AG Gansler: Florida Woman Pleads Guilty to Medicaid Fraud
Forged, false timesheets claimed care provided for months after woman left Md.
Baltimore, MD (Oct. 8, 2013) - Attorney General Douglas F. Gansler announced today that Carol A. Dunstan, 58, of Fort Lauderdale, Florida, pleaded guilty in the Circuit Court for Baltimore County to one count of felony Medicaid Fraud for collecting payments for personal care services that she did not provide. Judge Robert E. Cahill, Jr., sentenced her to two years' incarceration, all of which was suspended, and placed her on five years of supervised probation. Dunstan is ordered to pay over $10,000 in restitution and over $5,000 in civil penalties during the period of probation, and she is no longer allowed to be a provider in any federally-funded health care program.
"This provider learned the hard way that stealing is a no-no," said Attorney General Gansler. "Her brazen attempt to get paid for six months of work she didn't do is an affront to hardworking Marylanders whose tax dollars support the Medicaid program."
Dunstan was an authorized personal care provider in the Medicaid Waiver for Older Adults Program, a program for individuals 50 or older who require long-term care services to remain in a community setting. She began caring for an individual in Phoenix, Maryland in 2006. Dunstan relocated to Florida in September 2011, but continued to submit timesheets for work that she did not do. Included on the timesheets was the forged signature of the individual whom she had been caring for in Maryland. The Program paid her for the services she was thought to be providing from September 2011 through February 2012, when an employee of the Department of Aging, the agency reviewing the Program's timesheets, noticed a Florida postmark on the envelope containing mailed timesheets. A subsequent investigation by the Department of Aging revealed the fraudulent claims and forgeries.
The Medicaid Fraud Control Unit of the Maryland Attorney General's Office prosecuted the case with assistance from the Department of Aging, Department of Health and Mental Hygiene and the Maryland State Police. Attorney General Gansler thanked Assistant Attorney General Ilene J. Nathan and Investigator Mark E. Holback for their work on this case.