Information - Alaska Department of Law

PCAs are licensed and registered health care providers that the AlaskaMedicaid Program pays to provide home based healthcare services which will allowMedicaid recipients to stay in their home rather than be placed in a nursing home typesetting. Medicaid recipients are evaluated for their healthcare needs and a PCA is thenhired by the recipient to provide those needs in the recipient’s home. The PCA fills outa timesheet for the work done and submits it to a PCA agency that in turn billsMedicaid. Medicaid pays approximately $24 an hour to the agency and the agencymust pay the PCA at least half of that amount.Immigration and Customs Enforcement (ICE) Agent Stefanie Vetterprovided MFCU investigators with detailed border crossing information for both AlvinDurano and Medicaid recipient Normita Durano. A comparison of Medicaid billingrecords against the travel records revealed that Alvin Durano billed Medicaid forallegedly providing PCA services to Normita Durano on three different occasions whenNormita was traveling out of the country alone (3/15/11 – 5/15/11, 11/9/11 – 1/24/12,11/22/12 – 2/3/13). Alvin Durano billed Medicaid a total of $8,683.92 for the times thatNormita Durano was out of the country. A review of the timesheets submitted duringthis period revealed that both Alvin Durano, as the PCA, and Normita Durano, as theconsumer of services, signed each of the timesheets attesting that the tasks identifiedwere completed and that a misrepresentation of constitutes fraud.On May 8, 2013, MFCU investigators interviewed Alvin Durano about hiswork as a PCA for his mother Normita Durano. Alvin stated that he had not beenNormita’s PCA for a couple of years, but acknowledged submitting timesheets to GoodFaith for providing PCA services to Normita reflecting the services actually provided.Alvin stated that he previously worked for U-Haul Services for approximately 8-9 yearsand that his normal work hours were from 7:30 a.m. to 4:30 p.m. Monday throughFriday. A review of timesheets submitted by Alvin for the years 2011 – 2012 revealedoverlapping time between PCA hours Alvin claimed to be providing services and theactual hours he was working for U-Haul. Alvin billed Medicaid a total of $14,760.93State v. Alvin DuranoState v. Normita Durano3Information