Cases Against OC Woman, Titusville Man Accused in Medicaid Billing Scheme Move Forward

| August 18, 2019

OIL CITY, Pa. (EYT) – The cases against two local residents who allegedly billed Medicaid for personal care services not rendered moved forward in court on Wednesday.

Court documents indicate the cases against 54-year-old Tammey Kay Sharp ,of Oil City, and 37-year-old Kenneth Robert Mallory, of Titusville, were transferred to the Venango County Court of Common Please on Wednesday, August 14.

The following charges against Sharp were waived for court:

– False/Fraud Medical Assistance Claim, Felony 3
– Theft By Deception-False Impression, Felony 3
– Criminal Conspiracy Engaging – False/Fraud Medical Assistance Claim

The following charges against Mallory were waived for court:

– False/Fraud Medical Assistance Claim, Felony 3
– Theft By Deception-False Impression, Felony 3
– Criminal Conspiracy Engaging – False/Fraud Medical Assistance Claim, Felony 3

Both Sharp and Mallory remain free on $5,000.00 unsecured bail each.

Details of the case:

According to a criminal complaint, the Medicaid Fraud Control Section received a complaint from a Service Coordination Resources (SCR) employee regarding allegations of Medicaid fraud for the consumer Tammey Sharp and her Personal Care Attendant (PCA) Kenneth Mallory.

According to the complaint, the allegations specified that Mallory billed Public Partnerships, LLC (PPL) for services that were not provided.

Special Agent Eric Senedak of the Pennsylvania Office of Attorney General, Bureau of Criminal Investigations, Medicaid Fraud Control Section was able to obtain photo and video recordings from SCR that was captured prior to the filing of the complaint.

The photo and video recordings showed Sharp unaccompanied by Mallory.

Based on the information, Agent Senedak gathered the Medicaid claims for Sharp from the PROMISE database, which stores data associated with the Medicaid claims submitted for all Pennsylvania Medicaid consumers, and found that Medicaid claims for PCA services were submitted to PPL for the days and times when Sharp was unaccompanied by Mallory.

Agent Senedak obtained the payroll records for Mallory and conducted a review.

According to the complaint, the review showed Mallory received payment for the days Sharp was observed unaccompanied. The complaint notes that Sharp specifically told the SCR employee that Mallory was personally accompanying her at those times.

Agent Senedak then interviewed Sharp.

According to the complaint, Sharp admitted that Mallory had not provided PCA services to her for approximately one year. Sharp stated she would fill out the timesheets and submit them to PPL in order for Mallory to be paid and said Mallory would receive a check from PPC, cash the check, then give her approximately half of the money he received.

Sharp allegedly stated she proposed that Mallory provide PCA services to her for a period of time, but for approximately one year he completely stopped, according to the complaint, She went on to state that she continued to submit timesheets to PPL even though Mallory was not providing services and admitted that she knew what she was doing was wrong.

Agent Senedak then interviewed Mallory.

According to the complaint, Mallory also admitted that he had not provided PCA services to Sharp for a period of time and stated that he and Sharp made “an arrangement” when he became her PCA to split the money. Mallory allegedly stated that he would receive payments for the PCA services and then give Sharp a portion of the money each month. He said he did provide some PCA services to Sharp when he first became her caregiver but now provided no services but still collected the money for services rendered. Mallory noted he never filled out a timesheet but would sign blank timesheets and Sharp would submit the forms to PPL.

The complaint notes this theft and fraud is over $2,000.00.

Sharp and Mallory were both arraigned in front of Magisterial District Judge Andrew F. Fish on Tuesday, August 6.

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