Maine
Watchdog criticizes Maine’s management of billions in Medicaid funding
BANGOR (BDN) — Maine’s Medicaid program lacks the proper controls to manage the billions of dollars going to health providers across the state, according to an audit released Thursday.
The findings from State Auditor Matt Dunlap’s office come amid a torrent of calls for increased scrutiny of how the state spends its MaineCare dollars and allegations of fraud, which has prompted another battle between President Donald Trump’s administration and Gov. Janet Mills.
Front and center in the growing debate is the embattled Portland health care provider Gateway Community Services, which is currently under investigation for potentially defrauding MaineCare largely through overinflated and underdocumented claims for interpreter services.
Dunlap’s report doesn’t mention either Gateway or interpreter services, but it does warn the state that inadequate monitoring of MaineCare could lead to federal regulators finding Maine out of compliance with its regulations. The state disputed that, but the watchdog’s words could add heat to a tense dispute between the Mills and Trump administrations.
Republicans stretching from top Medicaid regulator and former TV personality Dr. Mehmet Oz to the Maine Legislature are pressuring Mills on the issue during her heated U.S. Senate primary. Dunlap himself is running in a Democratic primary for Maine’s open 2nd Congressional District.
The Maine Department of Health and Human Services paused MaineCare payments to Gateway in December while it investigated “credible allegations of fraud.” The pause came as a result of an audit by DHHS that included a review of 15,000 claims made by Gateway between March 2021 and December 2022.
Dunlap’s report said the Program Integrity Unit, MaineCare’s internal auditing arm, “may not provide adequate monitoring of all Medicaid services. Medicaid programs are jointly funded by states and the federal government, but administration of the programs are mostly left to states.
In recent months, Oz has taken an increasing interest in how Maine is overseeing its program. He sent a letter demanding detailed information regarding the state’s oversight of Medicaid spending, outlining concerns and mentioning a federal criminal case against two interpreters who are charged with defrauding the federal government by filing false tax returns.
The case alleges that two interpreters filed false tax documents with the federal government showing their companies were paid for interpreter services that didn’t happen. The third defendant in the case was an employee of the Lewiston-based Bright Future Healthier You, who died after she was charged.
Bright Future Healthier You was the largest biller of MaineCare for interpreting services in the last 10 years. The company itself has not been accused of any wrongdoing.
The case is the first case the federal government has brought in Maine since a 2021 report by a federal investigator that outlined a suspicious billing pattern for interpreter services. The report highlighted that the billing patterns seemed especially prominent among providers working with Maine’s Somali community and indicated widespread fraud within the MaineCare system.
Gateway was the second-highest biller of interpreter services in the last 10 years and has been the subject of numerous fraud allegations dating back to May 2025, when The Maine Wire, the media arm of the conservative Maine Policy Institute, first reported on claims from a former employee that Gateway falsified records.
Oz’s letter followed an audit performed by the U.S Department of Health and Human Services that found that Maine had made at least $45.6 million in improper Medicaid payments for support services for children with autism in 2023.
In November, widespread federal fraud prosecutions began in Minnesota, and with them, the employee, Chris Bernardini’s claims resurfaced in national conservative news outlets. Then, in December, U.S. Rep. James Comer of Kentucky, the top Republican on the House oversight committee, sent a letter to the U.S. Treasury that identified Gateway, along with its founder Abdullahi Ali, as targets in a broader welfare fraud investigation.
The Maine Department of Health and Human Services disagreed with Dunlap’s finding, saying it resulted from a “misunderstanding” of the federal regulations and how the department is structured. The department also said Dunlap’s findings discounted the regular ongoing checks the Program Integrity Unit undertakes on a more regular basis.
Dunlap said his office wasn’t persuaded by the department’s criticism and that the department “did not provide evidence of utilization control review procedures.”
Maine
How a tragedy changed the timeline — and the politics — of Maine’s Senate race – The Boston Globe
And while this is the role that many Democratic leaders would be expected to play in this situation, this crop of candidates has an added challenge.
Because this also means there are no meaningful distinctions among the candidates to help guide the eventual 601 delegates who will decide who should run in one of the most closely watched Senate contests in the country.
Indeed, the practical political impact of the tragic situation in Biddeford on the Maine Senate contest is this: What was expected to be an intense two-week primary campaign has effectively been reduced to one week. And the week currently being overtaken by the shock and anger is likely the most crucial.
That’s because 5 p.m. Wednesday is the deadline for supporters to sign up to become delegate candidates for the July 25 statewide convention in Bangor.
