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.
21 Articles
21 Articles
MaineCare provider denies fraud allegations it says were amplified by attacks on Somali community
Following claims by a former employee in national news outlets this week, Gateway Community Services said Friday it did not falsify billing records and has been receiving threats of violence as a result of the reporting.
MACDONALD: More Somali Medicaid Fraud
Talk about a double tap. We’ve got illegal immigrants committing crimes, Americans most certainly will do, while simultaneously proving there is massive fraud in the Medicaid System. If I recall correctly, before caving, Senate Democrats shut the government down, demanding that taxpayers give up their hard-earned dollars to provide health care to illegals. That was ... Read more The post MACDONALD: More Somali Medicaid Fraud appeared first on Gr…
Somali-Linked Lawmakers Who Attacked Trump Now Engulfed in Expanding Medicaid Fraud Scandal
The political firestorm surrounding Gateway Community Services, the Somali-run nonprofit accused of defrauding Maine’s Medicaid system, is rapidly escalating, and the blast radius now fully engulfs the very legislators who attempted to shift national attention onto former President Donald Trump just days earlier. What began as a whistleblower complaint about fraudulent billing has evolved into [...] The post Somali-Linked Lawmakers Who Attacked …
Somali refugee contractor defrauded Maine Medicaid funds, lied about completing services: whistleblower
"Never worked a shift with a client and yet the PPP loan comes, they’re giving $2,000 away like they’re lollipops at a doctor’s office."
Whistleblower: Somali Fraudsters Stole Millions from Taxpayers in Maine
by Frank Bergman, Slay News: A massive welfare-fraud scandal, involving millions of dollars in stolen taxpayer money, is now unfolding in Maine, mirroring the billion-dollar criminal scam that is currently rocking Minnesota. A former insider has stepped forward alleging that Gateway Community Services, a Somali-owned company in Maine, systematically falsified Medicaid billing records in a scheme eerily […]
Maine’s Medicaid program bilked out of millions of dollars in Somali fraud, whistleblower claims
Maine's Medicaid program is riddled with massive fraud, similar to $1 billion scandal roiling Minnesota, according to multiple whistleblowers who worked for a health services contractor they allege scammed taxpayers.
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