Maine
A Maine cop warned of interpreter fraud 5 years ago. The state is just catching up.
The Bangor Daily News was the first to report this story. What you’re reading here would likely not be made public without the efforts of professional journalists asking questions, interviewing sources and obtaining documents.
In late 2020, a federal investigator identified a concerning pattern within MaineCare, the state’s Medicaid program: Providers were billing for suspiciously high levels of interpreter services in what appeared to be a pattern of waste, abuse or fraud.
Interpreter claims surged by 283% between 2011 and 2017, with costs rising from roughly $800,000 to over $4.1 million annually. The increase occurred even as the number of refugees and immigrants arriving in Maine declined. The investigator wrote a report for fellow police, taking a closer look at billing trends following the high-profile prosecution of two interpreters, two social workers and a counselor in 2019.
In the years since the report was written, prosecutors have not brought any additional criminal cases. Under state law, interpreters are not required to have licenses. Providers have also continued to bill MaineCare at similar annual amounts to those that raised the investigator’s suspicion.
The report, which was obtained by the Bangor Daily News along with a partial copy of a second memo from 2021 that validated the findings through an additional analysis, has never been disclosed before. The findings are coming to light in the wake of a federal inquiry by a Republican-led congressional committee into welfare fraud.
That probe began after Minnesota federal prosecutors in November charged dozens of people, largely from that state’s Somali population, with stealing hundreds of millions of dollars from social programs. The House panel’s inquiry recently expanded to include a Maine behavioral provider that serves immigrants and refugees, Gateway Community Services.
There’s still time to make a gift in 2025 to power BDN reporting for the year ahead. Make a donation now.
On Tuesday, the Maine Department of Health and Human Services halted MaineCare payments to Gateway, alleging the company overbilled for interpreter services by more than $1 million. Gateway denies the state’s claim. Since May, the organization has faced allegations of overbilling from a former employee, first published by The Maine Wire, the media arm of the conservative Maine Policy Institute.
The 2020 report shows that concerns of systemic fraud in the MaineCare system among providers who serve the state’s immigrant population were raised years ago. It is unclear how state officials responded to it. Gateway was the second-highest biller for interpreter services in the past 10 years, state data show.

A spokesperson for Attorney General Aaron Frey said the office was aware of Pellerin’s memo and referred the BDN to a 2019 case as its most recent example of prosecuting MaineCare fraud. The U.S. attorney’s office has not prosecuted any healthcare fraud cases pertaining to interpreters in Maine since 2019.
The author of the report, Brian Pellerin, who wrote it while serving as an agent focused on Maine with the inspector general’s office of the U.S. Department of Health and Human Services, declined an interview. He is now the No. 2 to Cumberland County Sheriff Kevin Joyce.
His report followed Maine’s last round of prosecutions around MaineCare fraud centered on the state’s Somali community. Federal prosecutors found that two interpreters had targeted newly arrived refugees — largely from Somalia — and brought them to specific providers for care. Those providers then charged MaineCare for interpreter services that were either overinflated or never happened, then gave the interpreters a cut of the money.
One of the interpreters, Abdirashid Ahmed, was estimated to have made off with at least $1.8 million, prosecutors said. He pleaded guilty in 2019. Nancy Ludwig, Heather Borst, and Danielle Defosse-Strout, all of whom worked for Lewiston-based Facing Change, were the providers also convicted in the scam.
Pellerin suspected that the same scheme might explain the high billing levels for interpreter services he discovered across the system. His investigation looked at the number of claims filed, patients served, and the total amount of MaineCare dollars distributed by MaineCare for interpreter services each year between 2011 and 2019.
Over those years, the number of claims filed steadily rose, from 16,300 in 2011 to 43,806 in 2019, according to Pellerin’s report. At the same time, the total number of patients ebbed and flowed with a low of 2,856 in 2011 to a peak of 4,559 in 2016. Meanwhile, the number of newly arrived refugees stayed flat, then declined — a notable fact given that the scheme Pellerin suspected depended on recruiting new arrivals, according to the report.
When certain MaineCare providers became reliant on immigrants, the interpreters started making demands, Pellerin found. They would ask providers to bill MaineCare for more units of interpreting services than they actually did and negotiate illegal kickbacks outside the MaineCare fee structure. If providers wanted to continue making money, they would have to listen to the interpreters or else they would lose their patients, the report found.
