Autism Fraud Exposed: Fraudulent Behavior Therapies in South Florida
Investigation Reveals Widespread Fraud in Autism Treatment
For many families with children diagnosed with autism or other developmental disorders, access to treatment is critical. However, federal investigators have uncovered widespread fraud in the industry, particularly in South Florida.
Cheating on ABA Exams
According to investigators with the Department of Health and Human Services Office of the Inspector General (HHS/OIG), a group of individuals, including Grisel Farinas, was cheating on virtual exams to become licensed behavioral technicians. Farinas was caught on video illegally cheating on a test, with a man providing her with answers and assistance.
Fraudulent Providers and Gameplay
The fraud scheme involved paid individuals to help others pass virtual exams, and then lining them up with fraudulent service providers. Investigators say this was a money-making scheme, with providers using Medicaid funds to pay for fraudulent services.
Overbilling and Fraudulent Services
Farinas was accused of providing services to two boys, who were Medicaid recipients. She billed Medicaid over $128,000 for hours of therapy, but investigators say she admitted to not providing the services. Surveillance at her home revealed she would spend only a few hours inside, but bill for much more. The mother of the boys was also receiving kickbacks for enrolling her children.
Consequences of Fraud
Farinas was sentenced to one month in prison and ordered to pay restitution. Her case highlights the impact of fraud on families and the system. The mother of a 7-year-old diagnosed with autism, Krystal Janet, shared her struggles to access ABA therapy and the devastating consequences of fraud on her child’s future.
Conclusion
The widespread fraud in autism treatment is a serious concern, with half of Medicaid ABA services in Florida going to Miami-Dade County. The closure of remote testing centers due to cheating has further exacerbated the issue. It is essential for families to be vigilant and for authorities to take action against fraudulent providers.
FAQs
Q: What is ABA therapy?
A: Applied Behavior Analysis (ABA) therapy is a type of behavioral therapy used to treat individuals with autism and other developmental disorders.
Q: What is the purpose of ABA therapy?
A: ABA therapy aims to increase communication, social, and daily living skills, and to reduce problem behaviors.
Q: How does fraud in ABA therapy affect families?
A: Fraudulent ABA services can lead to denial of services, financial losses, and a lack of access to necessary treatment for children with autism.
Q: What is being done to combat fraud in ABA therapy?
A: Law enforcement agencies, such as the HHS/OIG, are investigating and taking action against fraudulent providers. Increased scrutiny and oversight are necessary to protect families and the system.
