Do You Suspect Your Connecticut Employer Submits False Claims to Medicaid?
Since November 2013, the state of Connecticut has recovered tens of millions of stolen taxpayer dollars taken by Connecticut Medicaid Fraud. The majority of these recoveries are obtained through pharmacists, physicians, nurses, sales reps, medical device manufacturers, dentists, physical therapists and other health care professionals who report knowledge of an employer’s illegal activity.
Medicaid and other CT state funded health care programs use taxpayer dollars to provide health care products and services to individuals and families that cannot afford them. When businesses in the health care industry take advantage of these programs and submit false or fraudulent claims to gain a financial profit, the state’s economy suffers.
Each year, Medicaid Fraud transfers billions of taxpayer dollars into the pockets of dishonest companies and causes health care costs to continue to soar. Health care professionals are in the unique and powerful position to put a stop to Medicaid Fraud in Connecticut. Federal and State False Claims Acts (whistleblower statutes) are the government’s number one weapon against fraud and provide whistleblowers with powerful protection and large cash rewards for reporting information.
Do you suspect your employer is participating in a scheme to profit financially from Connecticut Medicaid? You may be eligible for a significant cash award. Contact the Medicaid Fraud Hotline today for a free, immediate case evaluation to determine your eligibility to file a claim.
Review the Various Types of Medicaid Fraud
Reporting Connecticut Medicaid Fraud
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What Connecticut Laws Give Legal Rights to Medicaid Fraud Whistleblowers?
Connecticut's False Claims Act, Conn. Gen. Stat. §§17b-301a et. seq., is derived from the federal False Claims Act and is the government's primary tool for fighting fraud, waste and abuse in Connecticut’s state funded health care programs like Charter Oak, Husky Health, Medicaid and State-Administered General Assistance (SAGA).
The Connecticut False Claims Act prohibits any individual or organization from:
- Knowingly presenting, or causing to be presented, false or fraudulent claims for payment under DSS administered medical assistance programs, or;
- Knowingly making, or causing to be made, false statements in order to get a claim approved, or;
- Knowingly concealing, avoiding or decreasing any obligation to pay or transmit money or property to the state.
The Connecticut False Claims Act allows private citizens to file "qui tam" lawsuits on behalf of the state of Connecticut if they have “original source” knowledge regarding Connecticut Medicaid Fraud. Original source knowledge is direct and independent information on the allegations. Information based on "public disclosure of allegations or transactions" is not applicable.
Whistleblower lawsuits actions are filed under seal and the Attorney General has 60 days to decide whether or not to intervene in the case. Should the Attorney General choose not to intervene, the whistleblower may proceed with a private legal team.
Individuals and companies who knowingly submit false claims to Connecticut Medicaid may be liable for up to three times the actual harm to the state (treble damages), plus a penalty of between $5,500 and $11,000 for each false claim.
A number of Connecticut Whistleblower Laws have also been enacted to protect public employees, private employees and non-profit employees from workplace retaliation in response to reporting knowledge of Connecticut Medicaid Fraud. These laws include:
- Protection for State, Quasi-Public and Large State Contractor Employees, Conn. Gen. Stat. §4-61dd
- Protection for Employees of Health Care Facilities, Conn. Gen. Stat. §19a-498a
- Protection for Employees of Certain Corporations, Conn. Gen. Stat. §33-1336
- Protection for Foundation Employees, Conn. Gen. Stat. §4-37j
- Protection for Internal Reporting, Conn. Gen. Stat. §3-51m
Fight Connecticut Medicaid Fraud and take a step to provide our nation’s future with health care for everyone. Whistleblowers have legal rights and protections and significant cash rewards are paid for information leading to government recovery. Call the Medicaid Fraud Hotline now and discover your options for filing successful whistleblower claim.
Are Connecticut Whistleblowers Protected From Employer Retaliation After Reporting Medicaid Fraud?
