June 19, 2002
Sean Caine, 410-576-6357
NURSE SENTENCED TO JAIL TIME, PROBATION
AND ORDERED TO REPAY OVER $126,000 TO STATE
Joseph Curran, Jr., announced today that a Mount Savage registered
nurse was sentenced to three years incarceration with all but one
year suspended, for billing the Medicaid Program for over $126,000
worth of private duty nursing services that she did not perform.
Allegany County Circuit court Judge Gary G. Leasure ordered Regina
Waites, 44, of Calla Hill Road N.W., to serve two months of the
sentence in the Allegany County detention center, and the remainder
on home detention.
pleaded guilty to one count of Medicaid health plan fraud on March
25, 2002, admitting to causing her employer to unwittingly submit
numerous false time sheets and nursing notes to the Medicaid program.
Waites worked for Tri-State Home Health and Equipment, Inc., a nursing
agency that contracted with the Maryland Medicaid program to provide
in-home nursing services to eligible children requiring skilled
care. Waites was supposed to provide nursing care for up to 12 hours
per day to a child who suffered from an illness that, among other
symptoms, caused her to stop breathing suddenly and without warning.
Over a multi-year period, Waites filled out time sheets as if she
worked each day for the full shift. She also completed nursing notes
that contained observations concerning the childs health for
those hours. She then submitted those documents to Tri-State, which
billed Medicaid for the services that Waites had purportedly provided.
investigation by the Office of the Attorney General revealed that
Waites was employed at a hospital, a nursing home and at Western
Correctional Institution during many hours she represented that
she was providing care to the child. An examination of the time
sheets from her various jobs uncovered hundreds of hours of overlap
between the hours billed for those jobs and the hours she billed
to Tri-State. Evidence developed by the State proved that during
those periods of overlap, Waites was working at the other jobs,
and not for Tri-State as she claimed. Additionally, a review of
her time sheets indicated that she was routinely claiming to work
continuously for stretches of 48 to 116 hours in a row without a
break. During one seven day period in March of 2000, Waites submitted
time sheets to her various employers representing that she worked
144 out of a possible 168 hours.
Leasure ordered Waites to serve five years probation at the completion
of her one year sentence, during which time she must make payments
toward restitution of $126,706 to the Department of Health and Mental
This case was prosecuted by the Medicaid Fraud Control Unit of the
Maryland Attorney Generals Office.