{ "id": "175675", "title": "Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345 (Department of Health and Human Services)", "agency": "Department of Health and Human Services", "jurisdiction": "United States of America", "submitted": "2024-11-02 11:05:33.721696+00:00", "updated": "", "status": "Awaiting Response", "requester": "David Medeiros", "sourceUrl": "https://www.muckrock.com/foi/united-states-of-america-10/records-pertaining-to-medicaid-services-for-npi-1962278119-and-npi-1023012345-department-of-health-and-human-services-175675/", "requestText": "Subject: FOIA Request for Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345\r\n\r\nTo Whom It May Concern,\r\n\r\nPursuant to the Freedom of Information Act (5 U.S.C. § 552) and the Connecticut Freedom of Information Act (Conn. Gen. Stat. § 1-200 et seq.), I am requesting access to records related to Medicaid services, contracts, financial transactions, referral practices, and regulatory compliance associated with the following National Provider Identifiers (NPIs):\r\n\r\nNPI 1962278119\r\nNPI 1023012345\r\nThis FOIA request is designed to support transparency, accountability, and public interest within Connecticut’s Medicaid ABI Waiver Program. Below are the specific records requested from each department, including their individual responsibilities and contact information to facilitate processing.\r\n\r\nRequested Records by Agency\r\nFederal Agencies\r\n\r\nU.S. Department of Health and Human Services (HHS)\r\n Sub-agency: Centers for Medicare & Medicaid Services (CMS)\r\nResponsibilities: Oversees Medicaid program compliance, funding allocation, and adherence to federal standards.\r\n Records to Request:\r\n1. Funding Allocation and Compliance Reports: All records showing Medicaid funding allocations, reimbursements, and compliance reviews or audits for services under NPI 1962278119 and NPI 1023012345, from January 1, 2013, to present.\r\n2. CMS-DSS Correspondence: Communications between CMS and the Connecticut Department of Social Services (DSS) regarding services associated with the specified NPIs, including any directives or advisories on provider selection, compliance, and transparency.\r\nContact Information:\r\nFOIA Officer, Centers for Medicare & Medicaid Services\r\nAddress: 7500 Security Boulevard, Mail Stop C2-21-15, Baltimore, MD 21244\r\nEmail: FOIA_Request@cms.hhs.gov\r\nPhone: (410) 786-5353\r\n\r\nU.S. Department of Justice (DOJ)\r\nSub-agency: Civil Division, Fraud Section\r\nResponsibilities: Investigates healthcare fraud, Medicaid fraud, and enforces anti-kickback statutes.\r\n Records to Request:\r\n1. Investigations and Case Files: Records of any DOJ investigations or case files concerning Medicaid fraud or potential kickbacks involving NPI 1962278119 and NPI 1023012345.\r\n2. Legal Proceedings or Settlements: Documentation of any legal actions, settlements, or penalties issued in cases related to these NPIs.\r\nContact Information:\r\nFOIA/PA Mail Referral Unit\r\nAddress: Department of Justice, Room 115, LOC Building, Washington, DC 20530-0001\r\nEmail: MRUFOIA.Requests@usdoj.gov\r\nPhone: (202) 616-0307\r\n\r\nU.S. Department of Labor (DOL)\r\n Sub-agency: Wage and Hour Division\r\nResponsibilities: Enforces labor laws, including wage standards, particularly for disabled individuals working under Medicaid.\r\n Records to Request:\r\n1. Wage and Hour Investigations: Documentation of wage and hour compliance audits, investigations, or complaints involving NPI 1962278119, focusing on any employment of Medicaid consumers at sub-minimum wages.\r\n2. 14(c) Certification Records: Records of any 14(c) certificates issued to entities associated with NPI 1962278119, authorizing sub-minimum wage payments to disabled workers.\r\nContact Information:\r\nFOIA Coordinator, Wage and Hour Division\r\nAddress: 200 Constitution Ave NW, Washington, DC 20210\r\nEmail: foiarequests@dol.gov\r\nPhone: (202) 693-0052\r\n\r\nConnecticut State Agencies\r\n\r\nConnecticut Department of Social Services (DSS)\r\nResponsibilities: Administers Connecticut's Medicaid program, including provider enrollment, consumer rights, and compliance with state and federal standards.