PEOPLE OF MI V BENJAMIN MONATO
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STATE OF MICHIGAN
COURT OF APPEALS
PEOPLE OF THE STATE OF MICHIGAN,
UNPUBLISHED
January 27, 1998
Plaintiff-Appellee,
v
No. 191849
Ingham Circuit Court
LC No. 93-066384-FH
BENJAMIN MONATO,
Defendant-Appellant.
Before: Gribbs, P.J., and Murphy and Gage, JJ.
PER CURIAM.
Defendant appeals by right from his conviction of violating the Health Care False Claims Act,
MCL 400.607; MSA 16.614(7) (“Medicaid fraud”). He was sentenced to sixty months’ probation
and ordered to pay restitution in the amount of $42.48 to the State of Michigan Medicaid Program and
$23,232.10 to the State of Michigan. We affirm.
Defendant first argues that the trial court erred in denying his motion for a directed verdict. He
maintains that the prosecution failed to prove that he “knowingly” submitted a Medicaid claim form
bearing his signature that was false or fictitious beyond a reasonable doubt. We disagree. As was
explained in People v American Medical Centers, Ltd, 118 Mich App 135; 324 NW2d 782 (1982),
the intent element of Medicaid fraud is satisfied upon the showing that the defendant knowingly
submitted a false claim form. Id. at 144, 149. Upon such a showing, and in the absence of contrary
evidence, it is presumed that the defendant knowingly submitted the false or fictitious forms. MCL
400.608(2); MSA 16.614(8) provides:
It shall be a rebuttable presumption that a person knowingly made a claim for a
medicaid benefit if the person’s actual, facsimile, stamped, typewritten, or similar
signature is used on the form required for the making of a claim for a medicaid benefit.
In the present case, the prosecution presented evidence that defendant sent claim forms bearing
his signature, which indicated that he provided services he did not actually perform, to a Medicaid
disbursement office. In addition, the prosecution presented testimony that defendant submitted sworn
statements that he had treated Priscilla Washington and James Williams at Libbs Manor on four
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separate occasions between September and December 1992. The testimony, however, also indicated
that neither Washington nor Williams were residing at Libbs Manor at that time. Viewing this evidence
in a light most favorable to the prosecution, the trier of fact could have found that the prosecution
proved beyond a reasonable doubt that defendant knowingly submitted false claims to Medicaid
administrators. People v Peebles, 216 Mich App 661, 664; 550 NW2d 589 (1996).
Defendant next argues that the trial court erred in denying his motion for a new trial since the
verdict was against the great weight of the evidence. Our review of the lower court record indicates
that defendant stipulated to an order dismissing this motion. Therefore, this issue is not preserved for
appellate review.
Finally, defendant argues that the trial court erred by providing the jury with instructions that
were “erroneous, confusing, and misleading.” He maintains that the instructions failed to convey to the
jury that Medicaid fraud is a specific intent crime and effectively allowed the jury to convict for simple
mistakes in billing practices. We disagree. In American Medical Centers, supra, we held that while
Medicaid fraud is a specific intent crime, the trial court’s reading to the jury of the statutory definition of
“knowingly” was sufficient to convey that the crime was a specific intent crime. Id. at 153-154. That
definition required the jury to determine that the defendant “was aware of his conduct and that his
conduct was substantially certain to cause the intended result.” Id. In that decision, we stated that
“when read as a whole the jury instructions informed the jury of the intent necessary to convict
defendant.” Id. Here, defendant did not request an instruction on specific intent, and the trial court
provided the same instructions used in American Medical Centers. We again find that these
instructions properly apprised the jury of the requisite intent. Accordingly, we find no error.
Affirmed.
/s/ Roman S. Gribbs
/s/ William B. Murphy
/s/ Hilda R. Gage
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