Tag:

Medicaid

Welfare Fraud Task Force Makes 2 Arrests In Sullivan County Welfare Fraud Task Force Makes 2 Arrests In Sullivan County
Welfare Fraud Task Force Makes 2 Arrests In Sullivan County Two women from the region have been nabbed for alleged welfare fraud. The arrests occurred in Sullivan County in Monticello on Friday, April 12, and Thursday, April 25. According to the Sullivan County Welfare Fraud Task Force, the following arrests were made:  Drewcilla R. Noel, age 31, of Monticello, was arrested on Friday, April 12, and charged with grand larceny and theft of services. It is alleged that Noel utilized Medicaid Medical Transportation services on various dates beginning June 2023 and continuing through December 2023 with multiple transportation compan…
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…
Mount Kisco-Based Ambulette Company To Shut Down Due To Financial Hardship Mount Kisco-Based Ambulette Company To Shut Down Due To Financial Hardship
Mount Kisco-Based Ambulette Company To Shut Down Due To Financial Hardship As a result of financial hardship, a Northern Westchester-based ambulette service will soon shut down, affecting hundreds of daily medical trips.  Mount Kisco-based United Transportation Providers of Westchester County, Inc. will be shutting down its ambulette services for Westchester residents with serious medical conditions and mobility difficulties at the end of the day on Friday, March 8, the company announced.  The decision to end services came as a result of financial hardship. According to the company, the service cannot continue to operate while being reimbursed at 30 perc…
Bergen Doc Who Said He Treated Medicaid Patients When He Was Not Even In The U.S. Pays Up Bergen Doc Who Said He Treated Medicaid Patients When He Was Not Even In The U.S. Pays Up
Bergen Doc Who Said He Treated Medicaid Patients When He Was Not Even In The U.S. Pays Up A Bergen County doctor and former medical director of the New Jersey Veterans Memorial Home in Paramus busted for "up-coding" and lying about care provided has agreed to pay $700,000, federal authorities said. Arun Sehgal and his Ramsey practice, Preventive & Diagnostic Medical Center P.A., violated the "False Claims Act" by billing patients for more service than they could possibly provide in a single day, or for services that they never provided, U.S. Attorney Philip R. Sellinger said Thursday, Feb. 22. Sehgal and his practice agreed to pay $693,490 plus interest to resolve the three …
Brockton Care-Taker Took $150K From Mattapa Woman, 95, Let Home Fall Into Foreclosure: DA Brockton Care-Taker Took $150K From Mattapa Woman, 95, Let Home Fall Into Foreclosure: DA
Brockton Care-Taker Took $150K From Mattapa Woman, 95, Let Home Fall 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…
$1.6M Scheme: Glastonbury Psychologist Admits Submitting Fraudulent Medicaid Claims $1.6M Scheme: Glastonbury Psychologist Admits Submitting Fraudulent Medicaid Claims
$1.6M Scheme: Glastonbury Psychologist 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…
Disgraced Owner Of Failed NJ Nursing Home Chain From NY Admits Stiffing IRS Out Of $39M: Feds Disgraced Owner Of Failed NJ Nursing Home Chain From NY Admits Stiffing IRS Out Of $39M: Feds
Disgraced Owner Of Failed NJ Nursing Home Chain From NY Admits Stiffing IRS Out Of $39M: Feds 𝗨𝗣𝗗𝗔𝗧𝗘: A onetime insurance broker from Rockland County who ran a nationwide network of nearly 100 nursing homes into the ground from an office over a Bergen County pizzeria admitted that he purposely shorted the IRS nearly $39M, federal authorities said. Joseph Schwartz, 64, of Suffern, owned Skyline Management Group, which was based in the Wood-Ridge and amassed 95 nursing homes across 11 states. These once included Hudson View Care & Rehab Center in North Bergen, Brookhaven Health Care Center in East Orange and the Voorhees Care & Rehabilitation Center. Over a period of only sev…
Shelton Man Who Ripped Off Medicaid While Employed With Greenwich Police Avoids Jail Shelton Man Who Ripped Off Medicaid While Employed With Greenwich Police Avoids Jail
Shelton Man Who Ripped Off Medicaid While Employed With Greenwich 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…
