Not So Happy at Home

A young girl and her mother are in a doctor's office. The daughter is holding a stuffed teddy bear. They are happily talking to their doctor.

Some people try harder than others to cover their tracks when committing fraud. (For those who don’t, it’s just a matter of time before they are caught.) That’s the case for the owner of an in-home personal care company in the Concord, New Hampshire area. He was sentenced to serve between one-and-a-half to three years in prison after being convicted of Medicaid fraud.

The Danville man who owned the in-home care company – ironically named Happy at Home Care and Assistance – is now not so happy since a jury found that he defrauded the New Hampshire Medicaid system of more than $110,000.

Over four years, state prosecutors said the 63-year-old man claimed and received reimbursement for at-home personal care services for Medicaid patients that were never rendered. In fact, evidence showed that during the times that the services were billed, the clients were often not home. In fact, they were actually in hospitals, nursing homes, or deceased. (None of those places sound very happy at all.)

Lucky for the former New Hampshire business owner, six months of his sentence for committing Medicaid fraud was suspended. However, he owes the New Hampshire Department of Health and Human Services $110,805.24. (Another reason to not be so happy.)

Today’s Fraud of the Day comes from the article, “Danville man gets 1 ½ to 3 years for Medicaid fraud,” published Dec. 30, 2019 in the Eagle-Tribune news, serving Massachusetts and southern New Hampshire.

CONCORD — A former business owner who was convicted of Medicaid fraud in October was sentenced Monday to serve one and a half to three years in prison.

Six months of the sentence was suspended. Richard Gaudette, 63, of Danville, was ordered by a Merrimack County Superior Court judge to pay up to $110,805.24 in restitution to the New Hampshire Department of Health and Human Services.

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Larry Benson
Larry Benson is currently the Director of Strategic Alliances for Revenue Discovery and Recovery at LexisNexis Risk Solutions. In this role, Benson is responsible for developing partnerships for the tax and revenue and child support enforcement verticals. He focuses on embedded companies that have a need for third-party analytics to enhance their current offerings.