The clinical director of a home nursing agency was sentenced yesterday in U.S. District Court in Boston in connection with her role in a multimillion dollar scheme to defraud Medicare.

Janie Troisi of Revere was sentenced to three years in prison and three years of supervised release.

Troisi, a registered nurse, was the clinical director of At Home VNA (AHVNA), a home health agency located in Waltham, which was owned and operated by her co-conspirator, Michael Galatis. From 2009 to 2012, Troisi conspired with Galatis to submit more than $3.5 million in fraudulent home health care claims to Medicare.

The Medicare program only pays for home health services under certain conditions, including that a physician has certified that the patient is homebound and needs certain skilled services. Troisi ignored these requirements and trained AHVNA nurses to recruit healthy individuals with Medicare insurance who lived in large apartment buildings. Troisi and Galatis trained AHVNA nurses to manipulate the patients’ Medicare assessment forms to make it appear as though the patients qualified for Medicare home health services, when that was often not the case.

In 2011, Medicare passed a new requirement that a physician certify that she or he had a face-to-face encounter with the patient about the need for home health care. Even after this regulation was enacted, Troisi continued to cause the submission of millions of dollars of Medicare claims for home health care.

In August 2015, Troisi was convicted following a five-day trial of conspiracy to commit health care fraud and 10 counts of health care fraud.

Galatis was convicted of conspiracy to commit health care fraud, 10 counts of health care fraud and seven counts of money laundering. He was sentenced in February 2015 to 92 months in prison.