July 2006 Criminal Enforcement Report

Archive Criminal Enforcement Archive

Medicaid Fraud

In Maine, a man was sentenced to 6 months home confinement and ordered to pay $77,700 in restitution for causing another to file a false statement. Although the man was excluded from participating in Federal health care programs, he sought and received employment with a facility that received Medicaid program funds. By failing to disclose that he was an excluded individual, the facility’s cost reports included unallowable salary and benefit costs. The facility terminated the man after learning of his exclusion.

Employee Misconduct

In Georgia, pursuant to her guilty plea, a former Senior Executive Service (SES) employee was sentenced for theft of Government property. The woman, who was a senior management official at the Centers for Disease Control and Prevention (CDC), was sentenced to 480 hours of community service and ordered to pay $10,000 in restitution and fines. Through a CDC audit, questionable charges on 34 travel vouchers were discovered. Subsequently, the OIG investigation revealed that the woman concealed fraudulent personal charges and claimed them on her travel vouchers as official business expenses. Many of the charges she labeled as fax, photocopy, or business center charges were actually for room service.

Child Support Enforcement

In Indiana, a man was sentenced to 15 months in prison and ordered to pay $47,000 in restitution for failure to pay child support. The man was the owner/operator of several debt consolidation businesses but routinely failed to pay support for his two children.

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