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Maine DHHS data shows recent spike in cases of alleged fraud

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Maine DHHS data shows recent spike in cases of alleged fraud


PORTLAND (WGME) – New numbers from the Maine Department of Health and Human Services are revealing a recent spike in cases of alleged fraud, waste and abuse in Maine over the past few years.

The state released the data after CBS13 filed a public records request.

The Maine Department of Health and Human Services Fraud Investigation and Recovery Unit is responsible for looking into allegations of fraud within major state assistance programs.

That includes MaineCare, SNAP and temporary assistance for needy families.

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We looked back eight years to get a sense of just how many cases the state has seen.

According to data CBS13 obtained through a public records request, in 2018, the unit received more than 1,400 fraud complaints.

In 2019, it was more than 1,000.

Amid all those complaints, investigators found 77 were “intentional program violations.”

Many more over those two years were referred to the Attorney General, local district attorneys and even federal prosecutors for review.

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We don’t know the outcomes of those cases.

Fast forward to 2024, where complaints reached close to 1,000 again. This time, the unit found 164 intentional violations.

Fifty-one were referred to local DAs, five to the AG and three to the federal government.

Last year, there were still hundreds of complaints, and investigators found only 52 intentional violations, with 38 cases referred for prosecution on some level.

New numbers from the Maine Department of Health and Human Services are revealing a recent spike in cases of alleged fraud, waste and abuse in Maine over the past few years. (WGME)

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And as of February of this year, the unit has received 94 complaints and found three program violations.

So far, no cases have been referred for prosecution.

Maine DHHS also has a program integrity unit, focused on waste, fraud or abuse within Maine’s Medicaid program.

Complaints have risen there, too, from 153 in 2023 to 183 in last year, a nearly 17 percent increase.

About a dozen of those cases were referred to the U.S. Inspector General’s Medicaid Fraud Control Unit, which accepted all for investigation or prosecution.

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The Maine Attorney General’s Office says when a complaint is referred to them, it’s reviewed, and the AG then decides whether there is enough evidence to move forward.

We’re still waiting on a response from the U.S. Inspector General about how they handle these case referrals.



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How a data center derailed $240,000 for affordable housing in Wiscasset

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How a data center derailed 0,000 for affordable housing in Wiscasset


On a crisp afternoon in early April 2026, Richard Davis walked to the end of a boat launch on the Back River, a tidal channel that cuts through Midcoast Maine’s rocky coastline. As the tide swept in, Davis, co-founder of a local group called Protect Wiscasset and an area resident, fixed his attention on the […]



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Mother’s Day brings boom in flower sales across Maine

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Mother’s Day brings boom in flower sales across Maine


It wouldn’t be Mother’s Day without a stop at the florist.

According to Fox Business, about 154 million flowers are sold during the week of Mother’s Day. So it’s safe to say it was a busy day for stores like Estabrook’s Maine Garden Center and Nursery.

Plenty of families stopped by to pick out flowers on Sunday, looking to choose the perfect bouquet for their moms.

“I think Mother’s Day is tradition, you know, and so it’s great to see families here. We have a lot of new families that have come today for the first time with their young children and their mother. Watching the young kids and seeing how excited they are—their eyes light up at all the beautiful flowers,” Tom Estabrook, president of Estabrook’s, said.

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Estabrook says Mother’s Day tends to be a great kickoff to the spring season.



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Maine Black Bears Swept By UMass Lowell In A Tight 5-4 Finish

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Maine Black Bears Swept By UMass Lowell In A Tight 5-4 Finish


The Maine Baseball Team was swept by UMass Lowell in the weekend series, losing on Sunday 5-4.

UMaine scored 3 runs in the 5th inning and 1 in the 6th inning to lead 4-1, but the Riverhawks scored 2 runs in the 7th and then pushed across the tying and winning runs in the 9th inning for the win.

Thomas Stabley started for Maine and went 6.1 innings on the mound. He allowed 5 hits and 3 runs, striking out and walking 1. Owen Wheeler pitched 1.2 hitless innings striking out 2. Sebastian Holt pitched the 9th and took the loss, allowing 2 hits and 2 runs, the big hit a 2-run homer to Nicholas Solozano, his 2nd of the day.

Hunter St. Denis homered for Maine, a solo shot, his 9th of the season, in the 6th inning.

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Albert De La Rosa was 2-4. JuJu Stevens , Shane Andrus, Quinn Murphy and Chris Bear each singled.

UMass Lowell is 19-27 while Maine is now 17-30.

The Black Bears will host Merrimack on Tuesday, May 12th in a non-conference game at 2 p.m. The game will be broadcast on 92.9 The Ticket with the pregame starting at 1:30 p.m. Maine then closes out the regular season at home with a 3-game America East conference matchup with Albany Thursday- Saturday.

Check out photos from the game

Maine-UMass Lowell Baseball May 10

The Maine Black Bears hosted the UMass Lowell Riverhawks on Sunday, May 10th

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Gallery Credit: Chris Popper





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