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MA AG Secures Guilty Plea from Ringleader of Home Health Fraud Scheme

Attorney General Andrea Joy Campbell announced that Felix Mercedes, 35, of Worcester, pleaded guilty to orchestrating a widespread MassHealth fraud scheme involving the stealing of personal information from disabled, elderly, and unhoused individuals to bill for false home health services in the Worcester area. According to the Attorney General’s Office (AGO), Mercedes and co-conspirators billed MassHealth over $500,000 for home health services that were never provided, including services related to MassHealth’s Personal Care Attendant (PCA), Home Health Aide (HHA), and Adult Foster Care (AFC) programs.

On September 11, 2025, as a result of charges brought by the AGO, Mercedes pleaded guilty in Worcester County Superior Court to Medicaid False Claims, Larceny over $1,200, Conspiracy to Commit Larceny and Medicaid Fraud, Identity Fraud, and Money Laundering. As a result of the plea, Mercedes was sentenced to 1–3 years in state prison, 5 years of probation, and ordered to pay $500,000 in restitution to the Commonwealth. Additionally, Mercedes was barred from any responsibilities related to the MassHealth program and from working with the elderly or disabled.