Licensed Attorney Pleads Guilty to Defrauding Medicaid in Scheme Involving Personal Care Services

Susan Engonwei Tingwei, 44, of Silver Spring, Md., a licensed attorney, pleaded guilty to defrauding the DC Medicaid program out of more than $100,000 in a scheme involving false claims about personal care services. In court documents, Tingwei admitted that at various times between 2016 and 2018, she was employed by two different home health agencies in the District of Columbia. The home health agencies employed her to assist DC Medicaid beneficiaries in performing activities of daily living, such as getting in and out of bed, bathing, dressing, and eating. Tingwei was supposed to document the care that she provided to Medicaid beneficiaries on timesheets and then submit the timesheets to the home health agencies, which would in turn bill Medicaid for the services that she rendered. As part of her guilty plea, Tingwei admitted that she submitted false timesheets claiming to provide services that she did not actually render.

Tingwei earned her Master of Laws degree from the University of Maryland in May 2017. She was admitted to the New York state bar in February 2018. On 118 occasions between August 2016 and May 2017, Tingwei submitted timesheets claiming that she worked as a personal care aide in Washington, DC, during the same hours when she either was scheduled to attend law school classes in Baltimore, or when she should have been traveling to or from Baltimore related to her law school program. For example, Tingwei submitted timesheets claiming that she provided services to two beneficiaries on April 13, 2017, one from 7 a.m. to 3 p.m., and the other from 3:30 p.m. to 8:30 p.m. Records show Tingwei’s key card swiping in at the University of Maryland’s law school campus at 5:30 p.m. and swiping out at 9:29 p.m. Cell phone records also showed her cell phone being in Baltimore between 8:03 a.m. and 9:31 p.m. that day. Tingwei admitted that her fraud scheme began no later than August 2016 and continued through September 2018. She acknowledged successfully defrauding the DC Medicaid program out of $131,656.

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