PORTLAND, Maine: The Opportunity Alliance, a residential treatment provider, has agreed to pay $346,369 to settle allegations that it caused the submission of false drug testing claims.
The Opportunity Alliance, of South Portland, entered into a civil settlement agreement with the United States and the State of Maine, resolving allegations that the company caused false claims to be submitted to Medicare and MaineCare from July 2018 through June 2021.
MaineCare is funded primarily by the federal government, which pays approximately two-thirds of all reimbursed claims.
The settlement resolves allegations that The Opportunity Alliance caused false claims to be submitted to Medicare and MaineCare by sending misleading urine drug requisition forms to Morrison Place clients’ medical providers and then using these forms to direct a third-party urine drug testing lab to perform an excessive number of presumptive and definitive drug tests on certain Morrison Place clients.
Between July 2018 and June 2021, The Opportunity Alliance sent three presumptive and definitive drug tests each week, without exception and without regard for the client’s individualized treatment needs, for up to a full year.
The United States brought the complaint under the False Claims Act, as well as Maine’s false claims statute, alleging that The Opportunity Alliance knowingly caused Laboratory A to submit false or fraudulent claims for payment or approval in violation of the FCA.
The Opportunity Alliance cooperated with the investigation. Federal authorities encourage health care providers to cooperate with investigations involving the possible submission of false claims to federal programs.
Claims resolved by the settlement are allegations only and there has been no determination of liability.
The U.S. Department of Health & Human Services, Office of Inspector General; the U.S. Attorney’s Office for the District of Maine; and the Office of the Maine Attorney General investigated the case.
The civil action is docketed United States & State of Maine v. The Opportunity Alliance, 2:25-cv-00266-JCN (D. Me.).
Related Federal Cases
- Gregory P. Heimann Jr., Making False Statements to the Government, Maine 2024 · New Hampshire
- Mark Elkhorn, Making False Statements to a Federal Agent, Maine 2018 · Vermont
- April McKinney, Healthcare Fraud, Maine 2020 · New Hampshire
- Jeremiah S. Loui, Migratory Bird Treaty Act Violation, New Hampshire 2024 · Massachusetts
- Carlos Rafael Acosta-Joaquin, Identity Theft, Maine 2024 · Puerto Rico
Key Facts
- State: Maine
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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