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State Enforcement Actions

					
Each state enforces its laws and defends its interests, and states often work with the federal government in investigating and prosecuting corporate frauds. 聽Whistleblowers with knowledge of fraud or wrongful conduct that involves state or local funds or programs may be able to bring a claim under a state or local False Claims Act, and may be eligible to receive a monetary reward and protection against retaliation.


Below are summaries of recent settlements, successful prosecutions, and enforcement actions by states.聽If you believe you have information about fraud which could give rise to a claim under a State or Local False Claims Act or other whistleblower reward provision, please contact us to speak with one of our experienced whistleblower attorneys.

				

			

			
						
					
			

	
		
		

			

				
				
July 25, 2018

				 Attorney General Chris Carr announced indictments against Darnell Antwan Samples, Tiara Dameron, and Tieresa Mitchell for different identity fraud. Mr. Samples was charged with identity fraud related to unauthorized charges on Verizon accounts using information he allegedly took from his job at a Verizon store. Ms. Dameron and Ms. Mitchell were indicted for their roles in an alleged scheme to apply for hundreds of fraudulent Discover bank accounts using Social Security numbers that did not belong to them. 				 			
	
		
		
	


 			




	
		
		

			

				
				
July 24, 2018

				 Attorney General Pam Bondi announced the arrest of a doctor, Armando Falcon,  and two office managers, Claudia Centeno and Reveka Karagiann, in relation to charges for illegal sale of prescription drugs. Dr. Falcon owned and operated Pain Center of Cutler Bay in South Florida. Dr. Falcon allegedly met with patients for less than two minutes before writing prescriptions for oxycodone. The two office managers allegedly printed prescriptions for large quantities of oxycodone before Dr. Falcon arrived in the office to expedite the process of selling the drugs. FL AG				 					 

						
Tagged in:
													  Pharma Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 24, 2018

				 Attorney General Barbara Underwood announced guilty pleas by Albany Environmental Consultants, LLC ("AEC"), its owner Ronda Dolan, and a project manager Brian McLaren for defrauding customers in NY by posing as a licensed asbestos testing company. AEC's license to test for asbestos had expired in 2014 but it used the name of another company to charge customers $40,000 overall for asbestos testing services just to have the work later redone by a licensed testing company. 

				 					 

						
Tagged in:
													  Environmental Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 20, 2018

				 Attorney General Barbara Underwood announced a six month jail sentence and $1.5 million in restitution payments for Arkady Goldin owner of Value Pharmacy, Inc. for defrauding the New York State Medicaid program. Mr. Goldin had pleaded guilty to second degree health care fraud in June for entering into a kickback arrangement with a former hospital employee to steer prescriptions to Value Pharmacy. Value then submitted false claims to Medicaid for medications it never dispensed to patients. 				 					 

						
Tagged in:
													  Medicaid, 
													  Pharma Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 12, 2018

				 Nevada announced that James Limperis, 54, of Las Vegas, pleaded guilty to one count of Theft, a category 鈥淏鈥� felony. The theft occurred between April and October 2012. According to the indictment, Limperis is accused of withdrawing more than $1,700,000 from an escrow account holding his victim鈥檚 money, and placing it into his own bank account. Ultimately, the defendant spent the funds on personal expenses without the victim鈥檚 consent. 				 					 

						
Tagged in:
													  Financial and Investment Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 11, 2018

				 A Florida man was charged with assuming the identity of a New Jersey doctor to submit more than $1 million in fraudulent medical claims for medical services purportedly rendered at a Morris County medical center that, in reality, did not exist. Yoandi Marrero, 33, of Hialeah, Florida, and PA Clinical Center, Inc., the registered company he allegedly used to front the phantom medical practice, were charged with insurance fraud and attempted theft by deception (2nd degree); theft by deception (3rd degree); and identity theft (4th degree) in an indictment handed up by a state Grand Jury in Trenton today. Marrero was also charged with fourth degree identity theft in the alleged scheme. 				 					 

						
Tagged in:
													  Financial and Investment Fraud, 
													  Medical Billing Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 10, 2018

				 A Norwich behavioral health practice and its co-owners, a mother and her daughter who are both licensed behavioral health clinicians, agreed to a $300,000 settlement to resolve alleged violations of Connecticut鈥檚 False Claims Act. Affinity Behavioral Health LLC (鈥淎ffinity鈥�) is co-owned by Julie Longton, a licensed marital and family therapist, and her daughter, Leanda Zupka, a licensed clinical social worker. Affinity, Longton and Zupka are enrolled as behavioral health providers in the Connecticut Medical Assistance Program (CMAP), which includes the state鈥檚 Medicaid program. The state alleged that, from April 2013 to December 2016, Affinity, Longton and Zupka knowingly submitted claims to the CMAP for payment for behavioral health services purportedly performed by licensed behavioral health clinicians when, in fact, the services were rendered by unlicensed individuals employed by Longton and Zupka. 				 					 

						
Tagged in:
													  FCA State, 
													  Improper Medical Personnel, 
													  Medicaid, 
													  Medical Billing Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 10, 2018

				 Maryland announced that Rebecca D. Norris pleaded guilty to one count of felony Medicaid fraud for masterminding a series of fraudulent schemes at two western Maryland clinics she owned, resulting in a $825,000 loss to the Maryland Medicaid program. Norris鈥檚 sister, Heidi M. Wiley, 32, also pleaded guilty to one count of Felony Medicaid Fraud for her role as a biller in Norris鈥� schemes. Norris used a series of financial incentives to induce Wiley and other unindicted co-conspirators to assist her in these fraudulent schemes, including paying commissions for billing services to Medicaid. She also directed her staff to conceal the fraud during a visit from state auditors by altering and doctoring patient records. 				 					 

						
Tagged in:
													  Medicaid, 
													  Medical Billing Fraud, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 5, 2018

				 North Carolina announced it has settled with Rotech Healthcare Inc., a Florida-based respiratory equipment supplier, over civil allegations that Rotech knowingly submitted false claims for portable oxygen contents to Medicaid and Medicare. The settlement is joined by 22 other states and the federal government. The total settlement is $9.95 million, of which North Carolina will receive $43,671.23. Between 2009 and 2012, Rotech automatically billed Medicaid and Medicare for portable oxygen contents regardless of whether the beneficiaries used or needed portable oxygen and without obtaining the required proof of delivery. Rotech continued this practice despite knowing that it was submitting ineligible claims. 聽 The settlement is part of previously-reported settlement with the federal government and other states.聽 April 12 Federal Settlement. The case was initiated by a whistleblower.				 					 

						
Tagged in:
													  FCA State, 
													  Medicaid, 
													  Medical Billing Fraud, 
													  Medical Devices and DME, 
												
						

					
	
							
	
		
		
	


 			




	
		
		

			

				
				
July 3, 2018

				 New York announced the grand jury indictment of financial advisor and lawyer Thomas Lagan for a scheme in which he and former Town of Guilderland Judge Richard Sherwood plundered over $9 million from family trusts they were responsible for overseeing. As detailed in the complaint, Lagan and Sherwood have provided estate planning and related legal and financial services to Capital Region philanthropists Warren and Pauline Bruggeman and Pauline Bruggeman鈥檚 sister, Anne Urban, since at least 2006. The Bruggemans each created a revocable trust, which contained sub-trusts designed to provide for Anne Urban and Pauline鈥檚 other sister, Julia Rentz. Other funds were to be awarded to Anne Urban and Julia Rentz outright upon the deaths of the Bruggemans. 				 			
	
		
		
	


 			


											

						

								

									
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