Washington County Mental Health Services to pay $60,661.50 over Medicaid billing allegations
The Vermont attorney general's office said the Barre-area provider billed Medicaid for far more case management hours than one patient received. The provider also agreed to audit some of its services.
Washington County Mental Health Services will pay $60,661.50 in restitution and penalties to settle allegations that it billed Vermont's Medicaid program for case management services a patient largely never received, Vermont Attorney General Charity Clark's office said Tuesday.
The attorney general's office said the provider budgeted far more case management hours for a Medicaid recipient than it actually delivered, billed the excess to Medicaid and gave the patient only a small fraction of the services billed.
According to the office, the case management the patient did receive was also inadequate. At times, months passed without a face-to-face visit between the case manager and the patient, and the provider did not make sure other services the patient received stayed within program limits, the office said.
The state Department of Disabilities, Aging and Independent Living referred the matter to the attorney general's Medicaid Fraud and Residential Abuse Unit, which investigated.
Under the agreement, Washington County Mental Health Services will also audit certain of its Family-Directed services to ensure compliance going forward, the attorney general's office said.
The release did not say whether the provider admitted wrongdoing as part of the settlement.
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