News

Enforcement, updated every day.

Every health care enforcement release from the Department of Justice and the HHS Office of Inspector General, including state attorneys general and Medicaid fraud control units, fetched daily and read into the same schema the detectors use. Each one links to the providers it names when the match is certain, and the newest is dated June 23, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJCivil settlementJun 23, 2026CT

Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud

Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.

$146K orderedMedicaid2 providers in Verity
DOJPleaded guiltyJun 23, 2026CT

Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business

Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.

$1.9M allegedMedicare, private insurance1 provider in Verity
DOJComplaint filedMay 22, 2026CT

APRN Charged with Defrauding Connecticut’s Medicaid Program

An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.

$1.4M allegedMedicaid
DOJSentencedApr 30, 2026CT

Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced

An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.

$288 alleged$25K orderedMedicaid, Medicare
DOJSentencedFeb 10, 2026CT

Bloomfield Man Sentenced to Federal Prison for Health Care Fraud

Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.

$671K orderedMedicaid2 providers in Verity
DOJPleaded guiltyNov 26, 2025CT

Former State Representative Pleads Guilty to Offenses Related to Cancelled State Audit of Medicaid Provider, Bank Fraud

Ziogas paid bribes to a senior state official to interfere with and cancel a Department of Social Services audit of his fiancee's Medicaid overbilling by her optometry practice, made a false statement to federal agents, and separately committed bank fraud by negotiating a $5,500 check from a client trust.

$600K allegedMedicaid1 provider in Verity
DOJCivil settlementNov 19, 2025CT

Connecticut Dentists Pay More than $714K to Settle False Claims Allegations

Two dental practices and their owners paid a third-party patient recruiting company a fee for each Connecticut Medicaid patient referred and submitted claims for those patients to the Connecticut Medical Assistance Program while impliedly certifying that no kickbacks were paid.

$714K orderedMedicaid3 providers in Verity
DOJComplaint filedAug 29, 2025CT

Middletown Resident Charged in Health Care Fraud Scheme Involving Durable Medical Equipment

Habib and Around the World Solutions LLC billed Medicare Advantage plan sponsors for orthotics purportedly provided to more than 400 Medicare beneficiaries who did not request or receive them, and transferred proceeds to financial institutions in Pakistan.

$680K allegedMedicare1 provider in Verity
DOJCivil settlementAug 13, 2025CT

Connecticut Lab, its Owners and Officers, to Pay More Than $1.2 Million to Settle False Claims Act Allegations

Genco Lab and its owners and officers submitted claims to Medicare and Medicaid for medically unnecessary urine drug tests performed for residential monitoring of sober home residents and for duplicative presumptive and definitive testing on the same day.

$1.3M orderedMedicare, Medicaid1 provider in Verity
DOJCivil settlementAug 6, 2025CT

APRN and Medical Practice to Pay Over $600k and Cease Connecticut Medicaid Participation to Settle False Claims Act Allegations

Ntchana and his entities improperly billed Medicare and Connecticut Medicaid for services not rendered, the services of an unlicensed provider, and upcoded or duplicative claims.

$614K orderedMedicare, Medicaid2 providers in Verity
DOJOtherJun 30, 2025CT

National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud

The Justice Department announced charges against 324 defendants nationwide for health care fraud schemes involving over $14.6 billion in intended loss, including a civil forfeiture action in Connecticut against a transnational organization that used straw purchasers to buy durable medical equipment companies and billed Medicare using stolen patient information, and the arrest of an APRN who unlawfully distributed controlled substances and made false statements in connection with health care matters.

$14.6B alleged$245.0M orderedMedicare, Medicaid, private insurance1 provider in Verity
DOJPleaded guiltyMay 16, 2025CT

Middletown Man Admits Role in Scheme that Defrauded Connecticut’s Medicaid Program of More Than $1.8 Million

Apellaniz and Aponte used Minds Cornerstone to submit fraudulent claims to Connecticut Medicaid for applied behavior analysis services purportedly provided to children with Autism Spectrum Disorder that were not rendered as billed, resulting in a loss of approximately $1,876,617.

$1.9M alleged$469K orderedMedicaid3 providers in Verity
DOJCivil settlementMay 16, 2025CT

Connecticut Physiatrist and Practice Pay $427k to Settle False Claims, Improper Billing Allegations

Snowball and Pain Management submitted improper claims to Medicare for evaluation and management services by adding Modifier 25 to E&M claims when providing pain injections when no significant, separately identifiable E&M services were provided, and continued after being notified and assessed an overpayment.

