08/09/2023
(Hartford, CT) – Attorney General William Tong, the United States Attorney for the District of Connecticut, and the U.S. Department of Health and Human Services, Office of the Inspector General today announced that Optimus Health Care, Inc., a federally-qualified health center (“FQHC”) based in Bridgeport, has entered into a civil settlement agreement with the federal and state governments and has paid a total of $470,093.93 to resolve allegations that it submitted false claims to the Connecticut Medicaid program, and received overpayments from Medicaid for ineligible services.
Optimus Health Care, Inc. (“Optimus”) has 23 locations in southwestern Connecticut. As an FQHC, Optimus receives patient revenues and grants from the federal and state governments.
“Optimus Health Care repeatedly overbilled Connecticut’s Medicaid program, taking in payments they were ineligible to receive. I thank our federal partners at HHS-OIG and the U.S. Attorney’s Office for their coordination and assistance in protecting our public healthcare programs and tax dollars,” said Attorney General Tong.
The allegations against Optimus arise out of claims submitted to Connecticut Medicaid for dual-eligible beneficiaries. Dual-eligible beneficiaries are Medicare beneficiaries who are also eligible for Medicaid coverage. Some dual-eligible beneficiaries are eligible for, and receive, full Medicaid coverage in addition to their Medicare coverage. Other dual-eligible...
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