CSAO: Licensed Clinical Social Worker Charged with Medicaid Fraud, Prescription Forgery

Licensed Clinical Social Worker Charged with Medicaid Fraud, Prescription Forgery

A licensed clinical social worker with an office in Waterbury was arrested today and charged with defrauding Medicaid by billing the government health care program for services he did not perform and forging a doctorís signature on prescriptions for controlled substances.

ELIJAH CALDWELL, age 36, of Herkimer Street, Waterbury, was charged with one count each of Larceny in the First Degree by Defrauding a Public Community, Health Insurance Fraud, Making a False Prescription, Unlawfully Prescribing a Controlled Substance, Illegally Obtaining and Dispensing a Controlled Substance and Forgery in the Second Degree.

According to the arrest warrant affidavit, Caldwell, a licensed clinical social worker, owned and operated A Prospering Vision, a counseling office on North Main Street in Waterbury that served Medicaid clients. After a routine audit by the Department of Social Services, Caldwell was suspected of billing Medicaid for services that he had not rendered and the matter was referred to the Medicaid Fraud Control Unit in the Office of the Chief Stateís Attorney.

The subsequent investigation disclosed that between January 2013 and November 2015, Caldwell billed Medicaid 16 times for services he claimed were provided to clients who were either hospitalized or incarcerated on the date of service. Additionally, Caldwell billed Medicaid 88 times for services that clients reported they did not receive. Medicaid paid Caldwell $10,409.30 for these false claims, the warrant states.

The investigation also disclosed that between October 2015 and November 2016 Caldwell, who cannot prescribe medication, forged the signature of a physician on seven prescriptions for controlled substances for himself and two of his Medicaid clients.

Caldwell was released on a $25,000 non-surety bond and is scheduled to appear in Hartford Superior Court, G.A. No. 14, on October 26, 2017. The charges are merely accusations and he is presumed innocent until and unless proven guilty.

Larceny in the First Degree by Defrauding a Public Community and Health Insurance Fraud are class B felonies punishable by up to 20 years in prison. Making a False Prescription, Unlawfully Prescribing a Controlled Substance and Illegally Obtaining and Dispensing a Controlled Substance are unclassified felonies punishable by up to 15 years in prison. Forgery in the Second Degree is a class D felony punishable by up to 5 years in prison.

The case will prosecuted by the Medicaid Fraud Control Unit. The Unit is grateful for the assistance it received in this investigation from the Connecticut Attorney Generalís Office and the Newington Police Department.



Content Last Modified on 10/11/2017 12:06:37 PM