James L. Porter, Acting United States Attorney for the Southern District of Illinois, announced today, that on December 15, 2015, Terry L. Waeltermann, Jr., 30, of Mulberry Grove and Pocahontas in Bond County, and Vandalia in Fayette County, Illinois, was sentenced in the U.S. District Court in Benton on the charge that he engaged in a scheme to steal from a health care program. The district court sentenced Waeltermann to two years of probation with the first four months to be served in home confinement. He is also ordered to pay $6,660.75 in restitution to the Home Services Program.
Court records indicate that Waeltermann (also known as Waelterman and Waeltermen) admitted that he had submitted false and fraudulent bills in relation to his alleged performance of personal assistant services in the Home Services Program, a Medicaid Waiver Program designed to allow individuals to stay in their homes instead of entering a nursing home. Waeltermann admitted to falsely billing the program between April 14, 2013 and December 31, 2013, when he purportedly rendered personal assistant services to a customer when, in fact, he had not because he had moved away and forged the customer’s signature. As a result, Waeltermann improperly billed 573 hours of services and obtained $6,660.75 in payments for services not performed.
The investigation was conducted by the U.S. Department of Health and Human Services - Office of Inspector General, the Illinois State Police - Medicaid Fraud Control Bureau, and the Federal Bureau of Investigation. The case is being prosecuted by Assistant United States Attorney William E. Coonan.
If you suspect or know of an individual or company that is not complying with healthcare laws or public aid programs, you may report this activity to the local office of the U.S. Department of Health and Human Services, Office of Inspector General, or you may call 1.800.447.8477.