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Inspector General’s Office responds to report on Maine’s Medicaid program

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Inspector General’s Office responds to report on Maine’s Medicaid program


PORTLAND (WGME) — A member of the U.S. Inspector General’s Office is speaking about the recently released report into Maine’s Medicaid program.

The report found Maine made roughly $45 million in improper Medicaid payments for services provided to children diagnosed with autism. The report noted the payments didn’t fully comply with federal and state requirements.

The federal agency says payments for the services jumped by more than $20 million over a span of four years.

That increase is what helped trigger the audit.

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“It is not clear that the children were actually receiving effective therapy services,” Assistant Regional Inspector General for Audit Services Pei Sun said. “It’s undermining really the integrity of the state programs, and it impacts every taxpayer, right? Because we pay for these programs.”

The Inspector General gave multiple recommendations to the Maine Department of Health and Human Services, such as refunding the federal government $28 million.

Maine DHHS responded to these claims, saying that the Inspector General’s report is based on a “routine,” “programmatic audit.” They note it “does not include findings or allegations of fraud,” and instead potential “documentation and compliance issues” they claim the state is now reviewing.

The Inspector General says their office will continue to follow up with the Centers for Medicare and Medicaid Services to monitor the state’s progress on implementing their recommendations.



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Short-handed Maine Celtics fall short again

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Short-handed Maine Celtics fall short again


Jules Bernard scored 11 of his 30 points in the fourth quarter and recorded a triple-double, leading the Iowa Wolves to a 123-120 win over the Maine Celtics in an NBA G League game Saturday night in Des Moines, Iowa.

Maine led 99-92 after three quarters, but Iowa made six straight shots during a 16-3 run, including four 3-pointers.

Bernard finished with 13 rebounds and 13 assists. Donte Ingram added 27 points and Jalen Crutcher scored 24.

Both teams had only eight players in uniform. Six Celtics scored in double figures, paced by Max Shulga with 35 points on 13-for-19 shooting. He also had nine assists, five rebounds and five steals.

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Jalen Bridges scored 24 points, and newcomer Hank Morgan had 16.

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Presque Isle fisherman among seven lost as vessel sinks off Massachusetts coast

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Presque Isle fisherman among seven lost as vessel sinks off Massachusetts coast


PRESQUE ISLE, Maine (WAGM) – Aroostook County is mourning the loss of one of its own after a fishing vessel sank off the coast of Massachusetts, claiming the lives of seven people aboard.

Among them was Staff Sergeant Freeman Short, a fisherman from Presque Isle, whose death has sent shockwaves through both the local fishing community and the Maine Army National Guard.

The 72-foot fishing vessel Lily Jean went down roughly 25 miles off Cape Ann early last Friday morning, after its emergency beacon activated around 6:50 a.m.

According to the U.S. Coast Guard, crews launched an immediate and extensive search effort, covering more than 1,000 square miles using aircraft, cutters, and small boats in what officials described as extremely dangerous conditions.

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One body was recovered Friday, but after more than 24 hours of continuous searching, the Coast Guard announced it was suspending active search efforts.

In a post shared by the Maine National Guard, Short was remembered not only as a fisherman, but as a dedicated soldier, mentor, and leader.

Short served as an Infantryman with Bravo Company, 3rd Battalion, 172nd Infantry (Mountain), joining the Guard in 2012.

He deployed to the Horn of Africa in 2021 and was posthumously promoted to Staff Sergeant.

U.S. Senator Susan Collins also paid tribute to Short, calling him “a bright light” who loved his family, the Maine outdoors, and his country. She noted that the tragedy is a stark reminder of how dangerous work at sea can be.

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Maine

Dr. Oz addresses findings of Maine Medicaid audit

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Dr. Oz addresses findings of Maine Medicaid audit


PORTLAND (WGME) – The Trump administration continues to investigate Medicaid spending, especially in states led by Democrats, including Maine.

Dr. Oz, the former TV doctor whose now in charge of the Centers for Medicare and Medicaid Services, has been highlighting evidence and allegations of fraud and improper spending in state-administered programs.

In a new, TV-studio-like video, Oz addresses the findings of a Maine audit that was released last month.

It found that Maine made more than $45 million in improper payments for autism services.

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The investigation in this case found the payments appeared to be more the result of errors than fraud, but Oz and other federal officials have pointed to cases like this, as well as audits finding Medicaid fraud in separate cases in Maine and Minnesota, as evidence of a need for a federal crackdown.

Oz says he’s written a letter to Maine Governor Janet Mills demanding more information about how the state is preventing fraud.



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