State v. Rollins

749 So. 2d 890, 1999 WL 1222843
CourtLouisiana Court of Appeal
DecidedDecember 22, 1999
Docket32,686-KA
StatusPublished
Cited by10 cases

This text of 749 So. 2d 890 (State v. Rollins) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Rollins, 749 So. 2d 890, 1999 WL 1222843 (La. Ct. App. 1999).

Opinion

749 So.2d 890 (1999)

STATE of Louisiana, Appellee,
v.
Clen ROLLINS, Appellant.

No. 32,686-KA.

Court of Appeal of Louisiana, Second Circuit.

December 22, 1999.
Rehearing Denied January 20, 2000.

*892 Paul Henry Kidd, Monroe, Dennis G. Stewart, Rayville, Counsel for Appellant.

Richard Ieyoub, Attorney General, Jeffrey D. Jeter, Assistant Attorney General, William R. Coenen, Jr., District Attorney, Johnny R. Boothe, Assistant District Attorney, Counsel for Appellee.

Before BROWN, WILLIAMS and STEWART, JJ.

BROWN, J.

Defendant, Clen Rollins, was charged by bill of information with eight counts of Medicaid fraud. After a lengthy and hotly disputed trial, a jury found defendant guilty on six counts and acquitted him of the other two counts. Defendant was sentenced to two years at hard labor on each of the six counts, with the first three sentences to be served consecutively and the second three to be served concurrently. The trial court also ordered defendant to pay restitution to the state as a condition of parole upon his release. Defendant has appealed both his convictions and sentences.

Factual Background

In November 1992, defendant started a non-emergency medical transportation business in Winnsboro, Louisiana, and enrolled with the State of Louisiana, Department of Health and Human Services, which entitled him to be paid through the state's Medicaid program for approved transports. Defendant, who professes to have limited reading and writing skills, hired his cousin, Roxie Shaw, as his secretary/office manager.

In 1993, the state noticed that defendant's billings were much higher than other transportation providers in his area. Following an investigation, defendant was charged with eight counts of Medicaid fraud for billing claims for trips not made as well as claims involving inflated mileage.

After a week-long trial, the jury found defendant guilty of six counts and acquitted him of the other two counts. Defendant was thereafter sentenced to two years at hard labor on each of the six counts, with the first three sentences to be served consecutively and the second three to be served concurrently. Also, upon his release from prison, defendant was ordered to pay restitution to the state.

*893 Discussion

Sufficiency of the Evidence

Defendant has raised several trial errors as well as alleging insufficiency of the evidence. When issues are raised on appeal both as to the sufficiency of the evidence and as to one or more trial errors, the reviewing court should first address the sufficiency of the evidence. State v. Hearold, 603 So.2d 731 (La.1992); State v. Beason, 26,725 (La.App.2d Cir.04/07/95), 653 So.2d 1274, writ denied, 95-1388 (La.10/27/95), 661 So.2d 1359.

Under Jackson v. Virginia, 443 U.S. 307, 99 S.Ct. 2781, 61 L.Ed.2d 560 (1979), the proper standard of appellate review for a sufficiency of the evidence claim is whether, after viewing the evidence in the light most favorable to the prosecution, any rational trier of fact could have found the essential elements of the crime proven beyond a reasonable doubt. State v. Bosley, 29,253 (La.App.2d Cir.04/02/97), 691 So.2d 347, writ denied, 97-1203 (La.10/17/97), 701 So.2d 1333; State v. Bellamy, 599 So.2d 326 (La.App. 2d Cir.1992), writ denied, 605 So.2d 1089 (La.1992).

This court's authority to review questions of fact in a criminal case is limited to the sufficiency of the evidence evaluation under Jackson v. Virginia, supra, and does not extend to credibility determinations made by the trier of fact. La. Const. art. 5, § 10(B); State v. Williams, 448 So.2d 753 (La.App. 2d Cir.1984). A reviewing court accords great deference to a jury's decision to accept or reject the testimony of a witness in whole or in part. State v. Bosley, supra; State v. Rogers, 494 So.2d 1251 (La.App. 2d Cir.1986), writ denied, 499 So.2d 83 (La.1987). In the absence of internal contradiction or irreconcilable conflict with physical evidence, one witness's testimony, if believed by the trier of fact, is sufficient support for a requisite factual conclusion. State v. White, 28,095 (La.App.2d Cir.05/08/96), 674 So.2d 1018, writ denied, 96-1459 (La.11/15/96), 682 So.2d 760.

La. R.S. 14:70.1 provides that Medicaid fraud is the act of any person who, with intent to defraud the state through any medical assistance program created under the federal Social Security Act and administered by the Department of Health and Hospitals: (1) presents for allowance or payment any false or fraudulent claim for furnishing services or merchandise; or (2) knowingly submits false information for the purpose of obtaining greater compensation than that to which he is legally entitled for furnishing services or merchandise; or (3) knowingly submits false information for the purpose of obtaining authorization for furnishing services or merchandise.

We first note that defendant's argument that the state's transportation program was not proven to be a medical assistance program created by the Social Security Act is meritless. The record contains uncontradicted testimony from an employee of the state program that it was in fact created by the Social Security Act.

To prove that defendant committed medicaid fraud, the state had to show beyond a reasonable doubt that defendant intentionally submitted false claims for services which he did not render and/or that he intended to commit fraud when he submitted incorrect mileage on those claims. Medicaid fraud is a specific intent crime. Because specific intent is a state of mind, it need not be proved as fact, but may be inferred from the circumstances of the transaction and the actions of the accused. State v. Romero, 574 So.2d 330 (La.1990); State v. McDermitt, 406 So.2d 195 (La.1981).

The record indicates that the trips involving Sheila Taylor (Count One), Shirley McDaniel (Count Two), Lisa Higgins (Count Three), DeShun McDaniel (Count Four), and Gerry Banks (Count Six) were in fact made by defendant, just not in December 1992 as reflected in defendant's claims filed with the state. Defendant worked part-time as a transportation driver *894 for Lily Carter, another provider, in November 1992. On November 13, 1992, defendant was approved to begin providing transportation services under the state's Medicaid program. However, defendant did not begin his own business until the beginning of December 1992. Ms. Carter further testified that defendant was providing transportation in his approved vehicle during November. The evidence shows that the trips involving Sheila Taylor, Shirley McDaniel, Lisa Higgins, DeShun McDaniel and Gerry Banks occurred in November 1992. Ms. Carter testified that these Medicaid recipients were not her clients. However, the evidence indicates that the five trips were approved by the state and assigned to Ms. Carter's provider number for authorization and billing purposes. Ms. Shaw testified that she and defendant later changed the claim forms to show that defendant carried the patients. Ms. Shaw stated that at defendant's request, she called the state dispatching center and obtained new authorization numbers for the five trips by pretending that she was the patient needing transport.

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Cite This Page — Counsel Stack

Bluebook (online)
749 So. 2d 890, 1999 WL 1222843, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-rollins-lactapp-1999.