DENVER – Roland Vaughn, age 58, of Clearwater, Florida, pled guilty late last week to paying illegal gratuities of more than a million dollars to an employee with the Department of Veterans Affairs (“VA”). In exchange, Vaughn received referrals for his company, Legacy Home Health, which in turned billed the VA more than $3 million for ineligible home health services. The announcement was made by U.S. Attorney Jason Dunn, Special Agent in Charge Gregg Hirstein of the Veterans Affairs Office of the Inspector General, Dean Phillips, Special Agent in Charge of the Denver FBI, and Acting Special Agent in Charge Kevin Caramucci of the IRS—Criminal Investigation.
According to the stipulated facts in the defendant’s plea agreement, Vaughn and the VA employee were long-time friends when, in September 2017, they worked together to help Vaughn establish a company called Legacy Home Health (“Legacy”). The VA employee told Vaughn how to set the company up to submit claims for home health services to the VA’s Spina Bifida Health Care Benefits Program. For certain veterans who have children with spina bifida, the program provides for health services in the home.
The VA employee incorrectly told program beneficiaries that their family members and friends could be paid for providing home health services to the beneficiaries, even though these individuals were not “authorized providers” as required by VA regulations because, with only one exception, they did not hold certified nursing assistant licenses or other medical licensure. The VA employee told these individuals they simply had to sign up through Vaughn’s company – Legacy – the health agency that would bill for their services.
Legacy then submitted claims for home health services on behalf of the family members and friends, billing the VA as much as $88 an hour, but paying the individuals approximately $16 an hour. The VA, in turn, paid Legacy $3,039,761.36 for such claims. In exchange for the referrals to Legacy, Vaughn paid the VA employee $1,007,205.00 in illegal gratuities.
Vaughn’s plea agreement requires him to pay restitution to the VA in the full amount of the illegal payments he made to the VA employee. Vaughn’s sentencing is set for December 6, 2019.
This case was investigated by the VA’s Office of the Inspector General as well as the FBI and IRS-CI. The defendants are being prosecuted by Assistant U.S. Attorney Anna Edgar.
The VA employee referenced in this press release has been indicted by a federal grand jury. The charges pending against that defendant are allegations, and that defendant is presumed innocent unless and until proven guilty.