(WBRE/WYOU) — The Attorney General's Office states a case manager at a children's services center in Luzerne County faces charges for defrauding dozens of patients and their families.
The case involves charges against 30-year-old Khalil Rashid Rivera, a blended case manager with a Children’s Services Center in Luzerne County.
AG Dave Sunday stated Rivera billed medical assistance for services he never provided to dozens of children.
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In January 2023, concerns were raised about Rivera not seeing patients, despite billing records, after one family told the facility that they had not seen him for nearly a year, according to the release.
During an internal review, detectives said they found that Rivera had documented he was conducting visits at clients' homes and other places outside the office, but his badge access card log showed that he was at the office.
Rivera billed thousands of fraudulent claims for 54 clients, resulting in $72,000 in medicaid funds.
This case is featured in the Department of Justice’s National Health Care Fraud Takedown initiative, a nationwide law enforcement effort against 324 defendants regarding $14.6 billion in intended loss.
