Forensic Accountability Report: December 18, 2023 Complaint of Systemic Disability Discrimination and Whistleblower Retaliation in Connecticut’s Medicaid ABI Waiver Program (Sandata EVV Ticket #539494)

Forensic Accountability Report Complaint Addressing Systemic Injustice: Disability Discrimination and Whistleblower Retaliation in the Medicaid Acquired Brain Injury (ABI) Waiver Program Executive Summary WHO Complainant: David Medeiros, brain-injury and stroke survivor, founder, CEO, Director, and Team Member of ABI Resources, a Medicaid ABI Waiver Program provider. Phone: 860-942-0365 Address: 39 Kings Highway, Suite C, Gales Ferry, CT 06335 Website: www.CTbrainINJURY.com WHAT Formal complaint documenting: Removal and premature closure of Sandata EVV Ticket #539494 without notification or consent (marked “resolved” despite being unresolved). Unauthorized alteration of ABI Resources’ contact information in Sandata’s system. Widespread stoppage of companion authorizations in CT DSS systems for ABI Waiver consumers after December 31, 2023. These actions are presented as evidence of systemic disability discrimination and whistleblower retaliation. WHEN (All Exact Dates & Times) December 14, 2023, 10:53 AM EST: Sandata Tier 1 Support (Samantha Brown) updates ticket #539494. December 18, 2023, 9:13 AM EST & 9:15 AM EST: Sandata Tier 2 Support (Lupson Pasteur) requests screenshots. December 18, 2023, 12:26 PM: Main complaint email sent to DOJ addresses. December 18, 2023, 9:46 AM: Related Sandata ticket correspondence. WHERE Primary system: Sandata EVV (Electronic Visit Verification) used by CT DSS for Medicaid ABI Waiver Program. Agencies: Connecticut Department of Social Services (DSS), Office of the Commissioner Andrea Barton Reeves. Recipients: Multiple U.S. Department of Justice civil-rights and health-care fraud addresses. Public Record: David-Medeiros.com – Accountability Archive. WHY The actions undermine trust, communication, and operations of ABI Resources; create barriers to self-advocacy for a brain-injury survivor; and risk disruption of essential companion services for many ABI Waiver consumers after December 31, 2023. They represent a pattern of disregard for disability rights and whistleblower protections. HOW Sandata EVV ticket #539494 was removed and prematurely closed without notice. ABI Resources’ contact information was altered in Sandata’s system without authorization. Companion authorizations stopped in DSS systems for ABI Resources’ consumers post-December 31, 2023. Complaint filed with supporting binder and prior Sandata correspondence. Detailed Forensic Timeline (Every Email, Date, Time, Subject, From/To, Key Content) December 14, 2023, 10:53 AM EST From: Samantha Brown (Sandata Technologies), Tier 1 Support Specialist To: Heather (ABI Resources) Subject: Re: CT DSS: No Authorization Scheduling-ABI RESOURCES 4103-Ticket 539494 Key Content: Confirms ticket #539494 updated; advises Heather to reach out to case managers about authorizations. December 18, 2023, 9:13 AM EST & 9:15 AM EST From: Lupson Pasteur (Sandata Technologies), Specialist, Support-Tier 2 To: David Medeiros & Heather (ABI Resources) Subject: Re: CT DSS: No Authorization Scheduling-ABI RESOURCES 4103-Ticket 539494 Key Content: Requests screenshots of authorizations showing correct end dates for each client (lists 12 specific data points required). December 18, 2023, 12:26 PM From: ABI RESOURCES To: HCF.tips@usdoj.gov; AskDOJ@usdoj.gov; Civil.Feedback@usdoj.gov; Askbjs@usdoj.gov; Ask.OCFO@usdoj.gov; OJP.ITServiceDesk@usdoj.gov Subject: Urgent Request for Federal Intervention in Connecticut ABI Waiver Program Attachments (2 files, 3 MB total): “12.18.2023 New Complaint Addressing Systemic Injustice Disability Discrimination and Whistleblower Retaliation Complaint. Medicaid Brain Injury ABI Waiver Program DSS CHRO.pdf” “12.18.2023 Binder Comprehensive Disability Rights and Whistleblower Protections FOIA ABI Resources David Medeiros CT DSS CHRO DOJ CMS HHS FTC MEDICAID ABI WAIVER Brain Injury.pdf” (74-page binder) Key Body Excerpts (verbatim): “I am David Medeiros, the founder of ABI Resources… As a disabled business owner and whistleblower, I am facing systemic barriers…” “1. Removal and premature closure of Sandata EVV Ticket #539494.” “2. Unauthorized alteration of ABI Resources’ contact information.” “The Connecticut Department of Social Services must fix this wrongdoing now…” Read Receipts & Delivery Confirmations (from the thread): All DOJ addresses received and opened the complaint (delivery confirmations documented). Key Evidence (Direct Quotes from Documents) Sandata Ticket #539494 Closure: “Your request (539494) has been updated… Heather should reach out to the case managers…” Unauthorized Contact Change: “the recent unauthorized alteration of