Tag:

Medicaid

Medicaid Fraud Scheme: Man From Region Sentenced For Stealing $900K Medicaid Fraud Scheme: Man From Region Sentenced For Stealing $900K
Medicaid Fraud Scheme: Man From Region Sentenced For Stealing $900K 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…
Brockton Care-Taker Took $150K From 95-Year-Old Boston Woman, Let Home Go Into Foreclosure: DA Brockton Care-Taker Took $150K From 95-Year-Old Boston Woman, Let Home Go Into Foreclosure: DA
Brockton Care-Taker Took $150K From 95-Year-Old Boston Woman, Let Home Go Into Foreclosure: DA A 41-year-old Brockton care-taker left the 95-year-old woman she was caring for in financial ruin by stealing more than $100,000, allowing her home to fall into foreclosure, and swindling rent money meant for her, authorities said.  Dominique Emmanuel is facing one count of medical assistance fraud by provider and theft of over $1,200 by a single scheme, the Suffolk County District Attorney.  Emmanuel was a Tempus Unlimited personal care attendant for the Mattapan woman. In February 2023, the woman's daughter noticed that Emmanuel was named an alternate executor of her mother's wi…
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds 'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds Instead of fostering recovery, the operator of a chain of addiction treatment centers used his position to launder money, steal millions of dollars, and write prescriptions under doctors' names without permission, said the US attorney's office.  Michael Brier, of Newton, used his position as operator of Recovery Connections Centers of America to rake in millions of dollars from Medicare, Medicaid, and other such organizations by falsifying healthcare claims, back-dating documents, and writing prescriptions using the names of doctors without their permission, according to Unite…
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG A 28-year-old man from Lowell was sentenced to two years in jail for cheating MassHealth out of more than $100,000 as an employee, Attorney General Maura Healy announced on Thursday, Sept. 22.  Investigators determined that Abdinafa Maow, who worked as a Personal Care Attendant for MassHealth, got paid for services that he never performed between 2015 and 2020, Healy said. He along with his relative, Abdikadir Maow, were previously indicted on one count of false Medicaid claims and larceny over $1,200.  Overall, the duo received more than $112,000 for these fa…
CT Woman Accused Of $1.9M Fraud Scheme CT Woman Accused Of $1.9M Fraud Scheme
CT 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…
Special-Needs/Weed CEO Is Accused Of Stealing $50,000 From Taxpayers Special-Needs/Weed CEO Is Accused Of Stealing $50,000 From Taxpayers
Special-Needs/Weed CEO Is Accused Of Stealing $50,000 From Taxpayers A marijuana entrepreneur who owns a Connecticut vocational center for people with special needs is facing fraud charges. Karen Gaston, 39, of East Granby, was charged in Connecticut on Tuesday, Sept. 22 with larceny in the first degree by defrauding a public community, health insurance fraud, and criminal attempt to commit larceny in the first degree by defrauding a public community, according to Connecticut’s Division of Criminal Justice. Gaston is the owner of Elegant Clinical Corporation in East Windsor, a nonprofit that seeks to provide vocational education to people with special needs…