Pellerin’s report did not mention the names of the specific providers whose billing levels indicated potential fraud, waste or abuse. He noted that the scams not only defrauded Maine’s taxpayer-funded health system but also hurt vulnerable refugees, saying bad actors were taking advantage of fellow members of the state’s Somali community by treating them as a “harvested commodity” with little regard for their actual health needs.
“These MaineCare beneficiaries are often newly arriving immigrants who are potentially receiving lifesaving or life-altering medical treatment,” the report said.
Instead, they were potentially receiving poor quality services, or none at all, he concluded. Ludwig’s trial presented examples of that potential harm. A Somali refugee testified that Ahmed had brought him to see Ludwig, a social worker, to treat a toothache and asthma, according to federal court documents. Another testified he didn’t know why he was brought to Ludwig.
It is not clear what happened after Pellerin completed his report. But the spending trends observed in Pellerin’s report remain true, according to a BDN analysis of MaineCare data obtained in a public records request.
In the last 10 years, providers filed more than 45,000 interpreter claims, totaling more than $41.4 million. Half of that money went to only a few providers. The BDN contacted the top 10 providers and asked if they had ever been contacted by federal law enforcement. Only two responded, with one of them saying they had not. (The BDN is not naming that provider because it has not been charged with a crime.)
The other, Gateway, said through a lawyer that it also had not been contacted in the last 10 years by federal law enforcement. The audit that prompted state officials to pause MaineCare payments to the company on Tuesday began in early 2023 and looked at claims submitted between 2021 and 2022, according to a notice of violation.
Prior to the announcement that the organization’s MaineCare payments had been suspended, the provider’s lawyer, Pawel Bincyzk, denied allegations of fraud or being aware of Pellerin’s report.
“Gateway stands by its previous statements on this issue and will continue to cooperate with the state as it has in the past,” Bincyzk said.
Maine is one of 18 states in the country that provides direct reimbursement for language interpreters under Medicaid. The state pays $20 per 15 minutes for interpreting, according to the MaineCare manual. Interpreters don’t bill the state directly. Instead, a provider such as a doctor or mental health counselor bills MaineCare for services rendered, as well as interpreting. The provider then pays the interpreter, according to state regulations.
When Pellerin’s report was written and still today, MaineCare’s manual says interpreters must hold a state license. DHHS reminded providers in 2021 that they were supposed to provide the interpreter’s appropriate certification and licensure, along with other documentation to prove their qualifications.
However, the state’s licensing office doesn’t oversee interpreters except for those focused on American Sign Language. In 2019, the Maine Legislature approved a measure that eliminated the licenses that governed other interpreters, getting rid of the mechanism to license foreign language interpreters despite the requirement in state regulations.
Maine DHHS follows the procedures outlined in the MaineCare manual and can do reviews after a payment is made, department spokesperson Lindsay Hammes said. That review typically includes documentation related to qualifications, date, time, and duration of service, language used and costs.
But the agency did not specifically answer questions about how many times its internal auditing unit has found billing violations for interpreter services. It also did not clarify how interpreters are supposed to be licensed as required by MaineCare when no specific foreign language licensure exists in Maine, other than saying it was under the purview of the budget department.
To address the issues, Pellerin’s report included several things the state could take to correct the programmatic weaknesses identified. Those included incorporating similar requirements and qualifications used by courts for interpreters and requiring interpreters to become MaineCare providers so they could bill directly. At a minimum, it could enforce the regulations in the benefits manual, the report said.
Even among the 18 states that directly reimburse interpreters, every state has slightly different regulations around qualifications, said Mara Youdelman, the managing director of federal advocacy for the National Health Law Program. After spending nearly two decades studying the issue, she helped create the only group in the country that can certify foreign language interpreters for work in healthcare. The certification has been available since 2009.
Youdelman helps track how the 18 states across the country utilize interpreters and the regulatory framework those states use. While the state of Maine is spending millions of dollars each year on interpreting, she cautioned that it can be hard to tell if something nefarious is going on. In fact, Maine’s model of having providers bill MaineCare for interpreting is common among the 18 states, she said.
