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Network that Offers Programs for Adults with Disabilities Agrees to Pay $5M to Settle False Claims Act Case

The government announced it settled a civil fraud lawsuit against Community Options, Inc., (“COI”) and Community Options New York, Inc., (“CONY,” and together with COI, the “Defendants” or “Community Options”) for fraudulently billing Medicaid for services without necessary and accurate documentation and failing to report and return overpayments to Medicaid. Defendants agreed to pay the United States...

Hoodwink in Hartford: Home Health Care Company and Its Owners Settle Medicaid False Claims Act Allegations

United States Attorney for the District of Connecticut, Vanessa Roberts Avery, and Connecticut Attorney General, William Tong that Home Care VNA LLC and its current and former owners, Shakira Lubega and Constant Ogutt, have $361,520 to resolve allegations that they submitted claims for home health care services that violated Medicaid regulations for plans of care. Home Care VNA is a home...

Predatory Pharmacies Targeted Low-Income HIV Patients: Former Owner of New York Pharmacies Sentenced for Ongoing $11 Million Medicaid Fraud Scheme

On November 20, 2024, New York Attorney General Letitia James that former pharmacy owner Aftab Hussain was sentenced to two to six years in prison for swindling over $11.5 million in a Medicaid fraud scheme that targeted low-income HIV patients who required life-saving medications. Hussain and his co-conspirators paid illegal kickbacks to patients to entice them as repeat customers at over 20...