Colorado doctor accused of billing Medicaid after license expired, tell me about this news in (https://www.9news.com/article/news/local/colorado-doctor-accused-of-billing-medicaid-after-license-expired/73-7e120822-2147-4ff6-9cd9-d66b8a68fb48)
15-09-2026
The Colorado Attorney General’s Office filed a lawsuit against Dr. Daniel Caplin, an addiction treatment doctor based in Durango, seeking to recoup over $374,000 under the Colorado Medicaid False Claims Act.Here are the key details from the report:
- Background: Dr. Caplin owned and operated Colorado Addiction Treatment Services (CATS). In March 2022, state regulators identified multiple violations at the clinic and placed CATS on a 90-day probationary controlled substance license. CATS failed to submit a required corrective action plan, resulting in the expiration of its controlled substance license on June 3, 2022.
- Allegations: The state alleges that Caplin continued to provide services and bill Colorado Medicaid for medication-assisted treatments from June 2022 through November 2023, despite lacking the required license.
- Billing breakdown:
- 703 claims totaling more than $270,000 for administering buprenorphine or buprenorphine compounds following the expiration of the controlled substance license.
- 1,001 claims totaling more than $103,500 for evaluation and management services related to substance use disorder treatments while unlicensed to provide medication-assisted treatment.
- Potential penalties: Under the Colorado Medicaid False Claims Act, the Attorney General’s Office can seek up to three times the actual damages in addition to civil penalties.