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Lawmaker Demands Probe After Fraud Allegations in Maine’s Medicaid Program

Gateway denies intentional fraud despite state audits finding $662,608 in overpayments; allegations stem from a former employee and are linked to national anti-Somali narratives.

  • Chris Bernardini, former billing and payroll specialist, alleges he observed falsified records designed to inflate MaineCare payments, while Gateway Community Services denied intentional wrongdoing and blamed national attacks on the Somali community for scrutiny.
  • State audits found formal violations and sanctions after multi-year reviews prompted formal notices and sanctions, and the Maine Department of Health and Human Services is still recouping overpayments with appeals pending.
  • Gateway's lawyer Pawel Binczyk noted strict billing protocols and said Gateway Community Services paid $125,058 and $34,095 after state audits, denying intentional wrongdoing.
  • Gateway's lawyer Pawel Binczyk warned threats and misinformation have targeted employees while at least one Republican lawmaker called for an investigation amid official silence; DHHS said recoupments over $100,000 are unusually large.
  • Conservative and national outlets resurfaced the allegations months ago and compared them to Minnesota fraud cases prompting U.S. Justice Department charges, while critics cite President Donald Trump’s rhetoric as amplifying scrutiny.
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Newsmax broke the news in Washington, United States on Monday, December 8, 2025.
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