Those delegate candidates will then be elected at caucuses held in each of the state’s 16 counties over this coming weekend. From that process will come the 601 delegates who will decide which Democrat will challenge five-term Republican incumbent Susan Collins this fall.
In fact, the best organized campaigns will likely know by Sunday who has already won the contest because they can simply add up how many of their own supporters became delegates.
In other words, the contest could be effectively over before most Mainers even begin to really pay attention.
Further, unlike some major news developments that provide a moment of political clarity, this tragic situation in Biddeford resolves nothing. Instead, it raises the stakes for Democrats to make the right choice.
What that means in the context of choosing between a more progressive populist candidate in the mold of Platner or a more traditional Democrat in the mold of this year’s Democratic nominee for governor, Hannah Pingree, remains an open question.
There is simply less time now to discuss it.
Now, none of the above is meant to take away from the discussion about a husband and father who was killed by the government and whatever circumstances led to that tragedy.
To be sure, the moment a Democratic nominee is selected, the role of ICE will immediately become the first real dividing-line issue in the Senate race. After all, Collins oversees ICE’s budget as chair of the Senate Appropriations Committee and has been actively involved in conversations with the administration about enforcement in Maine.
But as to who should face her, the clarity and contrasts that campaigns tend to reveal are not currently there among Democrats at a time when they would be most helpful. As it stands, all of the candidates oppose the Trump administration’s overall agenda, oppose the Iran war, promote some version of an affordability message, and, above all, oppose Collins.
Nor is there an obvious choice if Maine Democratic delegates decide electability should be their highest priority.
Campaigns rarely unfold on the timetable candidates expect. Outside events intervene, reshaping what voters hear, what campaigns can talk about, and, ultimately, what party insiders have to evaluate.
In this case, Democrats face the unusual challenge of selecting a Senate nominee while the issue dominating the public conversation is one on which nearly all of the candidates already agree. That may produce unity after a bruising week, but it also leaves delegates with fewer opportunities to distinguish between the people asking for their votes before making one of the biggest political decisions in Maine this year.
James Pindell is a Globe political reporter who reports and analyzes American politics, especially in New England.
Maine Senate hopeful, Democrat David Costello, speaks with a potential voter as he gathers signatures, required to be considered at the party’s convention, in downtown Brunswick, Maine on July 12.
Tamara Keith/NPR
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BRUNSWICK, Maine – On a sunny Sunday, Senate hopeful David Costello worked the sidewalk in downtown Brunswick asking for signatures.
“Woud you happen to be a registered Democrat?” he asked one woman before engaging in a back and forth conversation. She asks if he’s progressive.
“Very progressive,” Costello said.
Costello is one of several Maine Democrats who see the fall of Graham Platner’s senate campaign as an opportunity to represent Maine in Washington.
Platner won June’s Democratic primary election handily. But allegations of rape by a former romantic partner last week forced him to drop out of the race. It leaves Maine Democrats scrambling to find a new nominee before the July 27 deadline to put a name on the ballot. Platner denies the allegations.
The Maine Democratic Party will hold a convention on July 25 where 601 delegates will choose that nominee. That candidate will need to capitalize on the enthusiasm Platner generated to defeat Republican Sen. Susan Collins.
An unstoppable incumbent or a top pick-up opportunity?
Sen. Susan Collins, R-Maine, leans down to listen to a young paradegoer at the annual Moxie Day Parade is Lisbon, Maine on July 11.
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Collins remained quiet at the end of Platner’s campaign but at the annual Moxie Day parade Saturday in Lisbon, Maine, she walked with volunteers in red shirts.
“People appreciate the fact that I provide steady leadership — and the word steady does come up a lot,” Collins said at the parade, “and that I continue to work really hard for Maine.”
Collins has represented Maine in the Senate since 1997. She has managed to stay in her seat even as Maine has voted for Democrats for president statewide, including in 2020 when the state voted for Joe Biden. Collins last won reelection that year with a comfortable margin — more than 8.5%.
At the annual Moxie Day Parade in Lisbon, Maine, supporters of Sen. Susan Collins, R-Maine, march with signs and giant letters spelling S-U-S-A-N, on July 11.
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Susan Sharon/Maine Public
Democrats see Maine as pivotal to their chances to retake the Senate. Platner’s departure from the race puts pressure on the party to choose a replacement candidate who can win over Platner’s loyal voters and appeal to independents who are key to Collins’ electoral success. Maine state Senate President Mattie Daughtry, a Democrat, is encouraged to see many of the candidates running on Platner’s progressive platform of transformational change. But she’s worried about voters being turned off by the process.
