Acquah v. State

686 A.2d 690, 113 Md. App. 29, 1996 Md. App. LEXIS 177
CourtCourt of Special Appeals of Maryland
DecidedDecember 26, 1996
Docket261, Sept. Term 1996
StatusPublished
Cited by20 cases

This text of 686 A.2d 690 (Acquah v. State) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Acquah v. State, 686 A.2d 690, 113 Md. App. 29, 1996 Md. App. LEXIS 177 (Md. Ct. App. 1996).

Opinion

*38 HARRELL, Judge.

Appellant, Sabina Evelyn Acquah (Acquah), was indicted on two criminal conspiracy counts. One count charged Acquah with conspiracy 1 to bribe state employees under Md. Ann.Code art. 27, § 22 2 (hereinafter referred to as “the bribery count”). The second count charged Acquah with conspiracy to gain illegally access to personal records by false pretenses, bribery, or theft (hereinafter referred to as “the personal record count”). 3 Acquah was acquitted by a jury sitting in the Circuit Court for Baltimore City (Hammerman, J., presiding) on the bribery count but convicted on the personal record count. She appeals her conviction on several fronts. We shall affirm.

FACTS

This case evolved out of the apparently frenzied market for inclusion of Maryland’s Medicaid recipients in managed care programs, particularly health maintenance organizations 4 *39 (HMO’s). Without mandatory enrollment legislation allowing access to potential client information, the private entities were often perplexed as to how to enroll Medicaid recipients without access to State-controlled listings. The State, we presume unintentionally, created a lucrative market without providing an efficient, yet legal, means of finding members of that market. Although the State desired that private companies enroll its Medicaid recipients, it did not provide access to recipient records. The Department of Health and Mental Hygiene (DHMH) maintains the recipient information on internal forms known as HEOl’s. This potentially lucrative market, albeit one created by the State, spawned an environment that included bribery of DHMH employees to release HEOl’s as a means to obtain “leads” on possible clientele. This use of the HEOl’s by certain HMO marketing representatives led to the Medicaid Fraud Control Unit (MFCU) investigations that, in turn, led to the indictment of Acquah.

Chesapeake Health Plan (CHP) is an HMO operating in Maryland. Acquah became an employee of CHP in 1988 and, at some point thereafter, became the Medicaid Marketing Manager. During the alleged conspiracy, she had supervisory responsibility for all CHP employees marketing services to Medicaid recipients. The issue addressed below was whether Acquah conspired to obtain illegally the HEOl’s from State employees in order to enhance the performance of the Medicaid Marketing Department at CHP.

Acquah’s subordinates worked out of two offices, one in Baltimore City and another in Prince George’s County. The representatives were required to report in the morning to their assigned office, venture into the marketing thicket to enroll Medicaid recipients, and return to the office shortly before the end of the work day. Acquah managed her employees through direct contact and by addressing them at biweekly meetings.

*40 The MFCU obtained a subpoena duces tecum directed to the Custodian of Records at CHP. On 15 March 1995, after an attempt to serve CHP’s general counsel, a MFCU investigator served the subpoena on Acquah. Among the many documents requested were HEOl’s. Officers of CHP and Acquah both testified that before service of the subpoena they had no knowledge of the existence or significance of HEOl’s. It was later demonstrated at trial that HEOl’s were single sheets of paper, maintained by DHMH, that contained personal information about individual Medicaid recipients. The face of an HEOl does not proclaim its confidentiality and numerous witnesses at trial denied knowledge of its confidential status.

CHP, and its counsel, conducted a search of the Medicaid Marketing Department’s offices and discovered HEOl’s in approximately one-third of the representatives’ cubicles. CHP followed up the search with interrogations of the representatives and supervisors. A number of these individuals were ultimately summoned by the grand jury and admitted to using HEOl’s. Most of these persons were fired. Acquah was interrogated separately and denied knowing that HEOl’s were used at CHP. She also denied ever distributing HEOl’s.

