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Tag: Improper Medicaid Payments

The Other $22.4 Million: Federal Records Flag Unreliable Session Notes in Maine Autism Services

Federal auditors estimated Maine made $22.4 million in potentially improper Medicaid payments for autism-related RCS services and flagged “cloned or otherwise unreliable session notes.” Records obtained by The Maine Mirror show Maine DHHS agreed the findings warranted review and acknowledged broader problems with oversight, provider guidance and outdated rules.

Does Maine Actually Owe the Federal Government $28.8 Million? Records Show the Answer Is Not Yet That Simple

Federal auditors recommended Maine DHHS refund $28.8 million after estimating at least $45.6 million in improper Medicaid payments involving services for children with autism. Newly obtained records show Maine only partially agreed with the finding—and reveal what the state promised to do next.

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