Highland Mills Woman Pleads Guilty to Medicaid Fraud

GOSHEN– A Highland Mills lady pleaded guilty Thursday in Orange County Court to bilking Medicaid of more than $75,000 by billing the program for personal care that was never ever carried out.

Enny Portillo, 58, accompanied by lawyer James Winslow, pleaded guilty to fourth-degree grand larceny, a felony. State Assistant Attorney General Todd Pettigrew informed the judge that in exchange for her plea and complete restitution of $75,812.42, district attorneys will suggest that Portillo be sentenced to a conditional discharge and social work.

Judge Craig Brown stated he will top his sentence at 6 months in Orange County Jail and 5 years of probation, but would think about lower sentences, consisting of the conditional discharge. He warned Portillo that he would be not likely to enforce that sentence, which would eliminate the conviction after a particular period expires.

District attorneys say Portillo’s child was the caretaker for a Medicaid customer – Portillo’s mom – through the Consumer Directed Personal Assistance Program. The program enables a handicapped person or an agent to organize their own home care. Portillo was functioning as her mom’s agent.

District attorneys say Portillo falsified the time sheets sent to Medicaid for payment, declaring her child had actually offered care when in reality Portillo’s mom ran out the nation, in Colombia.

As the judge questioned her, Portillo confessed to incorrectly sending the claims from Feb. 18, 2010 through Nov. 1, 2011. The scams was revealed after evaluation by the Attorney General’s Medicaid Fraud system.

Portillo was detained on Nov. 1, and stays totally free till her sentencing on May 18.