North Carolina Department of Justice
North Carolina Department of Justice
North Carolina Department of Justice
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Attorney General Josh Stein Announces Two Medicaid Fraudsters Sentenced

Release date: 4/11/2019

(RALEIGH) Attorney General Josh Stein today announced Lisa Carol Raymond of Greenville, North Carolina, and Robert Paul Maglicic Jr. of Miami, Florida, were sentenced in the Eastern District Court of North Carolina after pleading guilty to conspiracy to commit health care fraud in December. Raymond was sentenced to seven months in prison, three years of supervised release, and ordered to pay $2,069,082.15 in restitution and $100 in special assessment. Maglicic was sentenced to 42 months in prison, three years of supervised release, and ordered to pay $2,069,082.15 in restitution and $100 in special assessment.
 
“By cheating Medicaid, these individuals cheated taxpayers,” said Attorney General Josh Stein. “My office will hold people responsible when they engage in healthcare fraud and waste.”
 
Between 2013 and 2015, Maglicic and Raymond caused losses totaling more than $2 million to the Medicaid program. As employees of Southern Support Services, a South Carolina-based provider, they fraudulently billed the South Carolina Medicaid program for more than $595,000 in 2013 and 2014 for fictitious behavioral health services, and for an additional $1.4 million between December 2014 and April 2015. When the South Carolina Medicaid program audited Southern Support Services and requested records for patient billings, Maglicic and Raymond used employee names from Carolina Support Services, a North Carolina-based provider, to create fake employee profiles. They used these profiles to create false Medicaid records and made it appear as if these non-existent employees were assisting patients in South Carolina to justify the Medicaid billings.
 
The investigation and prosecution of this case was conducted by the United States Department of Health and Human Services Office of the Inspector General, the Medicaid Investigations Division of the North Carolina Attorney General’s Office, and the Internal Revenue Service Criminal Investigation Division.
 
About the Medicaid Investigations Division (MID)
 
The Attorney General’s MID investigates fraud and abuse by healthcare companies and providers, as well as patient abuse and neglect in facilities that are funded by Medicaid. Medicaid is a joint federal-state program that helps provide medical care for people with limited income. To date, the MID has recovered more than $850 million in restitution and penalties for North Carolina.
 
To report Medicaid fraud in North Carolina, call the North Carolina Medicaid Investigations Division at 919-881-2320.

Contact:
Laura Brewer (919) 716-6484
 

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