Acquah was later indicted on the two conspiracy counts that were the subject of the trial below. The State alleged that Acquah was part of an ongoing conspiracy to obtain the HEOl’s from state employees. Apparently four representatives illegally obtained the HEOl’s, although only one admitted actually to paying State employees to obtain them. The State never alleged that Acquah personally bribed its employees or directly took part in any substantive crime. She was charged strictly as a co-conspirator. After her indictment, CHP placed Acquah on unpaid leave.

Acquah’s trial encompassed six days. The testimony received indicated that several former employees had observed use of HEOl’s at CHP. They testified that Acquah, at the biweekly meetings, instructed her staff concerning concealing “leads” in order to keep potential enrollees from discovering that the representatives had confidential information. One *41 exchange between the prosecutor and a witness occurred as follows:

Q. And do you recall in any of these meetings Sabina Acquah saying anything about HEO-1 screens?
A. The only thing I ever heard her say is they [were] getting [a lot] of complaints of how marketing reps knew all this information on people, and they, you know, how did they get these informations (sic). And there was a couple of times that she said in a meeting that if you are using these things, leave them in your cars. Don’t take them in those people’s houses. You maybe can copy them but they are never to see the papers, do something, but do not take them into people’s office (sic).
Q. When Sabina Acquah said this, you used the words, these things; do you recall what words she used?
A. HEO-1, leads, either/or.
THE COURT: HEO-l’s or what?
A. Or leads.
THE COURT: Leads.
Q. At Chesapeake in the Medicaid Marketing Department what things were referred to as leads?
A. HEO-l’s, a call in, if someone called in inquiring about a plan, if someone was disenrolled or lost eligibility, you know, if that is a plan they already owned, you can go back out and try to resell them the plan.
Q. Did anyone ever tell you to take the — not to take the referral from another marketing representative into someone’s house?
A. Not unless they, if another marketing representative gave you a HEO-1, don’t take that in.

Other witnesses testified that Acquah told them not to go into the enrollees’ homes with the leads.

Other testimony indicated that Acquah told at least one marketing representative to get some of “those things going around”.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Freeman v. State
Court of Special Appeals of Maryland, 2023
Perry v. State
146 A.3d 529 (Court of Special Appeals of Maryland, 2016)
McClurkin & Jackson v. State
113 A.3d 1111 (Court of Special Appeals of Maryland, 2015)
Davis v. State
52 A.3d 148 (Court of Special Appeals of Maryland, 2012)
Carroll v. State
32 A.3d 1090 (Court of Special Appeals of Maryland, 2011)
Dionas v. State
23 A.3d 277 (Court of Special Appeals of Maryland, 2011)
Armstead v. State
7 A.3d 169 (Court of Special Appeals of Maryland, 2010)
Breakfield v. State
6 A.3d 381 (Court of Special Appeals of Maryland, 2010)
Webb v. State
971 A.2d 949 (Court of Special Appeals of Maryland, 2009)
ARUNA
24 I. & N. Dec. 452 (Board of Immigration Appeals, 2008)
Handy v. State
930 A.2d 1111 (Court of Special Appeals of Maryland, 2007)
Whiting v. State
863 A.2d 1017 (Court of Special Appeals of Maryland, 2004)
Hoffman v. Stamper
843 A.2d 153 (Court of Special Appeals of Maryland, 2004)
White v. State
781 A.2d 902 (Court of Special Appeals of Maryland, 2001)
Heineman v. Bright
782 A.2d 365 (Court of Special Appeals of Maryland, 2001)
Sutton v. State
776 A.2d 47 (Court of Special Appeals of Maryland, 2001)
Mitchell v. State
752 A.2d 653 (Court of Special Appeals of Maryland, 2000)
In Re Nahif A.
717 A.2d 393 (Court of Special Appeals of Maryland, 1998)
Elmer v. State
704 A.2d 511 (Court of Special Appeals of Maryland, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
686 A.2d 690, 113 Md. App. 29, 1996 Md. App. LEXIS 177, Counsel Stack Legal Research, https://law.counselstack.com/opinion/acquah-v-state-mdctspecapp-1996.