Marc H. Silverman, Acting United States Attorney for the District of Connecticut, announced that RACHEL COLLINS, 44, of Hamden, was sentenced today by U.S. District Judge Sarala V. Nagala in Hartford to 37 months of imprisonment, followed by three years of supervised release, for defrauding Medicaid of more than $1.6 million.
According to court documents and statements made in court, Collins was a state-licensed professional counselor and owner of Rachel Collins, LPC Counseling Services LLC, located in North Haven. Collins provided psychotherapy to children, adolescents, and adults, but particularly children and adolescents with a variety of behavioral and mental health issues. She was enrolled individually as a Behavioral Health Clinician provider in the Connecticut Medicaid Program (“Medicaid”).
Between January 2018 and March 2024, Collins submitted and caused to be submitted fraudulent claims to Medicaid for psychotherapy services that were purportedly provided to her Medicaid clients. Specifically, Collins submitted claims under her own billing and performing provider identification number for dates of service when no services of any kind had been provided to the Medicaid clients identified in the claims. Collins submitted claims for purported dates of service when she was purportedly working as a full-time clinician for another provider; billed for 12 hours of purported services in a day and, in some cases, 24 or more hours in a day; submitted false claims for dates when she was traveling out of state, during national holidays, and on weekends; and submitted claims after she had stopped treating the claimed client, had never treated the claimed client, or the claimed client was in the hospital.
For example, during the week of March 9 to March 16, 2023, Collins submitted 96 claims to Medicaid representing that she provided approximately 12 hours of in-person psychotherapy per day. Medicaid paid Collins $9,349.90 for these claims. In truth, Collins did not treat a single patient that week and, as displayed by multiple posts and photos on her public Facebook account, was vacationing at Disney World.
During the scheme, Collins took several other trips around the U.S.; purchased expensive tickets to more than 30 concerts, shows, and sporting events; and, with others, spent more than $150,000 for food delivery services, including Uber Eats, DoorDash, and GrubHub.
Through this scheme, Collins submitted more than 17,000 false claims that defrauded Medicaid of $1,647,031.51.
Judge Nagala ordered Collins to pay full restitution. Collins previously agreed to forfeit $114,085.55 that was seized from a bank account during the investigation.
From January 2020 through May 2023, Collins was the highest paid behavioral health clinician in Connecticut enrolled in Medicaid. The investigation also revealed that from approximately November 2020 and September 2021, during which Collins made $826,355.91 in taxpayer-funded Medicaid reimbursements, she also received $41,182 in unemployment benefits from the state of Connecticut. Collins submitted weekly certifications that she had not performed any work and denied that she was self-employed.
On August 6, 2024, Collins pleaded guilty to one count of health care fraud.
Collins, who is released on a $100,000 bond, is required to report to prison on April 28.
This investigation was conducted by the Federal Bureau of Investigation and the U.S. Department of Health and Human Services, Office of the Inspector General (HHS-OIG), with the assistance of the Connecticut Department of Social Services.
This case was prosecuted by Assistant U.S. Attorney David T. Huang.
People who suspect health care fraud are encouraged to report it by calling 1-800-HHS-TIPS.
