Massachusetts reaches settlement with adult day health provider accused of false Medicaid billing

By Marian Johns | Dec 3, 2018

BOSTON — The State of  Massachusetts has reached a half million dollar settlement with three adult day health facilities accused of not complying with the state's Medicaid program (MassHealth) regulations through false billing.

According to the Massachusetts Attorney General's Office, Otrada Adult Day Health Care Ctr., Inc., North Shore Adult Day Health Care Center and Revere Adult Day Health Center billed MassHealth members for full-day adult day healthcare when they did not go for a full day.

“These companies allegedly billed for services not provided, taking away critical funds from seniors who need access to adult day care services,” Massachusetts Attorney General Maura Healey said in a statement. “We will continue to protect MassHealth and the essential health coverage it provides for so many across Massachusetts.”

Under MassHealth regulations, facilities must provide accurate time records of members who are not accompanied by program staff for off-site appointments, according to Healey's Office.

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