Cole v. the State
334 Ga. App. 752
Ga. Ct. App.2015Background
- Tushanna Cole was indicted in Clayton County on Medicaid fraud (OCGA § 49-4-146.1(b)(1)) and theft by taking (OCGA § 16-8-2), alleging she submitted false Medicaid claims and kept improper payments totaling $297,831.39.
- Count 1 alleged a fraudulent scheme from “on or about November 1, 2010, and continuing through on or about December 27, 2013,” and Count 2 alleged theft over the same date range.
- Exhibits A and B listed 44 minor patients by initials, dates of birth, and the last four digits of Medicaid ID numbers; the State omitted full names citing sensitive health information.
- Cole filed and amended a special demurrer, arguing (1) the exhibits’ use of initials was insufficient to identify persons and (2) the multi-year date range was unreasonably broad because the State knew specific dates.
- The trial court overruled the demurrer; Cole obtained interlocutory review and appealed.
- The Court of Appeals reversed as to the date-range issue but upheld the sufficiency of patient identification by initials plus DOB and last four Medicaid digits.
Issues
| Issue | Cole's Argument | State's Argument | Held |
|---|---|---|---|
| Identification of patients by initials in exhibits | Initials alone are insufficient; defendant must know victims/people referenced | Exhibits contained initials plus DOB and last four digits of Medicaid ID; patients are collateral (State is the victim) and sensitive health info justifies omission of full names | Upheld: identification sufficient because DOB and last four digits specifically identified minors and the victims are the State, not the listed patients |
| Broad date range (38 months) | Range is unreasonably broad; State knew exact dates from electronic claims and must plead specific dates | Alleged single ongoing fraudulent scheme over the period; State could charge scheme over time | Reversed: indictment defective on special demurrer because State presented no evidence it could not identify specific dates and could have pled narrower dates |
Key Cases Cited
- State v. English, 276 Ga. 343 (establishes that an indictment must contain elements, inform defendant to prepare defense, and protect against double jeopardy)
- State v. Meeks, 309 Ga. App. 855 (exception allowing date ranges applies only if State shows it cannot more precisely identify dates)
- State v. Thomas, 331 Ga. App. 220 (where electronic records can show exact transaction dates, State should plead specific dates)
- Sellers v. State, 263 Ga. App. 144 (initials insufficient where victim identification is required)
- Johnson v. State, 233 Ga. App. 450 (scheme alleged over time may be sufficient when specific acts or invoices are expressly identified)