New Canaan Man Accused Of Ripping Off Medicaid For $80K New Canaan Man Accused Of Ripping Off Medicaid For $80K
New Canaan 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…
Stamford Woman Accused Of Ripping Off Medicaid For Thousands Stamford Woman Accused Of Ripping Off Medicaid For Thousands
Stamford 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…
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims A New York doctor has been indicted for his alleged involvement in a kickback scheme that involved him defrauding Medicaid and giving patients unnecessary tests, officials announced. New York Attorney General Letitia James announced on Wednesday, Nov. 22 the indictment of Long Island resident Payam Toobian, M.D., alongside his company, America’s Imaging Center, Inc., for over 10 years of alleged Medicaid fraud. Through his corporation, Toobian, age 51, of King's Point, ran Empire’s Imaging, a diagnostic radiology center based in Queens. From January 2006 to August 2017, the AG’s Office …
Phone Scammer From Atlantic City Who Preyed On Recently Widowed Seniors Pleads Out: US Attorney Phone Scammer From Atlantic City Who Preyed On Recently Widowed Seniors Pleads Out: US Attorney
Phone Scammer From Atlantic City Who Preyed On Recently Widowed Seniors Pleads Out: US Attorney A heartless public housing tenant from Atlantic City admitted that she scammed elderly victims out of more than $100,000 by claiming that they owed money on life insurance policies bought by a spouse who’d just recently died. Victoria Crosby, 46, was receiving Social Security and Medicaid benefits when she targeted the victims, all of whom were over 70 years old, U.S. Attorney Philip R. Sellinger said. Crosby called the seniors on a burner phone and, using phony names, claimed to be an employee of a retirement benefit office in some instances and a life insurance company in others, the U.S.…
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 New London Counselor Convicted Of Submitting False Medicaid Claims $695K Scheme: Former New London Counselor Convicted Of Submitting False Medicaid Claims
$695K Scheme: Former New London 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.  …
$70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor $70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor
$70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor A 47-year-old Hudson County woman was arrested in a $70,000 healthcare fraud scheme, authorities said. Nicole Saunders, of Union City, failed to report income from a business she owns, resulting in an unlawful payment of more than $70,000 in medical benefits from NJ FamilyCare between 2017 and 2021, Hudson County Prosecutor Esther Suarez said. Saunders was arrested Tuesday, July 25, by members of the Hudson County Prosecutor’s Office Insurance Fraud Unit. She was charged with theft by deception and false reporting to Medicaid. Saunders was released on a summons pending her&n…
Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County
Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County The daughter and husband of a woman found dead in a home in July 2021 have been charged with neglect, state authorities said. The 71-year-old woman's body was emaciated and covered in untreated bedsores when it was found in a Chester county home, Attorney General Michelle Henry said. Kaci Nightingale, the victim's daughter, and Richard Nightingale, the victim's husband, have been charged with felony neglect of a care-dependent person, Henry said. The victim, who died of a stroke, was found dead in her home on West Lincoln Highway in Parkesburg, on July 20, 2021, Henry said. She was nu…
Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say
Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say Two pharmacy owners, including one from Long Island, are facing federal charges for their alleged roles in a massive health care fraud scheme, authorities said. Taesung Kim, age 58, of Great Neck and Dacheng Lu, age 44, of Flushing, Queens are each accused of submitting false and fraudulent claims to Medicare and Medicaid, according to an indictment unsealed Tuesday, May 2, in federal court in Brooklyn. The pair owned and operated four pharmacies located in Brooklyn and Queens. According to federal prosecutors, between January 2015 and December 2022 Kim and Lu conspired with others to subm…