While she’s looked at interpreting services for many years, Youdelman said she’s never heard of interpreters defrauding the system. She worries that some will use instances of fraud as an excuse to cut language services.
“The competency of interpreters is critical,” she said. “We really do need to make sure that interpreters are actually qualified to do the job, because if not, and we have ineffective communication, then medical errors occur, negligence occurs, malpractice occurs, and people literally die.”
Bangor Daily News investigative reporter Sawyer Loftus may be reached at sloftus@bangordailynews.com.
Maine
AI comes with dangers and opportunities. How is Maine responding?
The ad begins with a woman standing in a department store who sort of looks like Gov. Janet Mills, but not quite.
“Introducing the Janet Mills collection, featuring a confusing choice that forces girls to compete against biological males,” the female narrator says over banal instrumental music as the video cuts to “Mills” holding a stopwatch by an outdoor track.
The Mills collection comes “with a no-parent-permission-required estrogen kit,” the narrator continues, as the imposter holds a kit of syringes while patting a boy’s hair, which seems suspiciously stiff. The commercial ends with a real picture of the governor.
As far as ads generated by artificial intelligence go, the one from the National Republican Senatorial Committee is not very convincing. But the commercial serves as a reminder about how the emerging technology is being integrated into political campaigns and other areas of life in Maine.
If state Democratic leaders get their way, AI-generated ads like this won’t be allowed in Maine without a disclaimer.
As AI technology rapidly improves, state policymakers are weighing a variety of measures that could affect how Mainers interact with it. They are taking a two-pronged approach to protect people, especially children, from potential harms — while also preparing for the possible benefits.
The technology comes in the form of virtual personal assistants, internet search results and targeted advertising by businesses. It’s being used by governments for things ranging from traffic signals to budgets and policymaking to facial recognition to surveillance.
Mills said in a written statement that AI could help improve lives, drive economic growth and solve complex problems, but that it must be used in a “prudent, responsible, and ethical manner.”
“As AI becomes more prevalent in our society, its considerable promise must be balanced against harms — known and unforeseen — that can emerge from its widespread use,” she said. “It’s clear we’re only at the beginning of AI’s evolution.”
The governor has proposed $6.7 million in her supplemental budget to begin implementing some of the recommendations of a 21-member task force she created last year to study the issue.
Her proposal, which is being reviewed by lawmakers, would create a statewide AI literacy campaign; fund local and state partnerships to help municipalities use the technology and offer grants to support job training programs to keep Maine’s workforce competitive and productive in AI-enabled workplaces, among other things.
Lawmakers, meanwhile, are considering bills to address potential harms. In a rare bipartisan move, Republicans and Democrats voted unanimously last month in support of a bill (LD 524) making AI-generated child sex abuse material illegal. But that bill must receive about $55,000 before it can be sent to the governor.
They are also considering bills:
- To require political ads in state and local elections to include a disclosure when AI-generated or altered material is used (LD 517).
- To stop human-like chatbots or social AI companions from interacting with children (LD 2162).
- And to regulate how the technology is used in mental health settings (LD 2082).
Last year, lawmakers passed a measure including AI-generated images in the state’s ban on so-called “revenge porn,” and one requiring companies to inform consumers when they’re interacting with an AI assistant. Mills signed both into law.
Other proposals regulating AI use in medical and dental insurance claims and in setting rents died in committees. So did one prohibiting the use of AI in “dynamic pricing,” in which businesses use the technology to offer different real-time prices to different consumers.
Over 1,000 measures focusing on artificial intelligence were debated in state capitols last year, the National Conference of State Legislatures said.
Some states, such as Colorado and California, are taking steps to enact a broad regulatory framework for AI. California has provisions preventing discrimination in the workplace and requiring watermarks on AI content and transparency around data used to produce reports.
But Maine lawmakers are seeking to address potential harms on a case-by-case basis — at least for now.
“I think of it as almost a whack-a-mole type of approach where we are developing legislation that very narrowly addresses specific harms of AI,” said Rep. Amy Kuhn, D-Falmouth, who is taking the lead for House Democrats.
