Connecticut Healthcare Fraud/Medicare Fraud Enforcement

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In Connecticut, major healthcare fraud is civilly and criminally prosecuted by the US Attorney’s Office and the State’s own Medicaid Fraud Control Unit.

The federal government often accomplishes this task with the assistance of the Connecticut Medicaid Fraud Control Unit (MFCU). The MFCU takes the responsibility of stopping fraud very seriously and is often assisted in its efforts by the bravery and actions of whistleblowers.

Modeled after the federal False Claims Act, the Connecticut False Claims Act permits private citizens to bring qui tam actions on behalf of the State of Connecticut to recover treble damages and civil penalties. Conn. Public Act No. 09-5 et seq.

Nolan Auerbach & White represents whistleblowers in federal court only. We will bring cases on behalf of whistleblowers under the Connecticut qui tam statute as part of an action under the federal False Claims Act. We do so under the Court’s pendent jurisdiction.

The liability provisions of the Connecticut False Claims Act, Conn. Public Act No. 09-5 § 2(a), provide that no person shall:

(1)        Knowingly present, or cause to be presented, to an officer or employee of the state a false or fraudulent claim for payment or approval under medical assistance programs administrated by the Department of Social Services;

(2)        Knowingly make, or cause to be made or used a false record or statement to secure the payment by the state of a false or fraudulent claim under medical assistance programs administered by the Department of Social Services;

(3)        Conspire to defraud the state by securing the allowance of payment of a false claim under medical assistance programs administered by the Department of Social Services.