Tag:

Medicaid

East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme
East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme A Connecticut man who posed as a counselor was sentenced to prison and ordered to pay back more than $900,000 after pleading no contest to a large Medicaid fraud scheme.  Hartford County resident Ramon Apellaniz, 39, of East Hartford, will serve 15 months in prison for submitting thousands of fraudulent claims to Medicaid for services provided by unlicensed personnel and services not provided, as well as for stealing the identity of a licensed professional to submit the fraudulent claims.  Apellaniz, who has paid $156,000 in restitution, was also ordered to repay with the remainin…
$1.6M Scheme: Psychologist from Avon Admits Submitting Fraudulent Medicaid Claims $1.6M Scheme: Psychologist from Avon Admits Submitting Fraudulent Medicaid Claims
$1.6M Scheme: Psychologist from Avon Admits Submitting Fraudulent Medicaid Claims A 75-year-old psychologist from Connecticut has admitted to submitting false Medicaid claims as part of a more than $1.6 million scheme, federal officials announced.  Hartford County resident Michael Pines of Avon, a Glastonbury-based psychologist, pleaded guilty to healthcare fraud charges on Wednesday, Jan. 31, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Pines, who owned and operated Michael B. Pines, Ph.D., P.C., provided psychotherapy to young children, adolescents, and adults and had been individually enrolled…
CT Man Who Ripped Off Medicaid While Employed With Police Avoids Jail CT Man Who Ripped Off Medicaid While Employed With Police Avoids Jail
CT Man Who Ripped Off Medicaid While Employed With Police Avoids Jail A Fairfield County man who was working as a police officer has avoided jail for Medicaid fraud but must repay monies stolen. Chief State’s Attorney Patrick J. Griffin Friday, said on Friday, Jan. 5 that  Michael Mastronardi, age 49, of Shelton, was sentenced to a three-year suspended sentence after pleading guilty to one count of cruelty to persons. In addition, he was ordered to pay $57,278.24 in restitution to the Department of Social Services to reimburse the Medicaid program. An investigation by the Medicaid Fraud Control Unit determined that between August 2014 and April 2019, Ma…
CT Man Accused Of Ripping Off Medicaid For $80K CT Man Accused Of Ripping Off Medicaid For $80K
CT Man Accused Of Ripping Off Medicaid For $80K A Fairfield County man was charged with allegedly submitting fraudulent claims to the government for services that were not rendered. Andrew R. Golden, age 55, of New Canaan, was arrested Monday, Dec. 18, by inspectors from the Medicaid Fraud Control Unit in the Office of the Chief State's Attorney. He was charged with larceny by defrauding a public community and health insurance fraud. According to the arrest warrant affidavit, Golden is a licensed professional counselor, listed as an individual practitioner and owner of a Stamford practice.  Between January 2020 and July 2022, Gold…
CT Woman Accused Of Ripping Off Medicaid For Thousands CT Woman Accused Of Ripping Off Medicaid For Thousands
CT Woman Accused Of Ripping Off Medicaid For Thousands A Fairfield County woman who worked as a personal care service staff was charged with billing Medicaid for personal care services while the client was incarcerated or inpatient. Latasia Robertson, age 30, of Stamford, was arrested Wednesday, Dec. 6, by Inspectors from the Medicaid Fraud Control Unit in the Office of the Chief State’s Attorney.  She was charged with larceny by defrauding a public community and health insurance fraud, said the Chief State's Attorney Office. According to the arrest warrant affidavit, between August 2021 and March 2022, Robertson billed for support servic…
Weeks-Long Cyberattack Brings 3 CT Hospitals To Their Knees Weeks-Long Cyberattack Brings 3 CT Hospitals To Their Knees
Weeks-Long Cyberattack Brings 3 CT Hospitals To Their Knees A cyberattack on three Connecticut hospitals affected patient care so severely that many were sitting on the floors of emergency rooms bringing the operation of the group to its knees financially. The attack took place in August and affected Waterbury Hospital in New Haven County; Manchester Hospital in Hartford County, and Rockville General in Tolland County. All three are part of Prospect Medical Holdings, based in Connecticut, according to reporting from the CT Mirror. The cyberattack also affected medical offices affiliated with the hospitals. Thinking the attack would last for a …
Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims
Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims The 54-year-old owner of a Connecticut hearing aid dealer will spend several years in prison for submitting false claims to the state's Medicaid program for services and equipment that were not provided or were medically unnecessary.  New Haven County resident Dennis Dellaghelfa, age 54, of Waterbury, was sentenced on Wednesday, Sept. 6 to four years in prison for health care fraud, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Dellaghelfa, a licensed hearing instrument specialist, is the owner of Waterbury-based hea…
$695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims $695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims
$695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims A former New London County counselor has admitted to submitting thousands of dollars of fraudulent claims to Medicaid for therapy services he never provided, officials said.  Former East Lyme resident Jeffrey Slocum, age 55, pleaded guilty to healthcare fraud and kickback charges on Wednesday, Aug. 16, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, between 2017 and 2022, Slocum, who now lives in Johnstown, Pennsylvania, was a licensed professional counselor with a New London office located at 300 State St.  …
Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say
Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say A Connecticut behavioral health practice based in New Haven County defrauded the state's Medicaid program by knowingly billing it for services performed by unlicensed individuals, officials said.  Hamden-based practice K-Assist, owned by Kelly Stutzman, entered into a more than $234,000 civil settlement agreement with both the federal and Connecticut state government to resolve allegations that the practice violated federal and state False Claims Acts, the US Attorney's Office for the District of Connecticut announced on Tuesday, April 18.  According to federal officials…
CT Psychologist Admits To $79K Medicaid Fraud CT Psychologist Admits To $79K Medicaid Fraud
CT Psychologist Admits To $79K Medicaid Fraud A Newtown psychologist and advanced registered nurse pleaded guilty to defrauding Medicaid by billing the government health insurance program for thousands of dollars. Jeannie Pasacreta, age 66, of Newtown, pleaded guilty Wednesday, March 29, to one count of health insurance fraud. In addition, she was ordered to pay $79,418.77 in restitution. An investigation by the Medicaid Fraud Control Unit of the Office of the Chief State’s Attorney determined that over a two-year period beginning in 2016, Pasacreta, through her firm Mental Health Services, billed Medicaid for hundreds of claims for se…
Woman From CT Admits Committing Fraud While Awaiting Sentencing In Other Case Woman From CT Admits Committing Fraud While Awaiting Sentencing In Other Case
Woman From CT Admits Committing Fraud While Awaiting Sentencing In Other Case A 32-year-old former Farifield County resident pleaded guilty to a health care fraud offense that she committed while waiting to be sentenced for a separate health care fraud charge. Nicole Steiner, a former Stratford resident, pleaded guilty to the charge on Friday, July 29, according to Vanessa Roberts Avery, United States attorney for the District of Connecticut. Steiner, who is now a resident of Edison, New Jersey, previously pleaded guilty to one count of health care fraud on April 28, in relation to the operation of Helping Hands Academy, LLC in Bridgeport, which offered app…
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say A Connecticut psychiatry business and its owner have been ordered to pay more than $310,000 to resolve allegations that they improperly employed an individual who was excluded from federal health care programs. Geriatric & Adult Psychiatry, LLC and its owner Dr. Alan Siegal entered into the civil settlement agreement with federal and state governments, according to an announcement on Wednesday, Feb. 23, from Leonard Boyle, United States Attorney for the District of Connecticut. The Hamden business and Siegal were ordered to pay a total of $310,874, the US Attorney's Office announce…
CT Doctor Accused Of Selling Prescriptions For Cash CT Doctor Accused Of Selling Prescriptions For Cash
