Baltimore County Couple Sentenced to Two Years in
Prison for Medicaid Fraud
Ordered to Pay More Than $780,000 in Restitution
BALTIMORE, MD (July 11, 2008) - Attorney General Douglas F. Gansler
announced today that Tammy D. Smith, 39, and her husband, Anthony
Smith, 40, of the 4200 block of Huntshire Road in Randallstown
were each sentenced in Baltimore County Circuit Court to two years
incarceration as a result of their convictions of conspiracy, felony
Medicaid fraud, and theft. Circuit Court Judge John F. Fader also
ordered the couple to pay restitution to the State Medicaid Program
in the amount of $783,653.
The evidence in the case established that Tammy Smith, a licensed
social worker, and her husband, who handled her billing, submitted
thousands of false claims to the Maryland Medicaid program for
therapy services that were not performed at all or were different
from the services billed for. For example, Ms. Smith billed for
services she claimed to have performed on several days when she
was a hospital inpatient. She also billed for nine months of
multiple therapy services a week for a patient she never
saw and who was
in the hospital at the time the services were allegedly rendered.
The State established that from January, 2000 through December,
2003, Medicaid paid the Smiths nearly $900,000. Although required
to do so by the Medicaid regulations, the Smiths failed to document
over $700,000 of those services.
The case was prosecuted by the Attorney General’s Medicaid
Fraud Control Unit with the assistance of the Mental Hygiene Administration
and the Medicaid Program, both of which are part of the Department
of Health and Mental Hygiene. In making today’s announcement,
Attorney General Gansler thanked Assistant Attorneys General Mike
Travieso and Tom Rafter and chief investigator Peggy Gayhardt for
their work on the case.