Baltimore Woman Pleads Guilty to Felony Medicaid Fraud

A social worker from Baltimore received a sentence of five years of probation after pleading guilty Thursday to filing nearly $12,000 in fraudulent Medicaid claims.

Pamela Evans, 60, also was ordered by Baltimore City Circuit Court Judge Timothy Doory to pay full restitution to the Medicaid program, plus civil damages, and perform 200 hours of community service, according to Maryland Attorney General Brian Frosh.

Evans, a licensed certified social worker-clinical, is a provider of mental health therapy services, according to a statement from the attorney general’s office. An investigation by the office’s Medicaid Fraud Control Unit found that Evans submitted claims to Medicaid for individuals who did not receive mental therapy services.

From July 2012 to September 2013, Evans submitted $11,814.90 in fraudulent claims, which were then paid by Medicaid, according to Frosh’s office.

Medicaid is a federal-state healthcare program for families, children and other individuals who qualify based on income levels, disability and other circumstances. Felony Medicaid fraud is punishable by up to five years in prison and up to a $100,000 fine per offense.