Folashade Adufe Horne, 52, of Laurel, Maryland, was sentenced to 13 months in prison for defrauding the DC Medicaid program out of more than $370,000. She was also ordered to pay $373,564 in restitution and a $267,567 forfeiture money judgment. At various times between January 2014 and June 2020, Horne was employed by four different home health agencies to serve as a personal care aide for DC Medicaid beneficiaries. Horne also was employed full-time by Howard University Hospital during this same period.
The home health agencies employed Horne to assist Medicaid beneficiaries in performing activities of daily living, such as getting in and out of bed, bathing, dressing, and eating. Horne was supposed to document the care she provided to the Medicaid beneficiaries on timesheets and then submit the timesheets to the home health agencies, which would in turn bill Medicaid for the services that she rendered. Horne acknowledged that between January 2014 and June 2020, she caused the DC Medicaid Program to issue payments totaling $373,564 for services that she did not render.
As part of her fraud scheme, she submitted false timesheets to different home health agencies purporting that she provided personal care aide services that she did not provide. She claimed she provided such services during times when she actually was working her shift as a full-time employee at Howard. She claimed to work more than twenty hours in a given day on more than 200 occasions, including 28 days when she asserted that she provided 32 hours of PCA services. She also claimed to provide personal care aide services in the District of Columbia on days when she was not even in the United States.