“That sort of overarching regulatory framework just feels a little premature for Maine to me right now. I want to see that work its way through the states and let some other states take a swing before we get in there.”
Republicans, however, are worried about overregulation.

Rep. Jennifer Poirier, R-Skowhegan, said her caucus is focused on protecting children from potential harms associated with AI, but she worries that regulation will never keep up with AI’s evolution.
“You can’t always legislate your way out of everything,” Poirier said. “If you have a minor that has access to AI, and it can be used to harm them in any way, it’s our responsibility as adults to keep them safe. … But we are adults, and we need to use our own common sense.”
A recent poll from Pan Atlantic Research showed widespread concern about AI, with 66% of the 810 Mainers surveyed saying they’re mostly concerned about the potential problems of AI, while 25% were mostly optimistic.
More advanced programs can generate text, analyze reports and create increasingly lifelike images and videos. A recent AI video purporting to show Tom Cruise and Brad Pitt throwing down over the death of convicted sex offender Jeffrey Epstein raised alarm bells in Hollywood over its realism.
Other programs have been used by businesses in ways critics say can be exploitative. Consumer Reports recently published a story about how the online grocery shopping service Instacart used AI to charge certain customers higher prices — up to 23% more — if they were flagged as having higher incomes. Instacart reportedly stopped offering stores this option for “surveillance pricing” after the story was published in December.
A lobbying effort is underway to promote AI regulation in Maine. The “Protect What’s Human” campaign launched a website earlier this year, and a spokesperson said they have invested about $210,000 in ads supporting AI regulations. The commercials are targeting Republicans voters in the Bangor and Portland regions. The group is planning to spend another $110,000 on TV, streaming services, social media and podcasts.
Other proposals passed by the Legislature reflect lawmakers’ attempts to get ahead of the AI issue in indirect ways.
The House and Senate have each recently passed a strict data privacy law that would greatly restrict the amount of data — a person’s location, browsing and shopping histories and biometric information, for example— that companies can collect, store and sell. One of the main arguments was that such data can be used to train AI models. However, the chambers will have to iron out the differences between their two versions of the measure, LD 1822, if it is to become law.
And local residents are beginning to grapple with proposed data centers, which have been controversial in other parts of the county because they consume large amounts of water. This is especially true for centers powering AI.
Lawmakers are considering a bill, LD 307, to create a moratorium on such centers and establish a state council to study and review the impact of building them in Maine.
Construction is underway on a data center in Aroostook County, while another is being proposed in Sanford. Others have been proposed in Wiscasset and Lewiston, but did not move forward.
“This whole world is shifting to computer everything,” Poirier said, “and it’s important that we keep up with the times on that.”
Maine
Should Maine allow associate dentists without doctoral degrees? Dentists don’t think so
Lawmakers are considering two bills that attempt to increase access to dental care in Maine by studying ways to establish specialist residency programs in the state and creating a new license tier with lower educational requirements, a measure that multiple dentists opposed.
LD 2206 would establish an associate dentist license, which would allow a dentist without the equivalent of a U.S. doctoral degree in dentistry — such as a dentist with a bachelor’s degree who trained outside of the U.S. — to practice dentistry under supervision of a licensed dentist.
Under this new license, associate dentists would have a pathway to full licensure if they were in good standing for six consecutive years. There is currently a pathway for foreign-trained dentists to work in Maine, but it requires additional education.
The bill comes as access to Maine dentists has declined. The ranks of dentists decreased from 590 in 2019 to 530 in 2023. Most children in Maine don’t get an annual checkup and cleaning from a dentist, according to a study last year from the University of Southern Maine Muskie School of Public Service and Catherine E. Cutler Institute.
Penobscot Community Health Care, Maine’s largest federally qualified health center, brought the issue to lawmakers after two “very highly qualified” dentists the center hoped to hire were denied licensure by the Maine Board of Dental Practice because they didn’t meet current educational equivalency requirements.
The health center estimated those dentists could have provided 8,000 appointments with patients, according to testimony from Lori Dwyer, president and CEO of Penobscot Community Health Care.
Penobscot Community Health Care, which said it operates the largest dental center in Maine and has a network of 51 workspaces for dental care, emphasized that federally qualified health centers are subject to strict federal oversight, reporting requirements and high standards.