CT Doctor Accused Of Selling Prescriptions For Cash A Fairfield County doctor has been charged by federal officials with health care fraud and selling prescriptions for cash. Dr. David Ciancimino, age 62, a resident of Trumbull, was arrested on Thursday, Sept. 23, on a federal criminal complaint charging him with health care fraud and controlled substances offenses related to the illegal distribution of prescription medication, said Leonard C Boyle, acting US Attorney for the District of Connecticut. As alleged in court documents and statements made in court, Ciancimino has been a sole practitioner practicing psychiatry and neurology/ps…
Litchfield County Woman Accused Of $1.9M Fraud Scheme Litchfield County Woman Accused Of $1.9M Fraud Scheme
Litchfield County Woman Accused Of $1.9M Fraud Scheme A Connecticut woman has been arrested and charged for her role in an alleged near $2 million Medicaid health insurance scheme, officials announced. Litchfield County resident Catherine Risigo-Wickline, of Watertown, the owner of Therapy Unlimited was arrested by Inspectors from the Medicaid Fraud Control Unit in the Office of the Chief State’s Attorney on Tuesday, March 9 for allegedly billing Medicaid for treatment that patients never received. Specifically, Risigo-Wickline, 55, was charged with larceny in the first degree by defrauding a public community, health insurance fraud, and two c…
CT Nurse Admits To Illegally Writing Prescriptions For Oxycodone, Xanax CT Nurse Admits To Illegally Writing Prescriptions For Oxycodone, Xanax
CT Nurse Admits To Illegally Writing Prescriptions For Oxycodone, Xanax A registered nurse in Connecticut is facing prison time for allegedly writing hundreds of illegal prescriptions that were used to obtain thousands of Oxycodone and Xanax pills. Cheshire resident Lisa Alexander, 54, pleaded guilty in New Haven district court to a charge stemming from her writing prescriptions or controlled substances that were not used for legitimate medical purposes. U.S. Attorney John Durham said that prior to her arrest, Alexander was a licensed Advanced Practice Registered Nurse and held a DEA controlled substance registration that allowed her to prescribe Schedule II th…
CT Man Sold Oxycodone, Suboxone To Undercover Officers, Police Say CT Man Sold Oxycodone, Suboxone To Undercover Officers, Police Say
CT Man Sold Oxycodone, Suboxone To Undercover Officers, Police Say A 56-year-old Fairfield County man was arrested after police conducted an undercover sting and learned that he was selling prescription medications and narcotics paid for by Medicaid.  Anthony Spetrino, of Norwalk, reportedly sold Oxycodone, Clonazepam and Suboxone to Special Services Division members of the Norwalk Police Department during the month of May 2020.  Spetrino was arrested on Monday, Oct. 5 and charged with two felony counts of sale of narcotics, two felony counts of sale of a controlled substance and two misdemeanor counts of possession of a controlled substance. His…
CT Healthcare Provider Ordered To Pay $354K For Improper Billing CT Healthcare Provider Ordered To Pay $354K For Improper Billing
CT Healthcare Provider Ordered To Pay $354K For Improper Billing A healthcare organization that provides substance abuse and mental health services in Fairfield County, has agreed to pay more than $350,000 in restitution for overcharging for certain services. U.S. Attorney John Durham said that Recovery Network of Programs Inc. (RNP) has entered into a civil settlement with the government to pay $354,367 to resolve allegations that it caused overpayments for urine drug testing services to be paid by the Connecticut Medicaid Program. RNP provides behavioral health and substance use disorder services to Medicaid beneficiaries. An audit by the State of Co…
CT Substance Abuse Treatment Provider Pays $295K For Improper Billing CT Substance Abuse Treatment Provider Pays $295K For Improper Billing
CT Substance Abuse Treatment Provider Pays $295K For Improper Billing A substance abuse treatment center with locations in Fairfield County has agreed to pay nearly $300,000 to settle allegations of improper billing over the course of several months. Connecticut Counseling Centers (CCC), which operates methadone clinics in Danbury and throughout Connecticut, will pay the state and federal government $295,211 in a settlement involving overpaying for drug testing, U.S. Attorney John Durham announced. According to Durham, CCC is a healthcare organization that provides outpatient substance abuse and mental health services in Connecticut, with clinics located in F…