$427K orderedMedicare1 provider in Verity
DOJCivil settlementMay 9, 2025CT

Norwalk Dentists Pay More than $600K to Settle False Claims Allegations

Dental providers submitted claims to the Connecticut Medical Assistance Program for services rendered to Medicaid patients referred by third-party patient recruiting companies that were paid on a per-patient basis, in violation of the Anti-Kickback Statute and their provider agreements.

$646K orderedMedicaid2 providers in Verity
DOJIndictedFeb 28, 2025CT

Former State Official and State Representative Charged with Offenses Related to Cancelled State Audit of Medicaid Provider

Diamantis, a state official, and Ziogas, a state representative, are charged with soliciting and receiving corrupt payments from optometrist Helen Zervas and Family Eye Care in exchange for official acts to cancel a state Medicaid audit of Zervas's fraudulent Medicaid overbilling for services not provided or not medically necessary, and with concealing the conduct.

$600K allegedMedicaid1 provider in Verity
DOJSentencedFeb 26, 2025CT

Woman Previously Convicted of Fraud and Identity Theft Offenses Sentenced to Additional Prison Time for Violating Supervised Release Conditions

Stuart, who was not a Board Certified Behavior Analyst, stole the professional identity of a legitimate BCBA and performed applied behavior analysis services billed to Medicaid through Helping Hands Academy, LLC, and was sentenced to additional prison time for violating supervised release conditions.

$369K allegedMedicaid1 provider in Verity
DOJSentencedFeb 24, 2025CT

North Haven Counselor Sentenced to More Than 3 Years in Federal Prison for Defrauding Medicaid of More Than $1.6 Million

Collins submitted more than 17,000 false claims to Connecticut Medicaid under her own billing and performing provider identification number for psychotherapy services that were not provided, defrauding Medicaid of $1,647,031.51.

$1.6M alleged$1.6M orderedMedicaid3 providers in Verity
DOJPleaded guiltyFeb 11, 2025CT

Farmington Woman Pleads Guilty to Health Care Fraud, Public Corruption Offenses

Zervas submitted claims to Medicaid and Medicare falsely representing that she had provided, or determined it was medically necessary to provide, certain treatment, including more than 300 false Medicaid claims and more than 30 false Medicare claims for insertion of an amniotic membrane to the eye surface, and later conspired with state officials to interfere with a Medicaid audit in exchange for payments.

Medicare, Medicaid1 provider in Verity
DOJOtherFeb 5, 2025CT

U.S. Attorney’s Office Collects More Than $26 Million in Civil and Criminal Actions in Fiscal Year 2024

Annual collections announcement stating civil recoveries included approximately $4.5 million from a network of healthcare companies alleged to have submitted false claims to Medicare and Connecticut Medicaid for telehealth psychological care services and more than $1 million from operators of Connecticut dental practices alleged to have paid patient recruiters to steer Connecticut Medicaid patients to their practice.

$5.5M orderedMedicare, Medicaid
DOJSentencedFeb 3, 2025CT

Hartford Substance Abuse Counselor Sentenced to 27 Months in Prison for Health Care Fraud Schemes

After being suspended from Medicaid, Epps arranged for two other licensed counselors to bill Medicaid under their provider numbers for psychotherapy services purportedly provided by her, including services never provided, in exchange for a share of the payments.

$1.0M alleged$1.0M orderedMedicaid4 providers in Verity
DOJComplaint filedJan 17, 2025CT

Two Charged with Defrauding Connecticut’s Medicaid Program

Apellaniz and Aponte submitted or caused to be submitted fraudulent claims to Connecticut Medicaid for applied behavior analysis services to children with Autism Spectrum Disorder that were not rendered as billed, through Minds Cornerstone LLC.

$1.8M allegedMedicaid3 providers in Verity
DOJCivil settlementJan 7, 2025CT

Connecticut Dentist Pays More than $600K to Settle False Claims Allegations

Bethi and her dental practices paid a patient recruiter $110 for each Connecticut Medicaid patient referred who received services beyond routine preventative care and submitted claims to the Connecticut Medical Assistance Program for those services.

$608K orderedMedicaid2 providers in Verity
DOJCivil settlementJan 2, 2025CT

New Haven Psychiatrist to Pay More Than $450K to Settle False Claims Act and Controlled Substances Act Allegations

Syed issued medically unnecessary prescriptions, including for controlled substances, causing false claims to be submitted by a pharmacy to Medicare and Medicaid, and billed Medicare and Medicaid for medically unnecessary office visits, and issued controlled substance prescriptions without a legitimate medical purpose.

$455K orderedMedicare, Medicaid
DOJCivil settlementDec 5, 2024CT

Home Health Care Company and Its Owners Pay More Than $360K to Settle False Claims Allegations

Home Care VNA, Lubega, and Ogutt submitted or caused to be submitted claims for reimbursement to Connecticut Medicaid for home health care services for patients who had unsigned plans of care or had no plans of care at all.

