(Rocky Hill, CT) - A Waterbury man has been arrested and charged with defrauding Medicaid by billing the government health care program for personal care assistant and independent living skills services he did not perform.
Tywan Marion, age 48, of Waterbury, was arrested on April 10, 2025 by Inspectors from the Medicaid Fraud Control Unit in the Office of the Chief State’s Attorney and charged with two counts of Larceny in the First Degree by Defrauding the Public Community, in violation of Connecticut General Statutes § 53a-122(a)(3), two counts of Health Insurance Fraud, in violation of Connecticut General Statutes § 53-442, one count of Conspiracy to Commit Health Insurance Fraud, in violation of Connecticut General Statutes § 53a-48 and § 53-442, and one count of Conspiracy to Commit Larceny in the First Degree by Defrauding a Public Community, in violation of Connecticut General Statutes § 53a-48 and 53a-122(a)(3).
Marion was enrolled as a provider in the Connecticut Medical Assistants Program (CMAP) as a Personal Care Assistant (PCA) and also to provide Independent Living Skill Services. The PCA program is a Medicaid-funded program which provides recipients who have permanent, severe, and chronic disabilities, funds to hire PCAs to physically assist them with daily self-care activities that enable them to reside in their homes and remain in the community. The Acquired Brain Injury Waiver Program allows the same recipient to receive independent living skills training which is designed to improve the individual’s ability to live independently in the community.
Investigation showed that from June 2021 to August 2023, Marion billed for PCA and independent life skill services never provided to the recipient while he resided in Texas. Marion was paid $109,655.55 by Medicaid for these unrendered services. Investigation also revealed that between March 2021 to July 2023, Marion completed a job application for a co-conspirator and submitted timesheets on her behalf for PCA services she did not provide. The co-conspirator received payment and then transferred a portion of that money to Marion. The fraudulent money received for this scheme totaled $44,476.57.
The money profited by Marion in the amount of $109,655.55 constitutes the crime of Larceny in the First Degree by Defrauding a Public Community. The submission of claims to the Department of Social Services provided by Marion contained false, incomplete, deceptive, or misleading information which constitutes Health Insurance Fraud. The money profited in the amount of $44,476.57 through the agreement with another person constitutes the crime of Conspiracy to Commit Larceny in the First Degree by Defrauding a Public Community. The agreement with another person to submit the claims to the Department of Social Services provided by Marion containing false, incomplete, deceptive, or misleading information constitutes Conspiracy to Commit Health Insurance Fraud.
Marion is being held on a $200,000.00 surety bond and is scheduled to appear in Waterbury Superior Court on April 23, 2025. The charges are merely accusations and he is presumed innocent unless and until proven guilty. Health Insurance Fraud, Conspiracy, and Larceny in the First Degree by Defrauding a Public Community are each classified as a B felony and punishable by up to 20 years in prison.
The case was investigated by and will be prosecuted by the Medicaid Fraud Control Unit. The Unit is grateful for the assistance it received in the investigation from the State of Connecticut Department of Social Services – Office of Quality Assurance and the Waterbury Police Department.
The Connecticut Medicaid Fraud Control Unit receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $2,362,872.00 for the fiscal year of October 1, 2024 through September 30, 2025. The remaining 25 percent, totaling $787,620.00 for the same fiscal year, is funded by the State of Connecticut.
Anyone with knowledge of suspected fraud or abuse in the public healthcare system is asked to contact the Medicaid Fraud Control Unit at the Office of the Chief State’s Attorney at (860) 258-5986.