News
President of Five-Star Homecare Ordered to Repay Nearly $400 K Worked at Three Other Home Healthcare Providers Before Moving to Turkmenistan
5+ hour, 41+ min ago (1779+ words) Mostafa Alahmedi, president of 5 Star Home Health Care, continued working in Maine's booming homecare fraud economy after his own business was ordered to repay $390, 672 in Maine Care overbilling before allegedly leaving the U. S. to work as an HVAC installer in Turkmenistan....
Adam Healthcare Services: Medicaid Biller Tied to Gateway Community Services and Money Transfers Ordered to Repay Over $600k Following Audit
1+ week, 4+ day ago (1712+ words) A home health care business with ties to the infamous alleged fraud front Gateway Community Services faced an audit with initial recoupment demands of over $600, 000 before changing its name a year later. [RELATED: Global Home Care Overbilled Medicaid by Nearly…...
Systemic Oversight Failures Imperil Billions in Medicaid and Child Welfare Funding: New State Audit
2+ week, 5+ day ago (913+ words) The Mills Administration's mismanaged spending is once again in the spotlight after another bombshell audit revealed a $6 billion web of sloppy bookkeeping, missed deadlines, and "material noncompliance" with federal law. At the top of the wild breaches of basic good…...
Catholic Charities of Maine Failed Two Audits and Were Ordered to Re-Pay Thousands Billed to Maine Care
1+ mon, 1+ week ago (365+ words) Somali-run home care agencies aren't the only Medicaid recipients failing audits. The immigrant resettlement organization Catholic Charities of Maine failed two audits, one in 2020 and one in 2024, all while taking in millions in taxpayer funds. [RELATED: Catholic Charities Maine Plans…...
Maine Care Fraud Risk Map: Explore New Data on Medicaid Claims for Maine Providers
1+ mon, 3+ week ago (368+ words) Thanks to the Trump Administration's unprecedented release of Medicaid claims data, taxpayers may now get insight into how one of America's most expensive welfare programs has been spending their money. (Note: The map is based on federal data released by…...
Rep. Yusuf Yusuf Tied in to Vast Network of Million-Dollar Somali-Run Medicaid Recipients and Money Transfers
2+ mon, 2+ week ago (821+ words) Somali-born state Rep. Yusuf Yusuf (D-Portland) runs a home care business with apparent ties to an interconnected network of Somali-operated companies drawing millions in Medicaid funding, and operating out of a Portland office equipped to funnel taxpayer money back to…...
Global Home Care Overbilled Medicaid by Nearly $100k While Raking in Millions in Taxpayer Funding
2+ mon, 2+ week ago (808+ words) The Lewiston-based, Somali-operated Global Home Care has continued to rake in millions in Maine Care benefits despite overbilling the taxpayer-funded program by nearly $100, 000. [RELATED: Portland Office Becomes a Hub for Medicaid "Home Health" and Somali Money Transfers] Global Home Care,…...
Maine Flagged for $45. 6 Million In Improper Payments for Children's Autism Care: Federal Audit
2+ mon, 3+ week ago (227+ words) The U. S. federal government is demanding a $28. 7 million refund from Maine as an audit uncovers rampant documentation failures in rehabilitative and community support services. The audit also sheds new light on Maine Attorney General Aaron Frey's Jan. 10, 2025, directive to Department of…...
Portland Office Becomes a Hub for Medicaid "Home Health" and Somali Money Transfers
2+ mon, 3+ week ago (1292+ words) An investigation into an unassuming office building on Portland's Anderson Street has revealed an interlinked network of lucrative Medicaid agencies co-located with Dahabshiil, an Emirati money transfer business favored by the Central Bank of Somalia. Maine Care spending records obtained…...
What Might Failed Negotiations Between Northern Light and Anthem Mean for You?
6+ mon, 2+ week ago (700+ words) As the contract between Anthem and Northern Light is rapidly approaching expiration, it appears increasingly less likely that the two will be able to reach an agreement in time. The current contract between the two organizations is set to expire…...