\r\n Records to Request:\r\n1. Contracts and Agreements: All contracts, MOUs, and agreements involving Medicaid funds directed to services under NPI 1962278119 and NPI 1023012345. Include documents that outline any exclusivity arrangements, referral restrictions, or financial incentives.\r\n2. Provider Selection and Referral Policies: Internal guidelines, rules, and criteria for provider referrals associated with these NPIs, including distribution data and referral logs showing consumer choice limitations.\r\n3. FOIA Compliance and Transparency Logs: Copies of FOIA requests related to these NPIs, including responses, reasons for any denials, and policies on FOIA compliance.\r\nContact Information:\r\nFOIA Officer, Department of Social Services\r\nAddress: 55 Farmington Avenue, Hartford, CT 06105\r\nEmail: DSS.FOIA@ct.gov\r\nPhone: (860) 424-4967\r\n\r\nConnecticut Department of Public Health (DPH)\r\nResponsibilities: Regulates and licenses healthcare providers, enforcing standards for Medicaid providers and addressing consumer complaints.\r\n Records to Request:\r\n1. Licensing and Inspection Reports: Records of licensing applications, inspection reports, and compliance reviews for entities associated with NPI 1962278119 and NPI 1023012345.\r\n2. Complaint and Investigation Records: Documentation of any consumer complaints, investigations, or violations recorded against these NPIs, especially regarding quality of care, housing conditions, or employment practices.\r\nContact Information:\r\nFOIA Coordinator, Department of Public Health\r\nAddress: 410 Capitol Avenue, Hartford, CT 06134\r\nEmail: DPH.FOIA@ct.gov\r\nPhone: (860) 509-8000\r\n\r\nConnecticut Office of the Attorney General\r\nResponsibilities: Investigates healthcare fraud, consumer protection issues, and enforces state laws against anti-competitive practices.\r\n Records to Request:\r\n1. Investigative Records and Legal Actions: Records of any investigations, inquiries, or legal actions related to Medicaid fraud, consumer rights violations, or monopolistic practices associated with NPI 1962278119 and NPI 1023012345.\r\n2. Correspondence with DSS: Communications between the Attorney General’s office and DSS concerning referrals, provider restrictions, or consumer complaints associated with these NPIs.\r\nContact Information:\r\nPublic Records Administrator, Office of the Attorney General\r\nAddress: 165 Capitol Avenue, Hartford, CT 06106\r\nEmail: attorney.general@ct.gov\r\nPhone: (860) 808-5318\r\n\r\nAccommodation Requests\r\nTo ensure this FOIA request is processed accurately and meets my accessibility requirements, please adhere to the following accommodations. These accommodations are essential for my full participation in every aspect of this request:\r\n\r\nContact Requirement\r\n\r\n1. All responses, updates, and communications must be sent exclusively via email to AabiWR@live.com. Do not use physical mail, phone calls, portal-based communications, external links, or any platform outside of direct email.\r\n\r\n2. Format Requirement: Include the full text of each response within the body of the email, along with any attached documents. This ensures that all information is immediately accessible without requiring downloads or access to external sites, allowing me to fully participate and understand the content.\r\n\r\n3. Complete and Transparent Documentation\r\n Provide all requested documents in full, without redactions unless legally required. For any necessary redactions, please cite the specific legal exemption or statute applied, and include a summary to facilitate understanding. This ensures that I have clear and complete access to all information.\r\n\r\n4. Detailed Explanations for Any Denials\r\n If any portion of this request is denied, include a clear, detailed explanation for each denied item, citing relevant legal statutes or exemptions. This clarity is essential to ensure I understand any limitations.