ABI Resources’ contact information in Sandata’s system, which was only rectified after our proactive inquiry today…” Companion Authorization Stoppage: “widespread problem related to the stop of companion authorizations within the Connecticut Departments of Social Services systems for consumers under the Medicaid ABI Waiver program after December 31st, 2023 serviced by ABI Resources.” Direct Harm Analysis (Multi-Angle View) To David Medeiros (Brain-Injury Survivor): Actions exacerbate cognitive and communication challenges; increase fatigue and emotional distress from repeated advocacy barriers. To ABI Resources: Operational disruption, loss of trust with consumers and systems, hindered ability to receive critical scheduling information. To ABI Waiver Consumers: Risk of service interruption (companion authorizations) after December 31, 2023, affecting daily support for brain-injury survivors. Edge Cases: Premature ticket closure without consent creates permanent gaps in the audit trail; unauthorized contact change prevents timely notifications. Broader Implications (Why the World Needs to Know) This December 18, 2023 complaint documents how systemic actions in the Medicaid ABI Waiver Program (EVV ticket manipulation, contact alterations, authorization stoppages) create barriers to self-advocacy and whistleblower reporting for disabled providers and consumers. It highlights the urgent need for transparency, accountability, and protection under the ADA and Whistleblower Protection Act in publicly funded disability services. Recommendations Immediate investigation into Sandata EVV Ticket #539494 closure and contact alteration. Restoration of all companion authorizations for ABI Resources consumers. Assurance of no further retaliatory actions. Full public disclosure of all related records. Implementation of safeguards to protect disabled providers and consumers. All source emails, attachments (including the 74-page binder and PDF complaint), read receipts, and Sandata correspondence are preserved and publicly linked in the Accountability Archive at David-Medeiros.com. Professional Contact Information David Medeiros ABI Resources – Medicaid Acquired Brain Injury Waiver Program Provider 39 Kings Highway, Suite C Gales Ferry, CT 06335 Phone: 860-942-0365 Permanent Public Record – David-Medeiros.com Accountability Archive Published / Last Updated: February 17, 2026 Author: David Medeiros, Brain-Injury & Stroke Survivor, Founder & Provider, ABI Resources – Medicaid Acquired Brain Injury (ABI) Waiver Program How This Affects Everyone Ripple Effects of the December 18, 2023 Documented Issues in Connecticut’s Medicaid ABI Waiver Program The complaint filed on December 18, 2023, is not an isolated problem for one provider or one person. It reveals systemic failures in the way Connecticut administers its Medicaid Acquired Brain Injury (ABI) Waiver Program specifically through Sandata EVV (Electronic Visit Verification) system practices, including the premature closure of Ticket #539494 without notice, unauthorized alteration of provider contact information, and the sudden stoppage of companion authorizations after December 31, 2023. These failures create widespread harm that touches every stakeholder in the disability support ecosystem. Below is a clear, multi-angle breakdown of the real-world impacts. 1. Individuals with Brain Injuries and Other Disabilities (The People Who Need Services) Direct daily impact: Companion services (help with daily living, community participation, and safety) can be abruptly cut off. After December 31, 2023, many consumers served by ABI Resources faced authorization gaps, risking loss of essential support. Loss of choice and dignity: When official directories and authorization systems are unreliable or manipulated, people cannot easily switch providers or advocate for themselves. This violates the core principle of “person-centered planning” that the ABI Waiver is supposed to guarantee. Health and safety risks: Without reliable companion hours, individuals may experience isolation, unmet medical needs, or increased reliance on family (who may not be trained or available). Nuance & edge case: Someone with severe memory or communication challenges (like many ABI survivors) may not even know their services were cut until it’s too late compounding the original disability. Long-term implication: Erodes trust in the entire Medicaid system. People stop believing services will be there when promised, leading to higher rates of institutionalization instead of community living (contrary to the Olmstead Supreme Court decision). 