Union Home Health Care Services
Outcome
Union Home Health Care Services and administrator Bernice Codjia pleaded guilty in Worcester Superior Court to charges related to defrauding MassHealth of more than $1.6 million through a Group Adult Foster Care fraud scheme.
Details
Union Home Health Care Services (Worcester, MA) — MassHealth GAFC Fraud
Outcome: Company and administrator Bernice Codjia pleaded guilty in Worcester Superior Court to charges of defrauding MassHealth of more than $1.6 million through a Group Adult Foster Care fraud scheme.
Union Home Health Care Services, a Group Adult Foster Care (GAFC) provider based in Worcester, Massachusetts, and its administrator Bernice Codjia (age 41) pleaded guilty to charges related to defrauding MassHealth (Massachusetts Medicaid) of more than $1.6 million. The GAFC program provides services to elderly and disabled individuals in a home-based care model, and the scheme involved submitting fraudulent claims for services within that program.
The Massachusetts Attorney General's Office announced the guilty pleas on August 14, 2025, following an investigation by its Medicaid Fraud Division. Both the corporate entity and the individual administrator face charges in Worcester Superior Court.
Primary Source: AG's Office Secures Guilty Plea and Restitution from Worcester-Based Home Health Company and Administrator for MassHealth Fraud
How Crucible Prevents This
Crucible's GAFC-billing integrity controls would monitor service delivery documentation against claim submissions; a compliance gate requiring authenticated service logs from GAFC care hosts before claim processing would prevent billing for undelivered adult foster care services.
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