Conn. (Legal Newsline) — Connecticut Attorney General George Jepsen announced
Jan. 12 that Family Care Visiting Nurse and Home Care Agency LLC (FCVNA) and
owners David and Rita Krett have agreed to a $5.25 million settlement after allegations
of submitting false claims to the state’s Medicaid program.
providers who choose to participate in the CMAP have a responsibility to ensure
that they are in compliance with all applicable laws and regulations and are
truthful when they submit claims for payment for services to the Medicaid
program," Jepsen said. "We will continue to work to hold accountable
those who seek to defraud our taxpayer-funded healthcare programs.”
to Jepsen’s office, FCVNA knowingly failed to comply with federal and state
Medicaid home health care provider requirements between January 2009 and April
2016. Requirements mandate that home health providers assign a registered nurse to conduct initial in-person assessments of a patient’s needs. The nurse must
conduct a new assessment every 60 days afterward. FCVNA allegedly billed
Medicaid for nurse visits that never occurred.
major investigation and settlement further indicate the need for strong
financial oversight in our public medical assistance programs,” Department of Social Services Commissioner
Roderick L. Bremby said. “I thank Attorney General Jepsen and his staff, as
well as our other state and federal partners, for their outstanding work to
safeguard fiscal integrity and protect taxpayer interests. I am also pleased to
note that the investigation was based on a fraud referral following a regular
audit by DSS quality assurance staff."