Siblings sentenced in $364,000 Alaska Medicaid fraud scheme
An Anchorage judge sentenced three siblings Thursday for defrauding the state Medicaid program of more than $364,000 between 2010 and 2017, according to a news release from the Alaska attorney general’s office.
Sixty-year-old Victor Aldeza, 49-year-old Regino Aldeza and 43-year-old Albert Aldeza had all pleaded guilty to felony fraud and theft charges.
The Aldezas’ scheme was to pretend Regino had been totally disabled since 2005 after being treated for an aneurysm surgery. His siblings were approved by the Department of Health and Social Services to care for him around the clock and be paid by Medicaid.
“Aldeza’s Medicaid entitlement was based upon his claim that he needed assistance in all aspects of life, including eating, locomotion, toileting, meal preparation, personal hygiene, and basic household chores," the release states.
In reality, Regino was not disabled and hadn’t needed treatment since 2009.
The fraud scheme was discovered when an employee at a personal care agency saw Regino working at and moving around a fast food restaurant without any help.
The investigation showed Regino was not disabled and his siblings had billed Medicaid for times when the reported caretaker was out of the country and other times when Regino was in jail for unrelated cases.
Assistant Attorney General Eric Senta said the scheme “victimized a state program with finite, limited funding – and stole money intended to pay for disabled children’s wheelchairs and compassionate end-of-life care for the state’s sick and elderly.”
When handing down the sentences, Judge Catherine Easter said the three siblings had been signing fraudulent documents at least twice a month over the years and were “motivated by pure greed.”
Victor and Regino were each sentenced to serve five years with two-and-a-half suspended, plus five years of probation. Albert was sentenced to serve four years with two suspended, plus five years of probation. They must also pay restitution of $364,000.
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