Steven Senne/Associated Press
Attorney General Maura Healey has sued a Brockton mental health care company, accusing it of providing services by unlicensed, unqualified, and unsupervised staff and fraudulently billing the state for tens of millions of dollars.
The company, South Bay Community Services (formerly known as South Bay Mental Health) provided services to some 30,000 people on the Massachusetts Medicaid program for low-income residents, called MassHealth.
Since August 2009, the state has paid the company more than $123 million for providing mental health counseling and other services to MassHealth members — but Healey’s office said “a significant portion” of that sum was based on fraudulent claims.
“This company provided substandard care to many vulnerable patients and fraudulently billed the state for its inadequate services,” Healey said in a statement. “MassHealth members deserve competent treatment from qualified individuals, and our office will continue to take action in order to remove these significant barriers to accessing critical mental health care in our state.”
In a statement issued through a public relations firm, South Bay Community Services disputed the allegations.
The company “intends to follow the legal steps necessary to resolve this matter as efficiently as possible,” the company said. “We remain focused on the well-being of our consumers and employees. Our daily operations have not been affected, and we will continue to provide the best possible behavioral health services to those who need it most in the New England area.”
The company has several clinics in Massachusetts, including in Boston, Fall River, Lawrence, Springfield, and Worcester and on Cape Cod. The company says it offers services to children and adults, including mental health and substance abuse counseling and other outpatient services.
The attorney general’s suit, filed in federal court in Boston on Friday, joins a federal whistle-blower case that raised similar allegations of fraud against the company.
Healey’s suit cites allegations against 17 clinics operated by South Bay Community Services. It alleges that many employees at those clinics did not have degrees in social work, making them ineligible for the licenses needed to provide services. (Instead, the workers allegedly had degrees in other fields, such as art therapy and school counseling.)
South Bay is backed by H.I.G. Growth Partners, an arm of H.I.G. Capital, a global private equity firm with offices in Boston.
With no offers despite years of trying, state officials have no plans to market a big site near a train and bus station.Continue reading »
With the private sector reluctant, would a state bank make it easier to collect cannabis taxes and prevent theft?Continue reading »
Health-care executive Joseph Woodin is trading one scenic vista for another.Continue reading »
Many of the employees have worked for Partners for several years, or even decades.Continue reading »
Nicole Slotterbeck wasn’t just annoyed by the “mystery” packages that kept arriving from Amazon. She was frightened. First was the bra — in her size. Then came even more intimate merchandise.Continue reading »
A state senator says he’s had informal discussions with Elon Musk’s Boring Company.Continue reading »
The buyer of the most expensive condominium in Boston is a South Shore boy turned billionaire.Continue reading »
By stripping Carlos Wanzeler of his citizenship, Brazilian authorities may be taking a step toward his extradition.Continue reading »
Providing pedestrians with direct access between the casino and Orange Line comes with a hefty price.Continue reading »