Thursday, October 6, 2022

Not So Happy Family

Wali Muhammad, 46, of Connecticut has been sentenced for Medicaid Fraud. Between 2010 and 2019, he owned and operated Happy Family Clinical Services LLC, a mental health and social services agency located in New Haven since 2014. (I’m guessing his family is not so...

Unhelpful Helping Hands

The Helping Hands Academy in Connecticut was supposed to provide applied behavior analysis for children diagnosed with Autism Spectrum Disorder (ASD). Instead, the business owner and a phony “behavior analyst” conspired to defraud Medicaid (while victimizing families and patients with subpar services). Medicaid requires that...

From Soup to Workers Comp Fraud

Correction Officers have a tough job. They are responsible for keeping incarcerated individuals safe, whether in jail, at a work release or drug treatment center, or in any other type of correctional facility. Hoai Le, 49, of West Hartford, Conn., was allegedly injured while...

Fraud Patrol

State troopers are entrusted with patrolling highways and interstates as well as promoting the general safety of the public. (Being deceitful and putting their own interests above the welfare of others are not traits typically associated with the profession.) Kevin Moore, a Connecticut State...

Filing False Claims Leads to Court Cases

The U.S. Justice Department—and, specifically, U.S. attorneys in Connecticut—are cracking down on Medicaid fraud from healthcare providers who file false claims. In the latest case, a Waterbury licensed professional counselor in children’s behavioral health, has entered into a civil settlement with federal authorities to reimburse...

Breach of Trust

A Bridgeport, Conn., woman is spending the holidays behind bars and will have to pay more than $1.3 million for her role in an identity theft scheme that defrauded the Medicaid and Social Security benefits programs. The 46-year-old reported to prison in September and will...

Pinky Promise

When Medicaid providers accept new patients, they essentially make a promise to provide good care and to protect their healthcare records and personally identifiable information. While the operators of two businesses in Bridgeport, Connecticut that offered social and psychotherapy services to their patients appeared...

So Much for Caring

Medicaid provides comprehensive coverage for children with behavioral health needs, making treatment affordable for low income families. The owner of a former New Haven, Connecticut behavioral health clinician group deceptively called Caring Family Solutions carried out a Medicaid fraud scheme that stole $100,000 in a very...

Teamwork

Defrauding takes teamwork. Today’s fraudster from Bridgeport, Connecticut teamed up with other unscrupulous individuals (and that’s putting it nicely) to steal the Medicaid provider numbers of two licensed healthcare providers. One co-conspirator contributed the personally identifiable information of more than 100 Medicaid clients from...

Thank You for Not Frauding

The history of “buttlegging,” or cigarette smuggling, is unfortunately rather established on the east coast of the US. The practice has commonly been used by organized crime and terrorist organizations to defraud the government of money and raise illicit funds. In fact,...
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