Job Protections Provided Under the Connecticut False Claims Act
The Connecticut False Claims Act includes strong provisions that protect whistleblowers from employer retaliation in response to reporting Connecticut Medicaid Fraud. Any employee who is discharged, demoted, harassed, suspended, threatened, denied promotion or otherwise retaliated against as a result of information disclosure is entitled to all relief necessary to "make the employee whole," including:
- Job reinstatement
- Double back pay
- Litigation costs
- Attorneys' fees
- Special damages
Protections Provided under Connecticut’s Whistleblower Laws
The State of Connecticut has enacted several whistleblower laws to protect public employees, private employees and non-profit employees from workplace retaliation in response to reporting knowledge of Connecticut Medicaid Fraud.
Protections for State, Quasi-Public and Large State Contractor Employees, Conn. Gen. Stat. §4-61dd, prohibits state, quasi-public and large state contractor (contract value of at least $5 million) employers from taking or threatening to take personnel action against an employee in retaliation for the employee’s disclosure of information, testimony or assistance in any proceeding.
Protections for Employees of Health Care Facilities, Conn. Gen. Stat. §19a-498a, prohibits health care facilities from discriminating or retaliating against an employee because the employee submitted a complaint or initiated or cooperated in an investigation relating to the care, services or conditions in the facility.
Protections for Employees of Certain Corporations, Conn. Gen. Stat. §33-1336, prohibits any officer, employee, contractor, subcontractor or agent of any [publicly traded] corporation organized under Connecticut law or authorized to transact business in the state from discharging, demoting, suspending, threatening, harassing or discriminating against any employee who provides information, assists in an investigation, files a proceeding, or testifies regarding any knowledge relating to an alleged violation of state or federal law.
Protection for Foundation Employees, Conn. Gen. Stat. §4-37j, prohibits any officer or employee of the foundation from taking or threatening to take any personnel action against any employee who transmits information concerning any matter involving corruption, unethical practices, violations of state laws or regulations, mismanagement, gross waste of funds, abuse of authority or danger to the public safety.
Protection for Internal Reporting, Conn. Gen. Stat. §3-51m, prohibits state employers from retaliating against state employees who report internal complaints regarding a violation of law or suspected violation of law to a government agency.
Connecticut employees who have experienced retaliation in a private, public or non-profit workplace in response to reporting on suspected Connecticut Medicaid Fraud may file a civil suit against the employer for the following remedies:
- Position reinstatement
- Back pay for income lost
- Benefits reinstatement
- Costs and attorney’s fees
Timing is Critical! If you have been fired, demoted or otherwise harassed by your employer for speaking out regarding Connecticut Medicaid Fraud, contact the Medicaid Fraud Hotline immediately.
Connecticut Whistleblower Laws have very brief statutes of limitations, i.e. the time in which you may file a claim, after which, claims are barred.
Depending on your circumstances, you may have as few as 30 days from either (1) any final internal administrative decision or (2) the date of retaliatory action to bring a civil lawsuit for damages. Call now to find out if you qualify for a cash whistleblower award and/or monetary damages for employer retaliation.
How am I Paid for Reporting Connecticut Medicaid Fraud?
Under the Connecticut False Claims Act, if the Connecticut Attorney General opts to intervene in the lawsuit, whistleblowers are eligible to collect between 15-25 percent of the state’s total recovery. If the Attorney General declines to join the action, the whistleblower may proceed with a private legal team and stands to receive between 25-30 percent of the state’s total recovery.
Whistleblowers may also be awarded reasonable expenses, including attorney's fees and costs.
Are There Time Limitations on Reporting Connecticut Medicaid Fraud?
Under the Connecticut False Claims Act, an action must be brought:
- Within 6 years of the alleged false claim OR,
- Within 3 years after the date when the facts material to the case should have been known, BUT
- Within an absolute maximum of 10 years of the alleged false claim – whichever occurs last.
Statutes of limitations for Connecticut Whistleblower Laws may be as few as 60 days from either (1) any final internal administrative decision or (2) the date of retaliatory action to bring a civil lawsuit for damages.
3 Easy Steps to Help you Decide
Whether You Should Report Medicaid Fraud
If you have information regarding Medicaid Fraud in the State of Connecticut, contact the Medicaid Fraud Hotline or fill out the online report form.
Government Awards of Over $1 Million for Information on Medicaid Fraud