'At End Of Our Rope:' NJ Son Seeks Help With Mom's Hellish Assisted Living Expenses 'At End Of Our Rope:' NJ Son Seeks Help With Mom's Hellish Assisted Living Expenses
'At End Of Our Rope:' NJ Son Seeks Help With Mom's Hellish Assisted Living Expenses It's everyone's nightmare, spiraling medical costs with no end in sight. Joseph Giamarese, of Princeton, is intimately familiar with the struggle. He's asking for help for his nearly 95-year-old mother whose been in need of steady intensive care the past 10 years. Marie Giamarese’s current level of care exceeds $15,000 per month. "For almost a decade, my mother has been in and out of physical rehabilitation, assisted living, and memory care facilities,"  Joseph Giamarese wrote on this GoFundMe page. After seven years of continuous decline, the constant need for care has taken its tol…
Medicaid Fraud: Hamden Practice Charged For Services Provided By Unlicensed People, Feds Say Medicaid Fraud: Hamden Practice Charged For Services Provided By Unlicensed People, Feds Say
Medicaid Fraud: Hamden 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…
Criminal Couple: Levittown Duo Fraudulently Claim $112K In Benefits, Lie On Paperwork, DA Says Criminal Couple: Levittown Duo Fraudulently Claim $112K In Benefits, Lie On Paperwork, DA Says
Criminal Couple: Levittown Duo Fraudulently Claim $112K In Benefits, Lie On Paperwork, DA Says A husband and wife from Long Island are facing more than half a dozen charges after fraudulently collecting $112,000 in public assistance, authorities said. Levittown residents Terry Ann Powell-Bajwa, age 45, and Khurram Bajwa, age 40, were arraigned in Nassau County Court on Thursday, April 6. According to prosecutors, between 2017 and 2021, Powell-Bajway allegedly lied on applications that she submitted to the Nassau County Department of Social Services (NCDSS) and the New York State Health Benefits Exchange (NYSHBE). Among these, authorities report that she falsely listed herself as a s…
Welfare Fraud: 3 Liberty Women Charged With Theft Of Funds Welfare Fraud: 3 Liberty Women Charged With Theft Of Funds
Welfare Fraud: 3 Liberty Women Charged With Theft Of Funds Three women from the region have been charged with allegedly stealing government funds following an investigation by the Sullivan County Welfare Fraud Task Force. Those charged are: Lisa Keitt, age 26, of Liberty, was arrested and charged on Sunday, March 19, and charged with theft of services and offering a false instrument. It is alleged that Keitt stole services totaling $505.74 in Medicaid transportation benefits. On Monday, Dec. 5, 2022, and on eight other dates, Keitt obtained a medical transportation ride by deception to two separate medical facilities to which s…
Newtown Psychologist Admits To $79K Medicaid Fraud Newtown Psychologist Admits To $79K Medicaid Fraud
Newtown 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…
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims $8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims A Westchester man will spend years in prison after billing more than $8 million in false transportation service claims as part of a multi-million-dollar Medicaid fraud scheme.  Yonkers resident Julio Alvarado, age 63, was sentenced to 95 months in prison on Wednesday, March 29 for leading the scheme which ended up defrauding Medicaid out of millions of dollars, according to the US Attorney's Office for the Southern District of New York.  According to federal officials, Alvarado was responsible for billing more than $8 million in fraudulent transportation services for Medicaid…
'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…
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds A 26-year-old Passaic County woman was charged in a federal indictment with conspiring to obstruct a grand jury investigation into a pair of Pennsylvania brothers accused of running a multi-million criminal enterprise, authorities said. Susan Malpartida was named in the 42-count indictment against Bhaskar and Arun Savani, who were charged with racketeering, money laundering, healthcare fraud, and a litany of other felony offenses that could see them locked up for hundreds of years each if convicted, the Justice Department announced. A multi-year investigation into the brother…
