Civil Settlements Reached as Part of Department of Justice National Health Care Fraud Takedown

Today, United States Attorney Kyle G. Bumgarner for the Western District of Kentucky announced civil settlements with 6 defendants in connection with false claims submitted to Medicaid. The civil settlements are part of the Department of Justice's 2026 National Health Care Fraud Takedown. The civil settlements, totaling $23,816,217.60, stem from alleged fraudulent billings to Medicaid for services not provided or tainted by financial conflicts of interest.

"These settlements reflect our unwavering commitment to protecting vulnerable Medicaid beneficiaries and ensuring the integrity of publicly funded programs," said Kyle G. Bumgarner, United States Attorney for the Western District of Kentucky. "When providers place their own financial interests ahead of the people they serve, they not only break the law-they put elderly adults and individuals with disabilities at risk of losing the vital supports that allow them to remain safely in their homes. We will continue to hold accountable those who compromise the care our communities rely on."

"This year's National Health Care Fraud Takedown represents the greatest whole-of-government effort to combat health care fraud in our Nation's history," said Acting Attorney General Todd Blanche. "Under the decisive leadership of President Donald Trump, Vice President JD Vance, the White House Task Force to Eliminate Fraud, and our law enforcement partners, this administration has ushered in a new era of enforcement that will safeguard taxpayer dollars."

The civil settlements announced today by U. S. Attorney Bumgarner are part of a strategically coordinated, nationwide law enforcement action that resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse schemes involving over $6.5 billion in false claims and significant patient harm, including death. Today's Takedown represents a new era in federal, state, and international cooperation to combat health care fraud: cases in 56 federal districts and 45 U.S. states and territories, with 50 state Medicaid Fraud Control Units participating, the most in Department history. In addition, unprecedented international cooperation over the two-week Takedown resulted in the apprehension and return to the United States of the following health care fraudsters: one defendant in Kyrenia in connection with an over $3.7 billion scheme; two defendants in Estonia in connection with a previously charged $10.6 billion scheme; and, in the Philippines, one of FBI's Most Wanted Fraudsters in connection with a previously-charged $1.2 billion telemedicine fraud scheme. The Takedown involves the cutting-edge use of data analytics to target the worst actors; the seizure of over $182 million in cash, luxury vehicles, jewelry, and other assets; and full-spectrum accountability for all criminal actors from doctor's offices to corporate boardrooms.

Today's coordinated enforcement action involves a whole-of-government approach, including:

• Actions by the Centers for Medicare and Medicaid Services (CMS) to suspend 1,079 providers and revoke billing privileges for 1,403 providers.
• 48 Civil Monetary Payment settlements amounting to over $73 million, over 1,400 provider exclusions, and 25 actions by the U.S. Department of Health and Human Services, Office of Inspector General ("HHS-OIG") under the Civil Monetary Penalties Law seeking more than $10 billion in payments to the Medicare Trust Fund from payments that CMS caught and suspended before the funds were paid to the fraudulent providers.
• Civil charges against 13 defendants for $14.8 million in health care fraud schemes, as well as civil settlements with 31 defendants totaling $23 million.
• 928 administrative cases by the Drug Enforcement Administration (DEA) seeking the revocation of authority to handle and/or prescribe controlled substances since October 1, 2025.

The following individuals and entities agreed to civil settlements with the United States Attorney's Office for the Western District of Kentucky:

Defendants Access Adult Health Day Care Center LLC (Access), Encore AHDC LLC (Encore), and Tatyanas Case Management LLC (TCM) and their respective owners agreed to collectively pay the United States $23,816,217.60 to resolve allegations they violated the False Claims Act, a federal statute that prohibits the submission of false claims for payment to Government programs, such as Medicaid. Serge Adamov, 56, of North Miami Beach, Florida, owned Access, Inna Frimerman, 50, of Overland Park, Kansas, owned Encore, and Tatyana Kolesnikova, 41, of Louisville, Kentucky owned TCM.

