United States v. Lots 275, 276, & 277

CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 11, 2004
Docket02-30743
StatusPublished

This text of United States v. Lots 275, 276, & 277 (United States v. Lots 275, 276, & 277) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Lots 275, 276, & 277, (5th Cir. 2004).

Opinion

United States Court of Appeals Fifth Circuit F I L E D REVISED FEBRUARY, 11, 2004 January 13, 2004

IN THE UNITED STATES COURT OF APPEALS Charles R. Fulbruge III Clerk FOR THE FIFTH CIRCUIT

____________________

No. 02-30743 ____________________

UNITED STATES OF AMERICA

Plaintiff - Appellee

v.

MELROSE EAST SUBDIVISION, THIRD FILING, EAST BATON ROUGE PARISH LOUISIANA; Et Al.

Defendants

----------------------------------------

LYMAN D WHITE

Claimant - Appellant

_________________________________________________________________

Appeal from the United States District Court for the Middle District of Louisiana _________________________________________________________________

Before KING, Chief Judge, DENNIS, Circuit Judge, and LYNN, District Judge.*

KING, Chief Judge:

The United States filed a civil forfeiture complaint in the

district court and on the same day obtained a pretrial

restraining order under 18 U.S.C. § 983(j)(1)(A) enjoining the

* District Judge for the Northern District of Texas, sitting by designation. transfer of the defendant property. A claimant to the property,

who was indicted on federal charges as part of the same

investigation that led to the civil forfeiture complaint, filed a

motion in the district court seeking to modify the restraining

order to release funds needed to retain an attorney in the

related criminal case. After an evidentiary hearing, the

district court denied the motion, finding that the government had

established probable cause to restrain the assets. The claimant

appeals.

We decide that the standard of proof to be employed in

ruling on such a motion is probable cause, and we agree with the

district court that the government satisfied that standard. We

accordingly affirm the district court’s denial of the motion to

modify the restraining order.

I. BACKGROUND

This civil forfeiture proceeding arises from a Medicaid

fraud investigation into the activities of Drug and Alcohol

Counseling, Inc. (“DAC”), a corporation owned and operated by

Claimant-Appellant Lyman D. White. In addition to spawning this

forfeiture action, the investigation has led to the indictment of

White and three others connected to DAC.

Located in Baton Rouge, DAC received Medicaid reimbursements

for providing substance abuse treatment to local youths.

Medicaid paid DAC a total of approximately $175,000 for all of

2 1998. DAC’s activities therefore aroused suspicion when, by

September 1999, DAC’s billings had risen to over $1 million for

the year to date, with many of DAC’s monthly billings rivaling

the total for the whole of the previous year. The Louisiana

Department of Health and Hospitals (“DHH”), which administers the

state’s Medicaid program, instructed Unisys, the private company

that serves as DHH’s claims intermediary, to examine DAC’s

billing activity. Unisys determined that an on-site review was

warranted. At that review, held in October 1999, Unisys analysts

noted that DAC employees were inordinately slow in providing the

patient charts that the analysts requested. The government has

since suggested, based on interviews with DAC employees, that the

suspicious delay resulted from the employees needing time to

falsify the charts that were requested by the Unisys analysts.

By early November 1999, Unisys decided that the situation at DAC

was sufficiently serious to justify withholding future Medicaid

payments. This determination was upheld after a hearing

conducted later that month.

The investigation then continued at higher levels.

Beginning in late December 1999, DHH’s Program Integrity Staff

began calling some of the clients reflected on DAC’s Medicaid

billings. Of the twenty-five clients selected, only thirteen

could be located. Seven of those contacted were unaware of DAC,

five said that they attended DAC but only for tutoring or

recreational programs (activities which, while laudable, did not

3 entitle DAC to Medicaid payments), and only one mentioned a drug

addiction. Based on these phone calls, together with the on-site

review, the case was referred to the Medicaid Fraud Control Unit,

which launched a criminal investigation in January 2000. The FBI

soon joined the effort as well. Federal and state investigators

eventually interviewed a total of thirty-nine youths who had

supposedly received substance abuse counseling at DAC. Ten

denied any knowledge of DAC, and the rest referred to DAC as a

camp or youth program where they went for tutoring and

recreational activities. None of them said they received

substance abuse treatment at DAC of the type for which DAC was

billing Medicaid.

The investigation later spread beyond DAC and White. Agents

learned that White had formed a personal relationship with Marion

Slaton, a manager in a department of Unisys responsible for fraud

detection. They learned that, at some point in February 1999,

she had given White a list of juvenile Medicaid recipients in

East Baton Rouge Parish. Slaton knew that it was illegal to give

White this list, which contained all of the identifying

information necessary to file Medicaid claims in the juveniles’

names. The spike in DAC’s Medicaid billings, noted earlier,

began shortly after Slaton gave White the list. Slaton used her

position at Unisys to shield DAC’s questionable billings from

review. She later accepted several thousand dollars from White,

though at least some of this money might be attributable to

4 Slaton’s status as White’s “girlfriend,” rather than to

kickbacks.

Investigators also learned that White contacted Dana White

(no relation) in April 1999 about an opportunity to expand the

business of Dana White’s company, Healthcare Laboratory Services,

LLC (“HLS”). HLS soon began filing false Medicaid claims using

patient information supplied by White, and Dana White in turn

paid kickbacks to DAC. At White’s behest, Dana White also made

payments to Slaton to ensure that HLS’s increased Medicaid

billings would not come under scrutiny.

As part of the growing investigation, agents examined DAC’s

financial records. During the early part of 1999, Unisys

electronically deposited DAC’s Medicaid reimbursements into DAC’s

account at Liberty Bank. At some point in April, White opened an

account at Dryades Bank, and the deposits began to flow there

instead. The agents formed a basis to believe that White had

funneled DAC’s increased (and fraudulent) Medicaid revenues from

those bank accounts into purchases of real estate and annuities.

As a result, on August 22, 2001, the government filed a civil

complaint for forfeiture, under 18 U.S.C. § 981 and § 985,

against six parcels of real property and three annuities

purchased with funds allegedly derived from the DAC scheme.

According to the government, the property was subject to

forfeiture under both § 981(a)(1)(A) as property involved in a

money laundering offense and § 981(a)(1)(C) as property that

5 “constitutes or is derived from proceeds traceable to” a federal

health care offense.

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