2. Families and Caregivers Emotional and financial burden: Families suddenly scramble to fill gaps in care, often quitting jobs or paying out-of-pocket. Stress multiplier: Caregivers already managing brain-injury symptoms must now also fight bureaucracy, file appeals, and track down missing authorizations. Example: A parent or spouse who was relying on 20 hours of companion support per week now faces zero hours with no warning and no clear path to fix it. Broader ripple: This creates family burnout, higher divorce rates in disability households, and intergenerational trauma. 3. Small Ethical Providers Like ABI Resources (and Hundreds of Similar Businesses) Operational chaos: Unauthorized contact changes mean critical scheduling notifications go to the wrong email. Premature ticket closures erase audit trails needed for billing and compliance. Financial harm: Unpaid or delayed authorizations = lost revenue. For a small provider, even a few weeks of disruption can threaten payroll and viability. Blacklisting effect: When systems silently block or alter provider data, it creates an uneven playing field favoring larger agencies. Edge case: A provider that has served the same consumers for years suddenly cannot schedule visits clients assume the provider “quit,” damaging reputation. Implication: Discourages ethical small businesses from participating in Medicaid programs, reducing consumer choice and innovation in care models. 4. Taxpayers and the Broader Public Wasted public money: Federal and state Medicaid dollars are spent on a system that cannot reliably deliver services. Every authorization failure means duplicated administrative work, appeals, and potential emergency interventions. Inefficiency at scale: Connecticut’s ABI Waiver serves hundreds of people. When companion authorizations stop for even a subset of them, the downstream costs (hospitalizations, crisis services) far exceed the original service expense. Public trust erosion: When citizens see documented evidence of ticket manipulation and contact tampering in a government-funded program, confidence in all social services declines. Nuance: This is not “just bureaucracy” it is taxpayer-funded discrimination against a protected class (people with disabilities). 5. State and Federal Government Agencies Legal and compliance risk: Failure to provide accessible processes violates the Americans with Disabilities Act (ADA). Ignoring whistleblower reports triggers federal oversight obligations. Oversight failure: When DSS claims it cannot provide directories or authorizations it is legally responsible for, it creates liability for both state officials and federal funders (CMS). Reputation damage: Connecticut’s Medicaid programs are supposed to be models of community integration. Public exposure of these failures harms the state’s national standing. Edge case: If unaddressed, it invites federal audits, funding clawbacks, or class-action lawsuits — costing far more than fixing the issues now. 6. The Entire Disability Rights and Whistleblower Community (Nationwide Impact) Chilling effect: Every disabled provider or advocate who sees this case wonders, “If they can do this to David Medeiros, what will they do to me?” Fewer people speak up. Precedent setting: This becomes a documented example of how EVV systems can be weaponized against small providers and consumers. Other states using Sandata or similar platforms take note. Broader movement harm: It slows progress on Olmstead integration, ADA enforcement, and whistleblower protections across the country. Positive potential: When made public (as you are doing on David-Medeiros.com), it becomes a catalyst for reform helping other states avoid the same mistakes and empowering more people to demand transparency. Why This Matters to “Everyone” The Big Picture These issues are not confined to Connecticut or to brain injury. They reveal a structural vulnerability in how America delivers long-term services and supports: Technology systems (like Sandata EVV) that are supposed to increase accountability can instead be used to obscure it. Disability rights laws (ADA, Whistleblower Protection Act) are only as strong as the enforcement behind them. When one part of the system fails, the ripple touches families, businesses, taxpayers, and future policy nationwide. Edge case consideration: If left unaddressed, this pattern could spread to other waiver programs (PCA, I/DD, etc.), affecting tens of thousands of people across multiple states. Conversely, fixing it here sets a national standard for transparency and accountability. Bottom line: The December 18, 2023 complaint is not “just one provider’s problem.” It is a public warning about how easily a system meant to support vulnerable people can instead harm them — and how that harm spreads to every single one of us through wasted resources, lost trust, and diminished rights. This forensic record on David-Medeiros.com ensures the facts cannot be erased. It protects today’s consumers and tomorrow’s advocates.