Milton woman sentenced to probation for health care fraud

A Milton woman has been sentenced, after being convicted of health care fraud.

The Delaware Department of Justice says on Wednesday, 51-year-old Karen Fueyo, pleaded guilty to one count of felony health care fraud, one count of felony theft and one count of felony conspiracy in the second degree in Sussex County Superior Court.

The charges stem from when Fueyo worked as a biller for Rosa Fernandez, a licensed clinical social worker in Milton. After an audit by the Delaware Division of Medicaid and Medical Assistance, the Department of Justice Medicaid Fraud Control Unit investigated and found Fueyo billed the Delaware Medicaid program for numerous office visits that never occurred, including dates when clients were out of the country.

“With Medicaid costs representing a major piece of the state budget, it’s crucial that cases like this be identified, investigated, and prosecuted,” said Attorney General Matt Denn. “I thank Deputy Attorney General Andrea Rodgers and Special Investigator Tom Abram for their work. I have talked about the importance of Medicaid fraud cases like these and we commit to continue bringing cases like these.”  

Fueyo was later sentenced to to three years of incarceration suspended for probation, and ordered to pay full restitution to the Delaware Medicaid Program, in addition to fines and court costs, as well as costs of investigation to the Department of Justice Medicaid Fraud Control Unit.

Fernandez was also reportedly arrested and indicted in the case, on multiple counts of felony health care fraud, theft, falsification of business records, and felony conspiracy, is expected to face trial later this year.