Still no answers April 8, 2023

Erin Kane, Head of Quality and Performance Improvement for CCC Connecticut Community Care.

Julia Evans Starr, President of CCC Connecticut Community Care.

Persist in neglecting the matter and refraining from offering any pertinent information.

Title: Alleged Discrimination at Connecticut Community Care Inc. Calls for Internal Investigation

On August 1, 2022, ABI Resources, a provider of services for individuals with Acquired Brain Injury (ABI) under the Medicaid ABI Waiver Program, submitted a formal inquiry and request for an internal investigation into an incident that took place on July 25, 2022, involving Connecticut Community Care Inc. (CCC), a care management organization in Bristol, Connecticut. The incident in question raises concerns about potential discrimination and a violation of the ethical principles of person-centered care that CCC is expected to uphold.

The Medicaid ABI Waiver Program is designed to support people with acquired brain injuries, allowing them to live in the community and avoid institutionalization. This program is overseen by the Connecticut Department of Social Services and adheres to strict guidelines and protocols to ensure the welfare and dignity of its beneficiaries.

The incident on July 25, 2022, involved CCC manager Doreen Andrew directing the immediate removal of ABI Resources' support services for a Willington consumer without prior notice. The directive was sent to an ABI Resources Program Support Manager via text message at 8:00 am, leaving the consumer without adequate support and potentially violating the regulations of the Medicaid ABI Waiver Program.

ABI Resources has voiced their concern that the actions taken by CCC and Doreen Andrew may conflict with the program's regulations and contradict the values and mission of ethical person-centered care that Connecticut Community Care claims to champion. In response to these concerns, ABI Resources has formally requested an internal investigation by CCC to determine if discrimination or a breach of policy occurred.

This incident underscores the importance of adherence to regulations, transparent communication, and ethical practices in the provision of services for vulnerable individuals. It is essential for care management organizations like CCC to thoroughly investigate any allegations of discrimination or policy violations to maintain the trust and confidence of the communities they serve.

The outcome of the internal investigation will be crucial in determining if any wrongdoing occurred and if corrective measures need to be taken to ensure that the rights and dignity of those under the care of Connecticut Community Care Inc. are protected. As the investigation unfolds, it is imperative that all parties involved prioritize the welfare of the consumer and uphold the highest standards of care in their practices.

Erin Kane Head of Quality and Performance Improvement for CCC Connecticut Community Care.

Julia Evans Starr, President, of CCC Connecticut Community Care.

Persist in neglecting the matter and refraining from offering any pertinent information.

Alleged discrimination

Connecticut Community Care Inc.

ABI Resources

Internal investigation

Medicaid ABI Waiver Program

Ethical person-centered care

Doreen Andrews

Incident

Regulations

Vulnerable individuals

• Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm

• Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid

• Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES

• Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care

• Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms

• Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally

• Disability Rights Connecticut (DRCT) Team

• Dear Brain Injury Alliance of Connecticut ( BIAC )

• Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors

• Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation

• The Importance of Informed Choice in Achieving Free Choice in Healthcare.

• Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs

• Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs.

• Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form

• Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs

• Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Navigating Accountability and Ethical Practices in Health Care: A Closer Look at Connecticut Community Care

In recent events surrounding Connecticut Community Care Inc. (CCC), concerns have been raised that underline the critical importance of transparency, ethical conduct, and adherence to regulations within health care organizations, particularly those involved in managing care for vulnerable populations such as individuals with Acquired Brain Injuries (ABI). This matter not only calls for an introspective examination of CCC's operational ethics but also spotlights the broader implications for Medicaid-funded programs and the principles of person-centered care.

The Incident and Its Implications

On July 25, 2022, an incident involving CCC's managerial decision to abruptly terminate ABI Resources' support services for a consumer in Willington, Connecticut, without prior notice, came to light. The communication of this directive through a mere text message, as early as 8:00 am, left the individual without necessary support, potentially breaching Medicaid ABI Waiver Program regulations and ethical standards of care.