\r\n\r\n5. Guidance for Complex Records\r\n For records containing complex financial, legal, or medical language, please include summaries or simplified explanations. This accommodation ensures that I can accurately interpret and fully understand the information provided.\r\n\r\n6. Identification of FOIA Officer Handling This Request\r\n Provide the full name, title, and direct contact information of the FOIA officer assigned to my request. While communication must remain email-only, I request this information for records and transparency.\r\n\r\n7. Confirmation of Accommodations\r\n Confirm receipt of this request, and explicitly acknowledge that each accommodation listed will be fully applied in all responses and communications.\r\n\r\n\r\nRequest for Expedited Processing of FOIA Request for Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345\r\nPursuant to Federal Law and Connecticut FOIA Statutes, I am requesting expedited processing of this FOIA request due to the pressing public interest involved and the immediate impact on vulnerable Medicaid beneficiaries, as authorized under applicable legal provisions.\r\n\r\nRequest for Expedited Processing\r\nLegal Basis: Under 5 U.S.C. § 552(a)(6)(E), expedited processing is required when there is an “urgency to inform the public concerning actual or alleged Federal Government activity.” Additionally, Conn. Gen. Stat. § 1-210(a) mandates prompt availability of public agency records, especially where issues directly impact public welfare and accountability.\r\n\r\nJustification for Expedited Processing\r\nPublic Interest and Transparency: These records are crucial for public scrutiny of Medicaid spending, potential monopolistic practices, consumer choice limitations, and wage compliance within Connecticut’s Medicaid ABI Waiver Program.\r\n\r\nImmediate Impact on Vulnerable Populations: This request addresses policies that may limit autonomy, financial independence, and housing security for Medicaid beneficiaries, especially those with disabilities. Delays could harm these populations by preventing timely corrective action.\r\n\r\nCompliance with FOIA Promptness Standards: Federal and Connecticut FOIA statutes require agencies to make records available “promptly.” Any refusal to expedite processing would contravene both the letter and intent of FOIA law.\r\n\r\nPotential Financial and Legal Violations: Requested records may reveal misuse of Medicaid funds or improper labor practices. Immediate access is necessary for regulatory assessment.\r\n\r\nRequest for Immediate Acknowledgment: Please provide immediate, written acknowledgment of this expedited processing request. If expedited processing is denied, provide a written statement detailing the specific legal grounds for denial, in compliance with FOIA statutes.\r\n\r\nThank you for your prompt attention to this matter.\r\n\r\nSincerely,\r\nDavid Medeiros\r\nABI Resources\r\n215 Mountain Street\r\nWillimantic, CT 06226\r\nEmail: AabiWR@live.com", "communicationCount": 3, "fileCount": 0, "communications": [ { "sequence": 1, "date": "", "from": "", "subject": "Preserved binder fragment — page 548", "text": "Dear David Medeiros, \nYour profile has been created in the HHS FOIA Submission Site and an email has been sent to the email address \nprovided with a link to create your password to access your profile. Go to https://requests.publiclink.hhs.gov once you \nhave created your password. \nUser Name: 175675-14751484@requests.muckrock.com \nIf you have any previously submitted requests to U.S. Department of Health & Human Services you will be able to view \nthem when you login.\nRegards, \nU.S. Department of Health & Human Services", "summary": "", "sourceKind": "binder-fragment", "page": 548, "sha256": "173259458dd812f6c8a9362b3f1e95e18c614a70af156adeaa486d0a2423a71c" }, { "sequence": 2, "date": "", "from": "", "subject": "Preserved binder fragment — page 1316", "text": "DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary\nAssistant Secretary for Public Affairs\nWashington, D.C. 20201\nHHS Case No. 2025-00481-FOIA-PHS\nNovember 15, 2024\nSent via email:\nDavid Medeiros\n175675-14751484@requests.muckrock.com\nDear Mr. Medeiros:\nThis is in response to your Freedom of Information Act (FOIA) request, dated: November 5, 2024, \nconcerning “Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345”. We \nreceived your request on November 6, 2024. \nThe organizational components serviced by the Office of the Secretary FOIA Requester Service Center do \nnot routinely collect or retain the type of records in which you express interest. Therefore, we are closing our \nfile on this request.