award is presented annually to the nation’s top MFCU by the U.S. Department of Health and Human Services Office of Inspector General.