This action taken by CCC, specifically under the direction of manager Doreen Andrew, prompted ABI Resources to request an internal investigation into what they perceive as a discriminatory act against the welfare and rights of an individual under CCC's care. Such incidents raise questions about the organization's commitment to the values it purports to uphold, including ethical person-centered care and the rigorous observance of program regulations designed to protect the interests of the ABI community.

The Role of Oversight and Ethical Responsibility

The Medicaid ABI Waiver Program serves a critical function, enabling individuals with acquired brain injuries to live within the community rather than being institutionalized. This initiative underscores the need for strict compliance with guidelines that ensure the dignity and welfare of beneficiaries are prioritized.

The request by ABI Resources for an internal review by CCC is not just a call for accountability in one instance but a reminder of the overarching responsibility that care management organizations have towards maintaining the highest ethical standards. This includes transparent communication, adherence to established protocols, and the swift rectification of any actions that may undermine the trust placed in them by the communities they serve and the regulatory bodies overseeing them.

The Need for Thorough Investigation and Transparency

The unfolding situation with CCC emphasizes the necessity for a comprehensive internal investigation into the alleged discriminatory actions. It is imperative that such a review be conducted with the utmost integrity, objectivity, and commitment to uncovering the truth. The outcome of this investigation will be pivotal in determining the necessary corrective measures and ensuring that such incidents do not recur, thereby safeguarding the rights and dignity of individuals under CCC's care.

The incident involving Connecticut Community Care Inc. serves as a critical reminder of the importance of ethical practices, regulatory compliance, and transparency in the administration of care for vulnerable populations. As the investigation proceeds, it is crucial that all parties involved prioritize the welfare of the consumer and adhere to the highest standards of ethical care. This situation underscores the broader challenges and responsibilities faced by care management organizations in upholding the principles of person-centered care and the trust of those they serve.

The commitment to addressing these concerns and implementing any required changes is essential not only for CCC but for all stakeholders involved in the care of individuals with ABIs. It is through such diligence and accountability that the integrity of Medicaid-funded programs and the welfare of its beneficiaries can be preserved and enhanced.

"Connecticut Community Care Inc. internal investigation"

"Medicaid ABI Waiver Program regulations"

"Ethical standards in person-centered care"

"Discrimination in health care services for ABI"

"Doreen Andrew CCC incident"

"ABI Resources service termination controversy"

"Transparency in Medicaid-funded ABI care"

"Patient rights in ABI waiver programs"

"Connecticut Department of Social Services oversight"

"Care management organization ethics"

"Disability rights and care management"

"Investigating health care discrimination allegations"

"Consumer protection in ABI health care"

"Adherence to Medicaid care protocols"

"Legal implications of abrupt service termination"

"Advocacy for ABI individuals in Connecticut"

"Ethical care practices for brain injury survivors"

"Monitoring and quality improvement in ABI programs"

"Impact of care management decisions on ABI patients"

"Accountability in federally funded health programs" DB.42.131.Inf.