“[Penobscot Community Health Care] would never support a pathway that compromises safety, and they would never hire a clinician that would provide unsafe treatment to patients,” Dwyer wrote in testimony that was read on her behalf to the Legislature’s Health Coverage, Insurance and Financial Services committee.
Northern Light Health also submitted testimony in support, saying the bill would help address workforce shortages and reduce emergency room visits for dental conditions.
“Like most hospitals in Maine, Northern Light Health members are challenged with inappropriate utilization of our emergency rooms by individuals seeking care for dental/tooth pain,” Lisa Harvey-McPherson, vice president of government relations, wrote in her testimony. “Patients generally present with cracked teeth, abscesses, dental caries or tooth eruptions, leading to thousands of emergency room claims for dental related diagnosis codes each year.”
Multiple dentists and dentistry representatives testified against the bill, arguing that there are existing pathways for foreign-trained dentists and that lower standards could set up a two-tiered system in which poorer and more rural residents receive care from dentists with less training.
Dr. Kailee Jorgenson, a licensed dentist who is the clinical director at Portland-based Mainely Teeth and president of the Maine Oral Health Centers Alliance, said the patients most likely to receive care under the proposed pathway are MaineCare recipients, rural residents and children. These patients often have the most complex needs, she said.
“Maine should not create one standard of dentistry for those with resources and another for those without,” Jorgenson told the committee.
Jorgenson and others who testified against the measure said they instead support a second bill, LD 2209, which would study how to expand access to dental care.
LD 2209 would direct the Maine Department of Health and Human Services to consider how to establish dental specialist residency programs in Maine, including for pediatric dentists, oral surgeons and orthodontists. The bill would also require the department to study ways to create a hub-and-spoke model to expand access to services across the state.
“We have a shortage of specialists in Maine, and it doesn’t matter how you’re trying to pay,” said Therese Cahill, executive director of the Maine Dental Association, which represents dentists. “To see an oral surgeon, to see a periodontist, to see an orthodontist, or a pediatric dentist, you’re waiting.”
No one spoke against the bill or submitted testimony in opposition.
The committee will consider both bills during upcoming work sessions when it will decide whether to forward them to the full Legislature. The work sessions had not been scheduled as of Wednesday.
This story was originally published by The Maine Monitor, a nonprofit and nonpartisan news organization. To get regular coverage from The Monitor, sign up for a free Monitor newsletter here.
Maine
Political polling in Maine is big news. I’m urging caution. | Opinion
Nicholas Jacobs is the Goldfarb Family Distinguished Chair in American Government at Colby College, where he also serves as the inaugural director of the Bram Public Policy Lab.
I love a good poll as much as the next person.
It’s why I’ve relied on them throughout my research and teaching. Surveys offer a rare glimpse into attitudes that are otherwise difficult to observe, and in competitive races they can help orient both journalists and voters to what appears to be unfolding. And this Senate race in Maine — it is competitive. I’m itching for clarity.
Polls matter beyond our general academic curiosity. They actually shape the race and our expectations. The findings out of the University of New Hampshire about Graham Platner’s meteoric rise in the Democratic primary have already begun to shape how observers are talking about the Senate race, subtly altering expectations about competitiveness and early advantage. No doubt, donations will follow the topline finding.
But a word of caution is warranted. Polling in Maine is unusually difficult. And yes, you can simply refuse to “trust the polls,” but let me also suggest you don’t have to even go that far: just look at what the pollsters are and are not telling you each time they report results.
Most anyone who cares about polling results knows a few things to check, none more important than the all important margin of error. It offers a useful reminder that polls estimate rather than measure, and that even well-executed surveys contain uncertainty.
Try telling me who’s ahead with just a few dozen people and you’ll see a margin of error in the double-digits; everyone knows know you might as well stop reading. But a small margin of error only reflects precision, not representativeness — and a survey can be statistically tidy while still overlooking meaningful variation within the electorate.
You can get a representative snapshot of what Maine, on average, thinks with a modest sample — about 1,000 of our neighbors. Yet that is rarely what readers or campaigns are focused on in moments like this. We are not just asking what “Maine” thinks. We are asking what primary voters, independents or late-deciding voters think. And that is where interpretation becomes harder.