Access, Encore, and TCM provided services to Kentucky Medicaid beneficiaries through the Home and Community Based (HCB) Waiver Program. The HCB Waiver Program assists elderly individuals and people with physical disabilities in living as independently as possible in their communities. As part of this program, these providers were responsible for delivering conflict-free case management services and in-home attendant care, including tasks such as cooking and cleaning.

The United States alleges that Adamov, Frimerman and Kolesnikova had shared financial interests and maximized their profits by referring HCB Waiver beneficiaries to Access and Encore for attendant care services. The United States further alleges that Access and Encore then billed Medicaid for attendant care services which, in some instances, were not provided for as many hours as were billed and in others were not provided at all.

The civil settlement agreements resolve a lawsuit brought by a private citizen under the qui tam provisions of the False Claims Act. The civil case was filed in U.S. District Court for the Western District of Kentucky and is captioned United States ex rel. Bhatt v. Access, et al., Case No. 3:19-cv-452-RGJ-RSE.

Contemporaneous with the execution of their civil settlement, Tatyana Kolesnikova and TCM entered into a Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General. The CIA requires implementation of comprehensive compliance controls and claims reviews by an Independent Review Organization.

Assistant United States Attorney Matthew Weyand handled this matter for the United States with assistance from Auditor Phil Bezehertny and Investigator Cristal Fox. This case was also investigated by Kentucky Attorney General's Office of Medicaid Fraud and Abuse Control and the FBI Louisville Field Office.

"Health care fraud steals from taxpayers, exploits vulnerable patients, and puts lives at risk," said U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. "Today's historic enforcement action sends a clear message: if you use our health care system to enrich yourself at the expense of patients or the American people, we will find you, we will prosecute you, and we will hold you accountable. HHS will continue working with our law enforcement partners to protect patients, safeguard taxpayer dollars, and restore integrity to our health care system."

The cases are being prosecuted by the Health Care Fraud Unit's National Rapid Response, Florida, Gulf Coast, Los Angeles, Midwest, New England, Northeast, Texas, and West Coast Strike Forces; U.S. Attorneys' Offices for the Middle District of Alabama, District of Arizona, Central District of California, Southern District of California, District of Colorado, District of Connecticut, District of Delaware, Middle District of Florida, Northern District of Florida, Southern District of Florida, Northern District of Georgia, District of Hawaii, District of Idaho, Northern District of Illinois, Northern District of Iowa, Southern District of Iowa, Western District of Kentucky, Eastern District of Louisiana, Middle District of Louisiana, District of Massachusetts, Eastern District of Michigan, Southern District of Mississippi, District of Montana, District of Nebraska, District of New Hampshire, District of New Jersey, District of New Mexico, Eastern District of New York, Northern District of New York, Southern District of New York, Eastern District of North Carolina, Middle District of North Carolina, Western District of North Carolina, Northern District of Ohio, Northern District of Oklahoma, Western District of Oklahoma, District of Oregon, Eastern District of Pennsylvania, Middle District of Pennsylvania, Western District of Pennsylvania, District of Puerto Rico, District of Rhode Island, District of South Carolina, District of South Dakota, Middle District of Tennessee, Western District of Tennessee, Northern District of Texas, Southern District of Texas, Western District of Texas, District of Vermont, Eastern District of Virginia, Western District of Virginia, Northern District of West Virginia, Southern District of West Virginia, Eastern District of Wisconsin, and Western District of Wisconsin; and State Attorneys General's Offices, through their MFCUs, in Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Utah, Vermont, Virgin Islands, Washington, Wisconsin, and West Virginia. In addition, the MFCUs for Alabama, North Carolina, South Dakota, Texas, and Virginia participated in the investigation of federal cases announced today.

Descriptions of each case involved in today's enforcement action are available on the Department's website here.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division ("Fraud Division"). The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department's work to combat fraud supports President Trump's Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

An indictment, information, or complaint is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

The claims resolved by the civil settlements are allegations only; there has been no determination of liability.

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