A Janitorial Company Rebranded Itself as a Medicaid Provider. It Billed $9,300,000 for Care Nobody Ever Got.
Then Its Owners Fled the Country.
A Franklin County grand jury has indicted a Powell, Ohio couple — identified in court records only by surname as Acheampong and Owusu-Sekyere — on 12 felony counts for allegedly running a $9,300,000 Medicaid fraud scheme through a company they built by simply renaming a janitorial LLC.
According to Ohio Attorney General Andy Wilson (R), the renamed entity — One Community Mental Health — billed the state $100,000 in its first month on Ohio Medicaid’s rolls, then scaled to as much as $650,000 a month at its peak, for home-health and behavioral-health services prosecutors say were never actually provided.
Neither defendant is in custody. The Attorney General’s office believes they have fled to Kenya or Ghana rather than face trial.
- $9,300,000 — total Medicaid fraud alleged in the Franklin County grand jury indictment — per the Ohio Attorney General's office
- $100,000 — billed by One Community Mental Health in its very first month on Ohio Medicaid's provider rolls — per the Ohio AG's office
- $650,000 — the company's billing at its peak, per month, before the scheme unraveled — per the Ohio AG's office
- 12 — felony counts charged, including pattern of corrupt activity, telecommunications fraud, theft, forgery, Medicaid fraud, money laundering, and identity fraud
- 10 — additional Ohio Medicaid providers indicted the same week for a combined $563,860 in separate losses — per the Ohio AG's office
- 0 — defendants currently in custody — both are believed to have fled the country before trial
A Franklin County grand jury handed up the indictment; the case was brought by the Ohio Attorney General’s office, not the U.S. Department of Justice. That distinction matters, because Ohio’s Medicaid fraud problem has generated both state prosecutions and a separate federal House Oversight inquiry, and the two are routinely conflated in coverage of the broader scandal. This is a state case: twelve felony counts, according to AG Andy Wilson (R), covering a pattern of corrupt activity, telecommunications fraud, theft, forgery, Medicaid fraud, money laundering, and identity fraud.
Prosecutors allege Acheampong and Owusu-Sekyere didn’t just overbill Medicaid — they built the billing apparatus itself on stolen and forged material. The identity-fraud and forgery counts, per ABC6’s reporting on the indictment, involve stolen identities used to manufacture the paperwork trail behind claims for services regulators say were never rendered.
One Community Mental Health did not start life as a health-care company. According to the Ohio Attorney General’s office, it began as a janitorial-services LLC, which Acheampong and Owusu-Sekyere renamed and re-registered as a Medicaid provider — no clinical infrastructure required beyond a new name and an enrollment form. Ohio’s Medicaid home- and community-based-services waiver program is designed to let approved providers bill for home-health and behavioral-health visits with comparatively light in-person verification, particularly where caregiver relationships run through refugee and immigrant communities that state auditors and federal investigators have separately flagged as under-scrutinized.
The billing ramp was fast. The company took in $100,000 in its first month as an enrolled provider, according to the AG’s office, then climbed to as much as $650,000a month at its peak — a scale investigators say was reached without a proportional increase in verified caregivers, clients, or documented visits.
Neither Acheampong nor Owusu-Sekyere is in custody. The Ohio Attorney General’s office says it believes the pair fled to Kenya or Ghana before the indictment was unsealed, leaving Ohio’s Medicaid Fraud Control Unit to pursue extradition rather than a courtroom trial in the near term. Wilson framed the case in plain terms when he announced it.
“It's important to remember that these are your tax dollars being stolen. We are committed to rooting out Medicaid fraud and holding offenders accountable.”
Ohio Attorney General Andy Wilson (R) · announcing the indictment, July 2026
The case did not surface in isolation. The same week, Wilson’s office indicted ten additional Ohio Medicaid providers in separate, unrelated cases totaling $563,860 in combined alleged losses, with individual amounts ranging from $2,016 to $361,053. None of those ten cases is connected to Acheampong or Owusu-Sekyere; they are cited here only to show that the Franklin County case landed inside an active, ongoing state enforcement push, not as a one-off.
Ohio Attorney General Andy Wilson (R) — appointed by Gov. Mike DeWine (R) in June 2026 to succeed Dave Yost; announced the indictment and the twelve felony counts.
Ohio Medicaid Director Scott Partika — the career administrator overseeing the home- and community-based-services waiver program the scheme allegedly exploited.
Ohio is governed by Republicans. Both officials named above are the ones bringing this case, not the ones accused in it — a distinction this story keeps deliberately clear.
This case did not begin with a grand jury. It began with Daily Wire investigative reporter Luke Rosiak, whose two-year investigation into Ohio’s Medicaid home-care billing surfaced the Acheampong/Owusu-Sekyere pattern before prosecutors formally charged it. Rosiak has since testified before Congress, where Rep. Brandon Gill (R-TX) — chairman of the House Oversight Committee’s task force examining Ohio’s broader Medicaid fraud wave — has held hearings on exactly the verification gap this case exploited.
“The federal government built a program so easy to gain that a convicted fraudster can get approved to send unsupervised and untrained workers into elderly Americans' homes, and a refugee family can collect $90,000 a year simply by having one family member claim to be the other's caregiver with no verification and little oversight.”
Luke Rosiak, Daily Wire · House testimony on Medicaid home-care verification gaps
Rosiak’s point lands directly on this case. One Community Mental Health needed no medical license, no clinical staff, and no physical facility beyond what a janitorial company already had on file — just an Ohio Medicaid provider number and billing codes for home- and behavioral-health visits. That is the same structural gap Congress has been examining since the spring: a home-care benefit built to move money quickly to family caregivers, with self-attestation standing in for the kind of independent verification that might have caught a former janitorial company billing seven figures a year for clinical services it was never equipped to deliver.
Rep. Brandon Gill (R-TX), who chairs the House Oversight Task Force that held hearings on Ohio’s Medicaid waiver fraud earlier this year, has said the pattern his committee documented — providers billing for services never rendered, with almost no verification at the point of approval — is exactly what keeps surfacing case by case across the state.
None of that congressional scrutiny changes what happened in Franklin County. A janitorial company became a Medicaid provider on paper alone, billed six figures in month one, seven figures within a year, and its owners are now believed to be an ocean away from the courtroom where they were supposed to answer for it.
Ohio prosecutors did their job: a grand jury indicted, an Attorney General announced it, and a Medicaid Fraud Control Unit is now chasing extradition. The failure that let a renamed janitorial company bill $9,300,000 before anyone stopped it belongs to a federal verification system so thin that a family member self-attesting as a caregiver is often the only check a claim ever gets.
