The Massachusetts Attorney General’s Office has fined former Whitinsville healthcare providers $778,703 for allegedly submitting fraudulent MassHealth claims for applied behavior analysis services that were not provided.
The company Flexible Fundamentals and its co-owners Jennifer McGee and Errion McGrath, were named in the settlement. On top of filing claims for more hours of service than were actually provided, the AG’s office said Flexible Fundamentals submitted claims for services provided by unsupervised paraprofessional behavioral technicians. MassHealth and its managed care entities require paraprofessionals in these positions to be supervised by licensed applied behavioral analysts.
“The issues referred to by the AG’s office and its press release, with whom we’ve cooperated, related to events that occurred between three and a half to nine years ago,” McGee said. “Here at Pragmatic Minds, we are fully licensed and operational and focused on serving clients every day as we have been for nearly four years, with referrals from major health care providers.”
McGrath could be reached for comment.
Applied behavioral analysis, known commonly as ABA, is a system of treatment primarily designed for children with autism spectrum disorder. The AG’s office said in a press release that the Whitinsville case represents a broader effort to crack down on fraudulent claims by ABA providers.
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