PORTLAND, Maine — Employment Specialists of Maine, Inc., a Maine corporation with offices in Auburn, Augusta and Bangor that provides services to adults with developmental disabilities and mental health challenges, has agreed to pay $125,253.98 to settle claims involving improper billing to MaineCare, Maine’s Medicaid Program, for services rendered by an excluded provider, according to a press release from the office of U.S. Attorney Thomas E. Delahanty II.
The United States filed a civil complaint alleging that Employment Specialists violated the federal False Claims Act from early 2006 through June 2007 by billing MaineCare for services rendered by a registered nurse who had previously been excluded from participation in all federal health care programs.
When a person is excluded from federal health care programs, it is improper to bill or receive payment for services rendered by that person, according to the U.S. Attorneys office.
The names of excluded individuals are available to providers such as Employment Specialists. The complaint sought damages for all of the false claims, along with statutory penalties. Employment Specialists cooperated in the investigation.
The investigation was conducted by the U.S. Department of Health & Human Services, Office of Inspector General, and the Maine Attorney General’s Office.