For Immediate Release
Media Contact: Bob Cooper
Date: January 31, 2012
Leissring Sentenced For Grand Theft
(Boise) - Inkom resident Terry L. Leissring, a Medicaid provider, was sentenced yesterday for grand theft by submitting false claims to Medicaid, Attorney General Lawrence Wasden said. Sixth District Judge Robert Naftz sentenced Leissring to two to 10 years in prison. The court retained jurisdiction for 365 days and ordered Leissring into immediate custody. Restitution will be determined at a later date.
In 2006, Leissring signed an agreement with the Idaho Medicaid Program to provide service coordination services. On the agreement, she noted that she was the owner and administrator of Brighter Days, Inc. and a paraprofessional. She also listed professional service coordinators who would supervise the services for Brighter Days.
An investigation by the Idaho Attorney General’s Medicaid Fraud Control Unit revealed she:
The victims either went without health care services or there was a delay until the families could locate the services themselves. In two cases, mothers with a child with profound needs were left to fend for themselves in finding services for their child while Leissring billed Medicaid for the services she claimed she was providing.
In one of these cases, the mother had a three-year-old child with brain damage from lack of oxygen, cerebral palsy, blindness, a seizure disorder, a sleep disorder, acid reflux syndrome and a feeding tube. The child was on 16 medications, had seven doctors, physical and occupational therapists and a speech therapist. Leissring left this mother to coordinate all the health care providers, find funding for needed equipment and pursue educational opportunities for her child, while Leissring submitted claims to Medicaid for work Leissring never provided.
Service coordination is designed to help those eligible for Medicaid in gaining and coordinating access to necessary and appropriate care and services. Service coordination is required to be performed by a person with at least a bachelor’s degree in a human services field or a licensed professional nurse. Leissring did not have the required bachelor’s degree. Instead, she had a high school diploma, an art certificate from an art instruction school and a travel and touring certificate from a travel school.
The investigation was initiated by a referral from the Medicaid Program Integrity Unit with the Idaho Department of Health and Welfare’s Bureau of Audits and Investigations. The case was prosecuted by the Attorney General’s Office at the request of Bannock County Prosecutor Mark Hiedeman.
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