Connecticut Man Pleads Guilty to Charge Stemming from Medicaid Fraud Scheme

Dennis Tomczak, 73, of Somers, has pleaded guilty in federal court to a false statement offense stemming from his role in a Medicaid fraud scheme. According to court documents and statements made in court, Tomczak, a state-licensed alcohol and drug abuse counselor, offered substance abuse treatment and related counseling services through his business, Pathway to Peace, LLC. Tomczak accepted Medicaid insurance and cash payments for his services. In 2019, a medical provider asked Tomczak to use his own provider number to bill Medicaid for patients that the provider was allegedly seeing for psychotherapy sessions. In exchange, Tomczak would retain 25 percent of the Medicaid claims paid and he would turn over 75 percent of the payments to the provider. Tomczak agreed to do so, and from approximately April 2019 through October 2022, based upon a spreadsheet provided to him by the provider, Tomczak billed Medicaid for psychotherapy and related services allegedly rendered by the provider as if Tomczak had personally rendered those services himself. Tomczak never met any of the provider’s clients and did not review records and treatment notes for any services allegedly rendered by the provider. Through this scheme, Medicaid paid Tomczak approximately $338,427.11 for approximately 53 clients that the provider had allegedly treated. Per his agreement with the provider, Tomczak retained approximately $84,000 of the claims money received from Medicaid.

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