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For
Immediate Release: |
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For
Further Information Contact: |
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April
18, 2005
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Office
of The Attorney General
-
Peter C. Harvey,
Attorney General
Division
of Criminal Justice
- Vaughn L. McKoy, Director
Office of the Insurance Fraud
Prosecutor
- Greta Gooden-Brown, Insurance
Fraud Prosecutor
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Rachel
Sacharow
609-984-1936
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Middlesex
County Man Pleads Guilty to Health Care
Claims Fraud in Connection with Medicaid
Scam
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TRENTON
- Division of Criminal Justice Director
Vaughn L. McKoy announced that a Middlesex
County man has pleaded guilty to Health
Care Claims Fraud for his role in a Medicaid
scam. The Medicaid Program, which is funded
by the state and federal governments,
provides health care services and prescription
drugs to persons who may not otherwise
be able to afford such services and medicines.
The State of New Jersey administers the
Medicaid Program through the Division
of Medical Assistance and Health Services
and, through the Office of Insurance Fraud
Prosecutor’s Medicaid Fraud Section,
which investigates both criminal and civil
Medicaid fraud and abuse in that program.
According to Director McKoy and Insurance
Fraud Prosecutor Greta Gooden-Brown, Andrew
Stoveken, 55, Westover Way, Edison, Middlesex
County, owner and operator of Acoustics
Hearing Aid Center, Easton Avenue, New
Brunswick, Middlesex County, pleaded guilty
before Middlesex County Superior Court
Judge Frederick P. DeVesa to a criminal
Accusation filed by the Division of Criminal
Justice - Office of Insurance Fraud Prosecutor.
The Accusation charged Stoveken with Health
Care Claims Fraud (3rd degree). When sentenced
on July 15, Stoveken faces up to five
years in state prison, and a criminal
fine of up to $15,000.
At the April 15 guilty plea hearing, Stoveken
admitted that between February 2001 and
August 2003, he submitted thousands of
dollars in false health care claims to
the Medicaid Program representing that
he had provided 32 hearing aid batteries
to Medicaid recipients in connection with
hearing aids. An investigation by the
Division
of Criminal Justice - Office
of the Insurance Fraud Prosecutor
determined that Stoveken provided only
16 batteries to Medicaid patients but
billed the Medicaid Program as if he had
provided 32 batteries. In addition, Stoveken
admitted that he permitted a person who
was not a Medicaid provider to bill the
Medicaid Program utilizing Stoveken’s
Medicaid provider number. The unauthorized
provider charged more than $126,000 to
the Medicaid Program.
State Investigator Christine Barclay and
Deputy Attorney General Erik W. Daab were
assigned to the investigation into this
case. DAG Daab represented the Division
of Criminal Justice at the guilty plea
hearing.
#
# #
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