Vanessa Roberts Avery, United States Attorney for the District of Connecticut, announced that Dennis Dellaghelfa, 54, of Waterbury, was sentenced to 48 months of imprisonment, followed by three years of supervised release, for healthcare fraud. According to court documents and statements made in court, Dellaghelfa is a licensed hearing instrument specialist and the owner of General Hearing, a Waterbury-based hearing aid dealer. Since approximately 2013, General Hearing has been a participating provider enrolled in the Connecticut Medical Assistance Program (CTMAP), Connecticut Department of Social Services-administered program that provides medical assistance to low income persons. From approximately June 2016 to April 2022, Dellaghelfa submitted, or caused to be submitted, false and fraudulent claims for payment for services and equipment that were not provided or were medically unnecessary. For example, in November 2018, Dellaghelfa submitted claims to Connecticut Medicaid for services provided to six patients during a period of time that Dellaghelfa was traveling outside the US. In 2019 and 2020, some of the fraudulent claims involved services that were purportedly provided by his three employees. However, Dellaghelfa knew that the employees performed hearing tests without having the required professional permit, and submitted paperwork for hearing tests and services that did not occur or were not medically necessary.
In addition, in violation of the CTMAP provider agreement, Dellaghelfa paid third-party “patient recruiters” for each Medicaid patient they brought to General Hearing for a hearing test, and that then failed the hearing test and received hearing aids. He also submitted false claims to Connecticut Medicaid for testing and hearing aids for five of the patient recruiters who did not need hearing aids. Dellaghelfa was ordered to pay restitution of $6,141,857 to the Connecticut Medicaid program. As part of his restitution obligation, Dellaghelfa agreed to forfeit $332,675 held in personal and business bank accounts.
