A behavioral health provider with headquarters in New Britain has entered into a civil settlement agreement with the federal and state governments to pay $384,322 to resolve allegations it “overbilled the Connecticut Medicaid program for certain behavioral health services.” according to federal authorities.

Community Mental Health Affiliates, Inc., has 10 locations Connecticut and at Harvest House in New Britain, CMHA runs a group home for clients with serious and persistent mental illness, according to federal authorities. The government alleges the company “submitted claims for Medicaid Rehabilitation Option services to Connecticut Medicaid for certain clients for certain months at Harvest House and were paid the monthly fee for those services, but failed to document at least 40 hours of covered MRO services per month for the clients in question,” according to federal authorities.

“MRO services are designed to help clients who have functional disabilities secondary to serious and persistent mental illness achieve maximum functioning in self-care and independent living. In order to receive monthly MRO payments, a behavioral health provider, such as CMHA, must furnish clients with at least 40 hours of MRO services per month and document such services in accordance with Medicaid requirements, federal authorities said in a statement.

To resolve the governments’ claims, CMHA agreed to pay $384,322, which covers the time-period from January 2015 through December 2019,...

Read Full Story: https://news.google.com/rss/articles/CBMijgFodHRwczovL3d3dy5jb3VyYW50LmNvbS9u...