Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345 (Department of Health and Human Services)

Subject: FOIA Request for Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345 To Whom It May Concern, Pursuant 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): NPI 1962278119 NPI 1023012345 This 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. Requested Records by Agency Federal Agencies U.S. Department of Health and Human Services (HHS) Sub-agency: Centers for Medicare & Medicaid Services (CMS) Responsibilities: Oversees Medicaid program compliance, funding allocation, and adherence to federal standards. Records to Request: 1. 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. 2. 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. Contact Information: FOIA Officer, Centers for Medicare & Medicaid Services Address: 7500 Security Boulevard, Mail Stop C2-21-15, Baltimore, MD 21244 Email: FOIA_Request@cms.hhs.gov Phone: (410) 786-5353 U.S. Department of Justice (DOJ) Sub-agency: Civil Division, Fraud Section Responsibilities: Investigates healthcare fraud, Medicaid fraud, and enforces anti-kickback statutes. Records to Request: 1. Investigations and Case Files: Records of any DOJ investigations or case files concerning Medicaid fraud or potential kickbacks involving NPI 1962278119 and NPI 1023012345. 2. Legal Proceedings or Settlements: Documentation of any legal actions, settlements, or penalties issued in cases related to these NPIs. Contact Information: FOIA/PA Mail Referral Unit Address: Department of Justice, Room 115, LOC Building, Washington, DC 20530-0001 Email: MRUFOIA.Requests@usdoj.gov Phone: (202) 616-0307 U.S. Department of Labor (DOL) Sub-agency: Wage and Hour Division Responsibilities: Enforces labor laws, including wage standards, particularly for disabled individuals working under Medicaid. Records to Request: 1. 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. 2. 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. Contact Information: FOIA Coordinator, Wage and Hour Division Address: 200 Constitution Ave NW, Washington, DC 20210 Email: foiarequests@dol.gov Phone: (202) 693-0052 Connecticut State Agencies Connecticut Department of Social Services (DSS) Responsibilities: Administers Connecticut's Medicaid program, including provider enrollment, consumer rights, and compliance with state and federal standards. Records to Request: 1. 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. 2. 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. 3. FOIA Compliance and Transparency Logs: Copies of FOIA requests related to these NPIs, including responses, reasons for any denials, and policies on FOIA compliance. Contact Information: FOIA Officer, Department of Social Services Address: 55 Farmington Avenue, Hartford, CT 06105 Email: DSS.FOIA@ct.gov Phone: (860) 424-4967 Connecticut Department of Public Health (DPH) Responsibilities: Regulates and licenses healthcare providers, enforcing standards for Medicaid providers and addressing consumer complaints. Records to Request: 1. Licensing and Inspection Reports: Records of licensing applications, inspection reports, and compliance reviews for entities associated with NPI 1962278119 and NPI 1023012345. 2. 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. Contact Information: FOIA Coordinator, Department of Public Health Address: 410 Capitol Avenue, Hartford, CT 06134 Email: DPH.FOIA@ct.gov Phone: (860) 509-8000 Connecticut Office of the Attorney General Responsibilities: Investigates healthcare fraud, consumer protection issues, and enforces state laws against anti-competitive practices. Records to Request: 1. 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. 2. Correspondence with DSS: Communications between the Attorney General’s office and DSS concerning referrals, provider restrictions, or consumer complaints associated with these NPIs. Contact Information: Public Records Administrator, Office of the Attorney General Address: 165 Capitol Avenue, Hartford, CT 06106 Email: attorney.general@ct.gov Phone: (860) 808-5318 Accommodation Requests To 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: Contact Requirement 1. 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. 2. 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. 3. Complete and Transparent Documentation 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. 4. Detailed Explanations for Any Denials 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. 5. Guidance for Complex Records 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. 6. Identification of FOIA Officer Handling This Request 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. 7. Confirmation of Accommodations Confirm receipt of this request, and explicitly acknowledge that each accommodation listed will be fully applied in all responses and communications. Request for Expedited Processing of FOIA Request for Records Pertaining to Medicaid Services for NPI 1962278119 and NPI 1023012345 Pursuant 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. Request for Expedited Processing Legal 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. Justification for Expedited Processing Public 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. Immediate 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. Compliance 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. Potential Financial and Legal Violations: Requested records may reveal misuse of Medicaid funds or improper labor practices. Immediate access is necessary for regulatory assessment. Request 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. Thank you for your prompt attention to this matter. Sincerely, David Medeiros ABI Resources 215 Mountain Street Willimantic, CT 06226 Email: AabiWR@live.com