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October 18, 2023

AG reaches $2.5M settlement with autism providers

Photo | Courtesy of State House News Service Massachusetts Attorney General Andrea Campbell

Attorney General Andrea Campbell has reached two settlements totaling over $2,500,000 with autism providers to resolve allegations of fraudulent MassHealth claims.

“The defendants involved in these two settlements not only failed to comply with the necessary standards for providing critical services to a vulnerable population with autism spectrum disorder, but also fraudulently exploited public funds,” said Campbell in a Tuesday press release. 

In the first settlement, the two applied behavioral analysis providers in the settlement are Autism Behavioral Links, Inc. in Framingham and Ubuntu Autism Consultants, LLC, formerly based in Worcester, which are both owned by Ian Gatheca, according to the press release.

In the terms of the settlement, Gatheca and Ubuntu agreed to pay $1,700,000 to resolve allegations that claims submitted to MassHealth were invalid because services were not provided by appropriately credentialed individuals.

In the second settlement, Autism Resources and Therapy Center in Westborough, owned by Mary Wangari, has agreed to pay $825,000 to resolve allegations that billing was submitted to MassHealth for services that were not provided, improperly documented, or improperly supervised, according to the press release.

“These resolutions ensure that these companies will pay back the money they owe MassHealth and bring themselves into compliance with required state laws and regulations, so our youth receive the high-quality ABA services they deserve,” said Campbell.

In addition to paying the financial terms of the settlement, both providers have agreed to pay for a three-year period of independent compliance monitoring.

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