A Philadelphia woman has been sentenced to nearly two years in prison and ordered to pay over $1 million in restitution for her role in a massive Medicaid fraud scheme. Barbara Thomas, 46, was the office manager at ComfortZone Home Health Care, a Bala Cynwyd-based company where she orchestrated the scheme with other employees.
According to prosecutors, between 2020 and 2023, Thomas and several colleagues billed Medicaid for fabricated personal care services worth $1.76 million. The scam involved creating false invoices for services that were never provided, leaving taxpayers to foot the bill.
Thomas's involvement in the scheme was significant, as she was directly responsible for its day-to-day operations and helped advance it over multiple years. "This defendant had her hands in the day-to-day operations and was integrally involved in the advancement of a multi-year scheme that stole from taxpayers and defrauded a system designed to help vulnerable Pennsylvanians," Pennsylvania Attorney General Dave Sunday said.
As part of her plea deal, Thomas faces up to 23 months in prison and will also serve four years of probation. She must pay $1.39 million in restitution to the state, with the remaining defendants paying out an additional $377,000. The total value of the scheme is estimated at $1.76 million.
The investigation into ComfortZone Home Health Care was a two-year effort by the Medicaid fraud control section and the FBI, which led to charges against 19 individuals, including Thomas. Three cases are still pending.
The case highlights the severity of Medicaid abuse and the importance of rooting out such schemes, which can have devastating consequences for vulnerable populations.
According to prosecutors, between 2020 and 2023, Thomas and several colleagues billed Medicaid for fabricated personal care services worth $1.76 million. The scam involved creating false invoices for services that were never provided, leaving taxpayers to foot the bill.
Thomas's involvement in the scheme was significant, as she was directly responsible for its day-to-day operations and helped advance it over multiple years. "This defendant had her hands in the day-to-day operations and was integrally involved in the advancement of a multi-year scheme that stole from taxpayers and defrauded a system designed to help vulnerable Pennsylvanians," Pennsylvania Attorney General Dave Sunday said.
As part of her plea deal, Thomas faces up to 23 months in prison and will also serve four years of probation. She must pay $1.39 million in restitution to the state, with the remaining defendants paying out an additional $377,000. The total value of the scheme is estimated at $1.76 million.
The investigation into ComfortZone Home Health Care was a two-year effort by the Medicaid fraud control section and the FBI, which led to charges against 19 individuals, including Thomas. Three cases are still pending.
The case highlights the severity of Medicaid abuse and the importance of rooting out such schemes, which can have devastating consequences for vulnerable populations.