Connecticut Man Pleads Guilty to Healthcare Fraud Charge

Vanessa Roberts Avery, United States Attorney for the District of Connecticut, Roberto Coviello, Special Agent in Charge of the US Department of Health and Human Services, Office of the Inspector General, and Robert Fuller, Special Agent in Charge of the New Haven Division of the Federal Bureau of Investigation, today announced that, on June 21, 2024, Shawn Tyson, 54, of Bloomfield, waived his right to be indicted and pleaded guilty before US District Judge Kari A. Dooley in Bridgeport to healthcare fraud. According to court documents and statements made in court, Tyson was a Licensed Alcohol and Drug Abuse Counselor (LADC) with an office in Hartford. From November 2019 to April 2023, Tyson, together with an individual identified in court as “Provider 1,” defrauded the Connecticut Medicaid program by submitting fraudulent claims for psychotherapy counseling sessions that were not provided by Tyson or Provider 1. In addition, Tyson and Provider 1 agreed to submit claims to Medicaid under Tyson’s unique Medicaid provider number for services purportedly provided by Provider 1 that falsely represented that Tyson had personally provided the services to Medicaid patients. In order to conceal the fraud scheme, in October and November 2022, Tyson provided fraudulent patient records in response to an audit of his claims performed by the Medicaid program.

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