Maine Suspends Medicaid Payments to Five Providers on Fraud Allegations

Maine announced payment suspensions for five Medicaid providers based on fraud allegations, including Portland-based Gateway Community Services. The action follows months of Republican criticism that the Mills administration had inadequately addressed Medicaid fraud. The suspensions represent credible allegations of fraud triggering payment holds under federal Medicaid program integrity requirements. Maine did not disclose the specific nature of the fraud allegations or the total payment amounts suspended.

Managed Care