\nYour request has been referred to the Centers for Medicare and Medicaid (CMS) for direct response to you. \nUpon receipt, CMS will log your request, and issue you a new tracking number for your reference. You may \ncontact their FOIA office at: foia_request@cms.hhs.gov \nIf you are not satisfied with any aspect of the processing and handling of this request, you have the right to \nseek dispute resolution services from:\nHHS FOIA/PA Public Liaison\nFOI/Privacy Acts Division\nAssistant Secretary for Public Affairs (ASPA)\nOffice of the Secretary (OS)\nU.S. Department of Health and Human Services (HHS)\n200 Independence Avenue, SW, Suite 729H\nWashington, DC 20201\nTelephone: (202) 690-7453\nFax: (202) 690-8320\nE-mail: HHS_FOIA_Public_Liaison@hhs.gov\nand/or:\nOffice of Government Information Services\nNational Archives and Records Administration\n8601 Adelphi Road – OGIS\nCollege Park, MD 20740-6001\nTelephone: 202-741-5770\nToll-Free: 1-877-684-6448\nE-mail: ogis@nara.gov \nFax: 202-741-5769", "summary": "", "sourceKind": "binder-fragment", "page": 1316, "sha256": "92645a68ed302bcb8526a9197ecb533d9ee9413388a37ec3c472e6abb3f4ac2a" }, { "sequence": 3, "date": "", "from": "", "subject": "Preserved binder fragment — page 1318", "text": "DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary\nAssistant Secretary for Public Affairs\nWashington, D.C. 20201\nHHS Case No. 2025-00481-FOIA-PHS\nNovember 15, 2024\nSent via email:\nDavid Medeiros\n175675-14751484@requests.muckrock.com\nDear Mr. Medeiros:\nThis is in response to your Freedom of Information Act (FOIA) request, dated: November 5, 2024, \nconcerning “Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345”. We \nreceived your request on November 6, 2024. \nThe organizational components serviced by the Office of the Secretary FOIA Requester Service Center do \nnot routinely collect or retain the type of records in which you express interest. Therefore, we are closing our \nfile on this request.\nYour request has been referred to the Centers for Medicare and Medicaid (CMS) for direct response to you. \nUpon receipt, CMS will log your request, and issue you a new tracking number for your reference. You may \ncontact their FOIA office at: \nfoia_request@cms.hhs.gov \nIf you are not satisfied with any aspect of the processing and handling of this request, you have the right to \nseek dispute resolution services from:\nHHS FOIA/PA Public Liaison\nFOI/Privacy Acts Division\nAssistant Secretary for Public Affairs (ASPA)\nOffice of the Secretary (OS)\nU.S. Department of Health and Human Services (HHS)\n200 Independence Avenue, SW, Suite 729H\nWashington, DC 20201\nTelephone: (202) 690-7453\nFax: (202) 690-8320\nE-mail: HHS_FOIA_Public_Liaison@hhs.gov\nand/or:\nOffice of Government Information Services\nNational Archives and Records Administration\n8601 Adelphi Road – OGIS\nCollege Park, MD 20740-6001\nTelephone: 202-741-5770\nToll-Free: 1-877-684-6448\nE-mail: ogis@nara.gov \nFax: 202-741-5769", "summary": "", "sourceKind": "binder-fragment", "page": 1318, "sha256": "bf27db5aafe275a8592d61216a939ca6f304c1f1adcf0ebf4db122184e64dae4" } ], "completeness": "Exact request-ID-linked communication fragments preserved below; this is not represented as a complete thread unless the source proves completeness.", "sourceVerification": "Preserved local export keyed to an exact MuckRock request ID", "canonicalUrl": "https://www.david-medeiros.com/muckrock-requests/175675/", "topicLinks": [ { "href": "/muckrock-requests/", "label": "MuckRock request archive" }, { "href": "/timeline/", "label": "Forensic timeline" }, { "href": "/livewire/", "label": "Medicaid and oversight reporting" }, { "href": "/truth/", "label": "Evidence archive" } ] }