Reference: OPM ID # 24-85 A-2025-00307 FCC-FOIA-2025-000358-A FIC 2024-0683 R000748-102524 2025-F-01035 R000354-102024 R000737-102024 AD2414036 A-2025-00351 2025-00027-A-PHS A-2025-00395 2025-00434-FOIA-OS A-2025-00393 OPM ID # 24-83 A-2025-00393 2025-00446-FOIA-PHS A-2025-00399 A-2025-00392 25-00142-FOIA PRI-25-023 2025-00032-A-PHS 110620247022 24-86 AD2414644 R000770-110424 2025-F-01651 A-2025-00467 A-2025-00401 2025-00481-FOIA-PHS 112020247009 112020247039 2025-00024-A-OS A-2025-00420 25-00044-F A-2025-00069 A-2025-00469 OPM ID# 24-88 & 89 2025-00638-FOIA-OS AP-2025-001 FOIA-2025-00562 FOIA-2025-00563 EMRUFOIA111524 F-2025-03523 2025-00574-FOIA-PHS 145-FOI-21320 OPM ID #24-94 25-OIG-177 FOIA-2025-01054 FOIA-2025-01052 EMRUFOIA120324-7 FOIA-2025-01053 OPM ID #24-95 FOIA-2025-01056 EMRUFOIA120324-7 FOIA-2025-01055 FOIA-2025-01057 R005487-120324 2025-01079-FOIA-PHS 2025-01078-FOIA-PHS FOIA-2025-056 PRI-25-045 FOIA-2025-01060 FOIA-2025-01059 FOIA-2025-060 FOIA-2025-01203 EMRUFOIA121324 #FOIA-2025-063 11034 6779 7959 17303 17304 3033 5282 14733 6577 10 10527 3519 28368 8560 63 3814 4923 4126 6612 4809 4850 35673 74 239 4850 3519 166 10661 14578 239 3033 4923 166 4850 6779 14733 3519 166 4850 10661 14578 3033 4923 166 6779 4850 166 3519 152 4121 10661 74 3033 239 5282 4850 14733 4923 4850 6612 4923 10672 63 6959 115 35673 10661 239 74 6779 3033 239 4923 166 3519 3033 14578 35673 166 4297 14 3519 5123 287 35673 14 59 3519 287 14733 4809 23077 4923 74 4735 4850 2667 3519 796 59 166 856 22238 35673 14 10835 3033 239 4297 3519 14733 796 3519 856 35673 22005 5123 59 4923 3033 239 14733 166 4297 3519 35673 5123 59 3124 14578 7683 74 10661 3033 239 7982 14587 2667 4121 287 129 11109 856 3519 59 2667 35673 22238 2667 11034: Commission on Fiscal Stability and Economic Growth 6779: Connecticut Commission on Human Rights and Opportunities 7959: Senate Office of Public Records 17303: Republican State Central Committee Of Connecticut 17304: Connecticut House Of Representatives 3033: Centers for Medicare and Medicaid Services 5282: Office of the State Comptroller 14733: Office Of Policy And Management 6577: Office of State Ethics 10: Federal Bureau of Investigation 10527: Federal Communications Commission Office of the Inspector General 3519: Department of Justice, Civil Rights Division 28368: Department Of Labor 8560: Department of Public Health - Medical Examining Board 63: Department of Labor 3814: Department of Consumer Protection 4923: Department of Social Services 4126: Department of Economic and Community Development 6612: Department of Public Health 4809: Office of the Governor 4850: Office of the Attorney General - Connecticut 35673: Department Of Justice 74: Department of Health and Human Services 239: Department of Health and Human Services, Centers for Medicare & Medicaid Services 166: Department of Justice, Disability Rights Division 10661: Department of Health and Human Services Office of Inspector General 14578: Department Of Health And Human Services, Office For Civil Rights 152: Centers for Disease Control and Prevention 4121: Government Accountability Office 10672: Department of Labor, Wage and Hour Division 6959: Department of Justice, Office of Justice Programs 115: Department of Justice, Criminal Division 4297: Department of Justice, Civil Division 14: U.S. Department of State 5123: Director, Office of Information Policy 287: Office of Government Information Services 59: Department of Justice, Office of Information Policy 23077: CT Freedom Of Information Agency 4735: Department of State, Office of the Inspector General 2667: Office of Special Counsel 796: Department of Justice, Office of the Inspector General 856: Department of Justice, Office of the Attorney General 22238: U.S. Department Of Justice 10835: Department of Health and Human Services 22005: Department Of Justice Office Of Administration 3124: Department of Health 7683: U.S. Department of Health and Human Services, Health Resources and Services Administration 7982: Office of Special Counsel, Office of General Counsel [APPEALS] 14587: Office Of The Special Counsel Of Robert Mueller 129: National Archives and Records Administration 11109: Office of the Attorney General for the District of Columbia OPM FCC FIC DOJ DOL DSS CMS HHS CDC GAO OSC OIG PHS DPH CHRO FOIA FOIC