Nurse who billed Medicaid while on Caribbean cruise sentenced

The Office of the Medicaid Inspector General (OMIG) received a complaint in September 2011 alleging that Licensed Practical Nurse Tammy Beth Wojtach was billing Medicaid for services not rendered. Her fraudulent billing was discovered after she left a position in which she cared for a 10-year-old recipient with cerebral palsy. When the new nurse submitted bills for the same recipient, the claims were denied by Medicaid because Wojtach had already used all of the approved hours from the patient’s Medicaid prior authorization. OMIG subsequently received additional information indicating that Wojtach was billing for services while she was on a cruise in the Caribbean. OMIG investigators obtained and analyzed relevant Medicaid data, conducted interviews, and referred the case to the Attorney General’s Medicaid Fraud Control Unit. On November 19, 2013, Wojtach was arrested by the New York State Attorney General’s Office. She was arraigned in Central Islip on a felony charge of third-degree grand larceny related to the matter OMIG had referred. On January 7, 2014, Wojtach pleaded guilty to the lesser offense Petit Larceny. She was sentenced on March 4 in Suffolk County to restitution of $18,299 and three years of probation. OMIG excluded Wojtach from the Medicaid program effective May 21, 2014.