Social Employee Charged with Medicaid Scams, Prescription Forgery

Waterbury– Police detained a social employee about Medicaid scams, prescription forgery.

Elijah Caldwell, 36, of Waterbury, was charged with one count each of larceny in the very first degree by defrauding a public neighborhood, medical insurance scams, making an incorrect prescription, unlawfully recommending an illegal drug, unlawfully acquiring and giving an illegal drug and forgery in the 2nd degree.

Authorities stated Caldwell had a workplace in Waterbury and charge he was defrauding Medicaid by billing the federal government healthcare program for services he did not carry out and creating a medical professional’s signature on prescriptions for illegal drugs. They stated Caldwell owned and run A Prospering Vision, a therapy workplace on North Main Street in Waterbury that served Medicaid customers. After carrying out audits, authorities stated Caldwell was thought of billing Medicaid for services that he had not rendered.

Authorities Stated

” Between January 2013 and November 2015, Caldwell billed Medicaid 16 times for services he declared were offered to customers who were either hospitalized or jailed on the date of service. Furthermore, Caldwell billed Medicaid 88 times for services that customers reported they did not get. Medicaid paid Caldwell $10,409.30 for these incorrect claims, the warrant states.

The examination also revealed that in between October 2015 and November 2016 Caldwell, who cannot recommend medication, created the signature of a doctor on 7 prescriptions for illegal drugs for himself and 2 of his Medicaid customers.”.

Caldwell was launched on a $25,000 and is arranged to appear in court on October 26. If founded guilty, he might be sentenced to as much as 20 years in jail.

Sturbridge Lady Charged with $2.7 M Medicaid Scams

Worcester– A previous Worcester instructor who apparently took $2.7 million by submitting incorrect Medicaid claims was apprehended Wednesday.

Authorities stated Hellen Kiago, 47, of Sturbridge, through her healthcare company, regularly over-billed and wrongly billed for services that were not licensed.

Massachusetts Attorney General Maura Healey’s workplace started an examination after getting grievances from numerous of Ms. Kiago’s previous staff members, declaring misbehavior and deceitful billing practices.

On Sept. 28, a grand jury returned indictments versus Ms. Kiago and her company, Lifestream Healthcare Alliance LLC, situated at 37 Highland St. The company also ran in Dracut. The charges are 5 counts of Medicaid incorrect claims and one count of larceny over $250 by incorrect pretenses.

According to the indictments, since at least July 2015, Ms. Kiago’s company billed MassHealth for home health offered to clients that were not licensed by a doctor. Ms. Kiago also apparently advised a staff member to create doctor signatures on patient strategies of care that were not signed. In cases where a doctor did license services, she supposedly billed for more hours than was licensed.

She also presumably billed for more hours than a doctor had licensed, or maintained more than enabled from payments gotten from MassHealth for more details check out

At Ms. Kiago’s arraignment Wednesday in Worcester Superior Court, Assistant Attorney General Nita Klunder stated that 2 days after authorities with a search warrant went to the workplaces in Worcester and Dracut on Dec. 1, Ms. Kiago opened a checking account in the name of her young child. She transferred a few of the cash because of account. In January, Ms. Kiago supposedly moved $1 million to an account in Kenya. She wired another $500,000 to the Kenyan account 2 months later on.

Ms. Klunder stated the dad of Ms. Kiago’s child resides in Kenya.

Within 2 weeks of the search, Ms. Kiago wed fellow Lifestream worker Cheyne Johnson. She got her permit in June. According to the Massachusetts secretary of state’s website, Mr. Johnson is also noted as the clerk and a director of Streamlife Agape International Inc., a not-for-profit that Ms. Kiago supposedly runs at the 37 Highland St. workplace.

Since July 28, authorities supposedly found $233,000 in the child’s checking account and an extra $483,000 in 2 other checking accounts. There was also about $6,000 in her other half’s account.

Ms. Kiago got in a plea of innocent at her arraignment.

Defense lawyer John George Molloy of North Smithfield stated his customer originated from Kenya to the United States on a scholarship in 1998. He stated she has 2 master’s degrees, consisting of an MBA from Bentley University in Waltham. He stated she was an instructor in Worcester from 2001 to 2014. He stated Ms. Kiago also owns a transport company. She owns Lifestream Transportation at 50 Elm St., Southbridge, according to the secretary of state’s website. Mr. Molloy stated his customer had never ever been detained.

Ms. Kiago’s mom, who remained in the courtroom, later, informed a press reports that she had remained in the nation visiting her child the previous 2 months. She appeared puzzled by the court procedures. She stated she was amazed when authorities jailed her child Wednesday early morning. After the arraignment, she rested on a bench outside the courtroom waiting for her child’s other half to come back to select her up.

Mr. Molloy stated his customer’s hubby was not in court because he had a class that he might not miss out on. He was later in the notary’s workplace to bail his better half from prison. Judge Janet Kenton-Walker set bail at $100,000 money or $1 million with surety. Ms. Kiago was bought to surrender her passport and to call the Probation Department weekly. The case was continued to Dec. 6.

Hamtramck Woman Charged With 11 Felonies in Medicaid Fraud Scheme

Hamtramck (WWJ)– A 40-year-old Hamtramck female is dealing with a list of charges for her supposed function in a Medicaid scams plan.

Julianna Trzin is charged with 6 counts Medicaid scams, 3 counts of incorrect pretenses, and one count each of embezzlement from a susceptible grownup and continuing criminal business for supposedly poorly billing the Medicaid program and stealing payments planned for clients.

At the time of her arrest, Trizin was also in belongings of cocaine and a surcharge of ownership of fewer than 25 grams of a schedule 1 drug was submitted.

” Medicaid is developed to be there for households when they need it one of the most. Those who take from Medicaid are taking from Michigan’s most clingy households,” Michigan Attorney General Bill Schuette stated in a declaration.

An examination into Trzin was introduced when the Clawson Police Department called the state after getting a problem from Trzin’s company, Cambridge North Healthcare Center, that money payments made to the center on behalf of citizens were not being participated in the center’s receivables journal.

Subsequent examination exposed proof that Trzin, who was accountable for accepting payments on behalf of clients, apparently kept the money payments. It is even more declared that Trzin poorly billed Medicaid over $600,000 from 2011 to 2016 to cover the losses and avoid earlier detection of the plan.

Trzin was launched on bond and is due in court on October 16 to be arraigned on the charges.