Behavioral Health Worker Pleads Guilty in D.C. Medicaid Fraud Scheme Exceeding $250,000

WASHINGTON — A Maryland behavioral health worker has pleaded guilty to participating in a scheme that billed D.C. Medicaid for mental health services that were never provided or were substantially inflated, resulting in losses exceeding $250,000.

Said Nassor, 46, of Silver Spring, Maryland, pleaded guilty on August 26, 2026, in U.S. District Court to one count of conspiracy to commit health care fraud.

The plea was entered before U.S. District Judge Emmet G. Sullivan.

According to court documents, Nassor worked as a Community Support Worker beginning in August 2022 for a D.C. Medicaid provider authorized to deliver mental health rehabilitative services to youth and adolescent beneficiaries.

The case involved a broader billing conspiracy that operated from approximately January 2022 through at least February 2025. Prosecutors said Nassor conspired with company employees and other community support workers to submit false and fraudulent reimbursement claims to D.C. Medicaid.

Court documents describe a billing system in which workers were directed to claim the maximum number of allowable service units for consumers regardless of whether the services were medically necessary or had actually been performed.

The scheme extended heavily into telehealth billing.

Community support workers were instructed to bill one full hour for each telehealth encounter regardless of the actual duration of the telephone call. Workers were also trained to reduce the claimed time slightly, such as billing 54 minutes instead of 60 minutes, in an effort to make the claims appear more realistic.

The same approach was used with diagnostic assessments.

Workers were directed to bill three hours for diagnostic assessments and later one hour regardless of how much time was actually spent with the consumer.

The disparity between the services documented and the actual telephone contact became especially significant in Nassor’s case.

From July 27, 2022, through June 23, 2023, Nassor documented more than 701 hours of telehealth services involving six patients.

Call records showed that he had actually spent approximately 172 minutes speaking with those patients by telephone.

That difference represents more than 700 hours of claimed services compared with less than three hours of documented telephone contact.

The investigation also included an undercover operation.

On October 21, 2024, Nassor created and billed D.C. Medicaid for three telehealth encounters involving an undercover FBI employee posing as a patient.

According to prosecutors, none of those telehealth encounters took place.

Investigators ultimately determined that Nassor’s participation in the conspiracy caused more than $250,000 in losses to D.C. Medicaid.

In this case, the fraudulent billing practices involved services intended for youth and adolescent Medicaid beneficiaries receiving mental health rehabilitative care, placing the fraud directly inside a publicly funded behavioral health system.

Nassor’s guilty plea establishes his criminal responsibility for participating in the conspiracy and separates his conduct from defendants whose cases remain unresolved or unproven in court.

The investigation was conducted by the FBI Washington Field Office and the D.C. Office of the Inspector General’s Medicaid Fraud Control Unit.

The case is being prosecuted by Assistant U.S. Attorney Jason Facci of the Fraud, Public Corruption, and Civil Rights Section of the U.S. Attorney’s Office for the District of Columbia.

U.S. Attorney Jeanine Ferris Pirro announced the guilty plea.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division, focused on investigating and prosecuting fraud against the public. The department said its anti-fraud work supports the Task Force to Eliminate Fraud, chaired by Vice President J.D. Vance, which focuses on fraud, waste, and abuse within federal benefit programs.

The criminal case is identified as United States v. Said Nassor, 26-cr-86 in the U.S. District Court for the District of Columbia.

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