'Not-For-Human-Use' Implants Given To Patients By PA Criminal Dentist Brothers: Feds 'Not-For-Human-Use' Implants Given To Patients By PA Criminal Dentist Brothers: Feds
'Not-For-Human-Use' Implants Given To Patients By PA Criminal Dentist Brothers: Feds A pair of Montgomery County dentists are accused of giving patients "no -for-human-use" dental implants — among dozens of other criminal charges — in a sweeping indictment unveiled by federal prosecutors Wednesday, Jan. 25. Brothers Bhaskar and Arun Savani are charged with building a "complex criminal enterprise that amassed millions of dollars through multiple fraud schemes," the Justice Department said in a A multi-year investigation into the brothers' vast and labyrinthine business portfolio revealed a well-oiled criminal machine, prosecutors say. According to the indictment, the Sav…
Company Prez Fraudulently Received $50K In Public Benefits While Driving Luxury Car: Nassau DA Company Prez Fraudulently Received $50K In Public Benefits While Driving Luxury Car: Nassau DA
Company Prez Fraudulently Received $50K In Public Benefits While Driving Luxury Car: Nassau DA A Long Island man is accused of fraudulently obtaining tens of thousands of dollars in public assistance while serving as the president of two companies and driving a luxury car, prosecutors said. Otari Bater, age 49, of East Northport, was arraigned on felony charges of grand larceny and welfare fraud in Nassau County Court on Tuesday, Dec. 27. Prosecutors allege that between January 2018 and January 2020, while applying for Medicaid and SNAP benefits, Bater made false claims to the Nassau County Department of Social Services (NCDSS) and the New York State Health Benefits Exchange (NYSHBE)…
Cold Spring Hills Nursing Home Stole $22.6M In Government Funds, AG Says Cold Spring Hills Nursing Home Stole $22.6M In Government Funds, AG Says
Cold Spring Hills Nursing Home Stole $22.6M In Government Funds, AG Says Millions of dollars in public funding that should’ve gone to caring for residents of a New York nursing home were instead diverted into the pockets of its greedy owners, according to a lawsuit from Attorney General Letitia James. The suit, filed Friday, Dec. 16, alleges a years-long fraud scheme carried out by the owners of Long Island’s Cold Spring Hills Center for Nursing and Rehabilitation, located in Woodbury. Earlier Report: East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says An investigation by the Office of the Attorney General (OAG) found that…
East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says
East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says Sexual abuse, unexplained bruising, unanswered call bells, and humiliating missed trips to the bathroom. Those were just some of the horrors experienced by residents at a New York nursing home stemming from a multimillion-dollar fraud scheme, according to a lawsuit from Attorney General Letitia James. Related Report: East Meadow Nursing Home Employee Sexually Assaulted Resident, Boss Covered Up Crime, DA Says The suit, filed Tuesday, Dec. 13, alleges that the owners of Long Island’s Fulton Commons Care Center, located in East Meadow, exploited New York’s Medicaid program to enrich themsel…
Pediatric Dentist, Affiliates In NJ, NY Pay $750,000 For Unneeded Root Canals On Kids Pediatric Dentist, Affiliates In NJ, NY Pay $750,000 For Unneeded Root Canals On Kids
Pediatric Dentist, Affiliates In NJ, NY Pay $750,000 For Unneeded Root Canals On Kids A group of pediatric dentists in New Jersey and New York who were outed by a former worker for conducting medically unnecessary root canals on children agreed to pay more than $750,000 to settle charges against them, authorities in both states announced. Formerly known as HQRC Management Services LLC, the targeted practice was run by dentist Barry L. Jacobson, most recently of Alpine, NJ, they said. It included offices in Teaneck, Wyckoff, and Paterson in New Jersey and in the Bronx, Flushing, Valley Stream, Boro Park, Kingston, Monsey, Albany and Malone in New York. Jacobson and fellow de…