As attention shifts to those subsamples, the number of respondents quickly shrinks and the margin of error widens. That mechanical inflation is familiar and usually reported. What is discussed far less is whether those smaller groups meaningfully reflect the diversity of voters they are meant to represent — geographically, politically and in terms of engagement with the race. Because, as is often the case, the initial goal was not to survey, say, young people in Maine, but all people in Maine. That distinction creates problems.
When looking at subsamples, the relevant question is not simply how large the margin of error becomes, but how much confidence we should have that the subsample itself captures the electorate we care about. One way researchers evaluate this is by looking beyond sample size to how heavily responses must be weighted and adjusted to reflect that diversity — a process captured in what survey methodologists call “design effects.”
When those adjustments are substantial, the survey contains less independent information than the respondent count suggests, meaning apparent precision can mask deeper uncertainty about how accurate the estimates really are.
Again, the latest UNH survey in Maine offers a useful illustration.
Buried in the methodology statement, the researchers report a design effect of 2.3 and note that they did not adjust their margins of error for what is a pretty major acknowledgement that their sample, however large, needed some help in representing the broader Maine electorate. Put plainly, a design effect of 2.3 means those 1,120 likely voters function statistically more like a sample of about 500 — making the apparent precision of the results considerably overstated.
If the effective sample size is cut substantially, the true uncertainty around candidate support widens. What was a margin of error of about ±2.9 grows quick, to ±4.5. Of course, this might mean that Platner’s lead over Collins in the general election is higher than what the poll estimated, but it also means that, in this case, his lead could be as small as two points.
Specific to the one finding that is drawing substantial media attention, it also means that Platner’s “advantage” among Maine independents is a statistical fantasy. That is because once you start looking at sub-samples, the “penalty” that a design effect has on a poll’s margin of error is even greater.
To begin with, there are only about 164 independents represented in the full sample — a testament to the large design effect, because the poll seems to have captured way more partisans than proportionally exist in the state. The baseline margin of error for that group, to begin with, is ±7.
And then once weighting and design effects are taken into account, the effective number of independent respondents becomes smaller still — in this case, giving us estimates that have an equal chance of being 12 points higher (Platner leads with 59% of independents!) or 12 points lower (Collins has a 15 point advantage!). We just don’t know.
Now, I realize this may sound like unwelcome news to those eager to read the poll as
confirmation of a decisive shift in the race. I look forward to the emails I will receive telling me my “academic caution” is masquerading as excuse-making for Sen. Collins.
But, if anything, the statistically rigorous takeaway remains quite interesting. The same issue with independents I describe above (an ever-shrinking sample size) is just as true for analyzing the subset of Democratic primary voters. Even after accounting for the design effect here, functionally inflating the margin of error on the Democratic primary, Platner’s lead is unequivocal.
Even the most generous read, given that uncertainty, gives Mills just about a third of Democratic primary voters in the survey. The margin may be less precise, and there are still questions about whether the poll captured the broad swath of likely voters, but the signal is unmistakable: he is a credible and competitive challenger.
Statistical caution does not weaken that conclusion, even as it tempers claims of an inevitable victory for one candidate or party.
Platner’s emergence is real. So is the uncertainty surrounding everything beyond it. Acknowledging that uncertainty, though, is the difference between careful interpretation and wishful thinking. And when uncertainty is translated into premature conclusions, the narrative can begin to influence the election before voters do.
-
Wisconsin1 week agoSetting sail on iceboats across a frozen lake in Wisconsin
-
Massachusetts6 days agoMassachusetts man awaits word from family in Iran after attacks
-
Maryland1 week agoAM showers Sunday in Maryland
-
Florida1 week agoFlorida man rescued after being stuck in shoulder-deep mud for days
-
Pennsylvania4 days agoPa. man found guilty of raping teen girl who he took to Mexico
-
Oregon1 week ago2026 OSAA Oregon Wrestling State Championship Results And Brackets – FloWrestling
-
News1 week ago2 Survivors Describe the Terror and Tragedy of the Tahoe Avalanche
-
Sports4 days agoKeith Olbermann under fire for calling Lou Holtz a ‘scumbag’ after legendary coach’s death

