Whistleblower Suit Leads to Massachusetts AG Filing Action Against Mental Health Company for Providing Substandard Care

Mental health provider South Bay Mental Health Center, which serves tens of thousands of vulnerable patients, a number of them in Dorchester, MA, fraudulently billed the state Medicaid program by providing services through unlicensed, unqualified, and unsupervised employees, according to a lawsuit filed against the company by Attorney General Maura Healey.

After a whistleblower lawsuit was filed by a former South Bay employee in Aug. 2015, Healey’s office began investigating the health center network. The investigation, the attorney general’s office said, found “a widespread pattern” of employing unqualified staff, in violation of MassHealth restrictions. Submitting Medicare claims for their services using unacceptable employees is a violation of the Massachusetts False Claims Act, according to Healey’s office.

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