Lewiston & Saco Company Settles Federal Health Care Excluded Provider Complaint
Contact: Michelle Giard Draeger
March 26, 2013 Assistant U.S. Attorney
Tel: (207) 780-3257
Portland, Maine: United States Attorney Thomas E. Delahanty II today announced that
Support Solutions, Inc., a private, nonprofit organization with offices in Lewiston and Saco that
provides services to adults with developmental disabilities and mental health challenges, has agreed
to pay $74,720 to settle claims involving improper billing to Medicare and MaineCare (Maine's
In May of 2007, the U.S. Department of Health and Human Services began an
investigation involving Support Solutions' employment of a Program Manager 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. The names of excluded individuals are available to providers such as
Support Solutions. Upon learning of the government’s investigation, Support Solutions
terminated the Program Manager.
Following a joint investigation by the U.S. Attorney's Office, the U.S. Department of
Health & Human Services and the Maine Attorney General's Office, throughout which Support
Solutions cooperated, the United States and the State of Maine filed a civil complaint alleging that
Support Solutions violated the federal False Claims Act from May 2006 through May 2007 by
improperly billing Medicare and MaineCare for services rendered by the excluded Program
Manager. As alleged in the complaint seeking civil penalties, Support Solutions knew or should
have known that the Program Manager was excluded from federal health care programs.
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