$362K orderedMedicaid1 provider in Verity
DOJPleaded guiltyNov 8, 2024CT

Hartford Substance Abuse Counselor Pleads Guilty to Health Care Fraud

Epps, suspended from Medicaid, arranged for two other licensed counselors to bill Medicaid under their provider numbers for psychotherapy services falsely represented as personally provided by them, including services never provided at all.

$1.0M alleged$1.0M orderedMedicaid3 providers in Verity
DOJPleaded guiltySep 5, 2024CT

Connecticut Dentist Pleads Guilty to Violating Federal Anti-Kickback Law

A dentist paid patient recruiters more than $360,000 in kickbacks to bring Medicaid beneficiaries to her dental practices for services she billed to Connecticut Medicaid, which reimbursed her approximately $2.2 million.

$2.2M alleged$500K orderedMedicaid1 provider in Verity
DOJCivil settlementAug 28, 2024CT

Connecticut Dentists Pay $1.7 million to Settle False Claims Allegations

Dental practices and a dentist paid a third-party patient recruiting company $115 for each Connecticut Medicaid patient referred who received services beyond routine preventative care, and submitted claims to the Connecticut Medical Assistance Program for those services.

$1.7M orderedMedicaid6 providers in Verity
DOJPleaded guiltyAug 6, 2024CT

North Haven Counselor Admits Defrauding Medicaid of More Than $1.6 Million

Collins submitted and caused to be submitted fraudulent claims to Medicaid for psychotherapy services that were not provided, including claims for dates when she was working for another provider, traveling out of state, or for clients she had never treated.

$1.6M alleged$114K orderedMedicaid3 providers in Verity
DOJSentencedJul 9, 2024CT

Former Southeastern Connecticut Counselor Sentenced for Health Care Fraud and Kickback Offenses

After learning a Medicaid audit found he had been overpaid for undocumented psychotherapy services, Slocum submitted claims to Medicaid for psychotherapy services he never provided and paid kickbacks to Medicaid patients in cash, money orders, and gift cards to induce them to receive services from him.

$225K alleged$695K orderedMedicaid
DOJPleaded guiltyJun 27, 2024CT

Bloomfield Man Pleads Guilty to Health Care Fraud Charge

Tyson, a licensed alcohol and drug abuse counselor, submitted fraudulent claims to Connecticut Medicaid for psychotherapy counseling sessions that were not provided and billed under his provider number for services purportedly provided by another individual, and provided fraudulent patient records during an audit.

$671K orderedMedicaid1 provider in Verity
DOJCivil settlementJun 13, 2024CT

Behavioral Health Companies, CEO, Pay Nearly $4.6 Million to Settle Allegations Related to Telehealth Services for Nursing Home Residents

The Supportive Care Companies and their CEO submitted or caused to be submitted improper and false claims for telehealth originating site facility fees under HCPCS code Q3014, which should only have been billed by the nursing homes, and claims for psychological services to beneficiaries said to reside in nursing homes when they had been transferred to hospitals as inpatients.

$4.6M orderedMedicare, Medicaid13 providers in Verity
DOJSentencedMay 22, 2024CT

Former Wallingford Doctor Who Sold Opioid Prescriptions for Cash Sentenced to Federal Prison

Braylovsky sold prescriptions for opioids and other controlled substances for cash, issued medically unnecessary prescriptions, and billed Medicare and Medicaid for illegitimate office visits and unnecessary prescriptions.

$199K alleged$199K orderedMedicare, Medicaid, private insurance2 providers in Verity
DOJSentencedMay 10, 2024CT

Glastonbury Psychologist Sentenced to Prison for Defrauding Medicaid of More Than $1.6 Million

Pines submitted fraudulent claims to Medicaid for psychotherapy services not provided, including on dates he was not working or appointments were canceled, and billed group family visits as multiple individual claims.

$1.6M alleged$1.6M orderedMedicaid1 provider in Verity
DOJCivil settlementMay 6, 2024CT

Connecticut Dentists Pay $498K to Settle False Claims Allegations

The dentists and their dental practices paid a third-party patient recruiter $110 for each Connecticut Medicaid patient referred who received services beyond routine preventative care and submitted claims to the Connecticut Medical Assistance Program for those services.

$498K orderedMedicaid3 providers in Verity
DOJPleaded guiltyJan 31, 2024CT

Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million

Pines submitted and caused to be submitted fraudulent claims to Medicaid for psychotherapy services that were not provided, including on dates he was not working or appointments were canceled, and billed group family visits as multiple individual claims.

$1.6M alleged$1.6M orderedMedicaid1 provider in Verity
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