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Danbury resident charged in connection to $1.3M Medicaid claim fraud

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DANBURY — Officials have arrested a Danbury resident Wednesday after they say he received payments of over $1.3 million in relation to over 14,000 fraudulent Medicaid claims, according to the Division of Criminal Justice.

Bobby R. Kato, 43, has been charged with first-degree larceny by defrauding a public community, health insurance fraud, third-degree identity theft and two counts of second-degree identity theft, the release read. Those charges carry maximum prison terms of 20 years, five years, five years and 10 years, respectively, the DCJ said in a news release.

Officials say Kato owns Kato Counseling, LLC., which it was a part of the Connecticut Medical Assistance Program.


“CMAP includes Medicaid and is part of the Department of Social Services (DSS),” the release read. “Under DSS regulations for behavioral health clinicians, services provided by anyone other than the provider will not be reimbursed.”


But an investigation showed that Kato received payment for services that weren’t provided — totaling over 14,000 claims worth over $1.3 million — and that the counseling provider got paid “in the amount of $29,433.66” for more than 300 other claims provided by unlicensed individuals, DCJ said.

A court appearance for Kato is set in Hartford Superior Court for July 15, according to the release. A non-surety bond was set at $150,000 for Kato, who is no longer in custody, officials said.

DCJ is asking anyone with knowledge of suspected fraud or abuse co contact contact the Medicaid Fraud Control Unit at the Office of the Chief State’s Attorney in Rocky Hill at 860-258-5986.

Source: on 2021-07-07 15:30:00

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