News and Press Releases

Maine Company Settles Federal Health Care False Claims Complaint

FOR IMMEDIATE RELEASE
August 19, 2013

Contact: Michelle Giard Draeger
Assistant United States Attorney
Tel: (207) 780-3257

Portland, Maine: United States Attorney Thomas E. Delahanty II today announced that
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.

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. 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.

 

 

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