BOSTON (WWLP) – Pathways of Massachusetts (Pathways) and its former corporate parent company, Molina Healthcare, Inc. (Molina), will pay $4.6 million for false claim allegations and other allegations made by whistleblowers.
According to the Office of Attorney General Maura Healey, Pathway fraudulently claimed to be submitted to the state’s Medicaid Program, MassHealth, for behavioral health care services. They also provided services to patients by unlicensed and improperly supervised staff members.
The AG’s Office discovered through an investigation that Pathways “failed to meet the regulatory requirements for frequency and adequacy of supervision, the qualifications of its supervisors, and that Pathways billed for psychotherapy services rendered by unlicensed individuals who were not supervised by appropriately licensed professionals.”
“This company routinely allowed unlicensed and unsupervised mental health professionals to provide care to patients, all while billing MassHealth for it,” said Attorney General Healey. “MassHealth patients deserve to receive treatment from qualified individuals, and my office will continue to hold providers accountable for violating these fundamental MassHealth requirements.” AG Healey announced the allegations on Tuesday.
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