“I do have that deep seated concern of how many folks are going to say ‘oh well, this man failed me. Why trust someone ever again?’” Daughtry said.
Daughtry did not endorse Platner and she quickly called on him to drop out of the race after the rape allegations surfaced. Still, she thinks his message resonated.
“I ran for office when I was 25 because I was really really angry. I was working 4 jobs. I couldn’t afford an apartment and I had no healthcare. And unfortunately that story has not changed and it is a lived reality for millions of us across this country,” Daughtry said.
“And we need to find who can pick up that mantle. Who understands what that life is like and really tap into that raw energy,” she added.
Supporters weigh what’s next
Just one month ago, Alan Crichton was playing saxophone at Graham Platner’s primary night victory party. At a brewery in Belfast, Maine this weekend, he noted his ambivalence.
“I have so many mixed feelings. I like the guy. I like his message a great deal and I think he galvanized people who are just kind of sick of what’s happening,” Crichton said.
Now, though, Crichton calls the situation “a big old mess.” As a Democrat, he hoped the charismatic populist Platner would be the one to finally knock out Collins. Though, at this point, he’ll vote for whoever the Maine Democratic party selects.
“I hope it’s somebody who can kind of carry the torch that Graham kind of lit and held out there very strongly. He was a very inspiring guy,” he said.
Joseph Berube of Northport, Maine, gave up on politics in 1972 after Democrat George McGovern lost the race for president in a landslide. This year, though, he got excited about Graham Platner’s candidacy for U.S. Senate.
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Joseph Berube is an independent voter who lives in Northport, Maine. After decades disengaged from politics, Graham Platner sparked something in him he could hardly believe.
“Because I am so apolitical,” Berube said, “I want nothing to do with it. [But] I was actually considering giving money to his campaign.”
Charlotte Agell is on the opposite end of the engagement spectrum. A registered Democrat, she is very politically involved and has been for decades. She met Platner early on in his campaign.
“One of our neighbors said, ‘hey would you like to come to my backyard and meet Graham Platner?’ I had sort of heard of him,” she remembered. “When I went to that back yard event, I just by happenstance walked in with him. It was me and Graham Platner walking in.”
By the time that event ended, she had signed up to volunteer for his campaign.
“I felt a kinship with everything that was coming out of his mouth basically. Very smart. Good at identifying the problem,” Agell said.
Core to Platner’s economic populist message was that the system has been failing regular people while the rich and powerful get more rich and more powerful. He had faced controversies throughout his campaign. He easily won the nomination anyway. But then came the rape allegation. Berube believes the rush to judgment was too swift.
“I agree with women’s rights and women shouldn’t be abused,” he said. “But to have one person come up and stand up and say, ‘he abused me,’ and then that’s it? It’s just not really fair to him.””I just think they didn’t want him,” Berube added.
Berube says Democrats chopped the legs out from under someone who had brought people back into politics.
“He was bringing in people like me and that’s what’s going to do this. And you know what, we’re in the middle of a war to save this country,” Berube said. “And we have the other side that’s fighting with the gloves off and we’re putting the gloves on. We’re in trouble.”
Charlotte Agell has been processing it all a little differently. Agell admits to being a chronic optimist but says this was never about one man.
“You know, we’re not a cult. We’re just a movement that wants to take back this country for the middle and the working class,” she said.
Agell wants to believe this massive disruption won’t sap the momentum for change she felt.
“It’s really been like a rocket ship. We’ve all been on it. And that’s why, when these very serious things have been alleged and rightly he has dropped out of the race, we’re kinda still flying at 90 million miles an hour and saying ‘who can take the controls’ and we’re going to figure that out,” Agell said.
State Senator Chip Curry says the state party is doing the best it can with a tight timeline.
“It’s a winnable race and we’ve got some great people. We’ve got to get there,” Curry said.
There are more than half a dozen announced candidates. And for Democrats the stakes couldn’t be higher. No clear frontrunner has emerged from the candidates who have put themselves forward to be considered. It’s also not clear if one candidate can capitalize on the momentum that Platner was building in Maine. Still, some are remaining optimistic.
“People are going to grumble. I’ve grumbled a little bit. But I think we’ll get through this,” Senate hopeful David Costello predicted. “I think whoever the nominee is will have tremendous support.”
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