MaineCare Cuts Off $47.9 Million Home Health Biller Amid Billing Investigation

Maine officials have suspended MaineCare payments to Community Home Health Care, a South Portland provider that received nearly $48 million in taxpayer-funded reimbursements from 2019 through 2025. The action follows allegations that the company billed for services that were never delivered, although the provider’s operating license remains active.

Key takeaways

• MaineCare suspended Community Home Health Care’s billing privileges on June 30.

• The provider received $47,986,855 in MaineCare payments from 2019 through 2025.

• The suspension followed a Program Integrity review of alleged unprovided services.

• The company may appeal, but its current appeal status is unclear.

• Community Home Health Care remains licensed and in business.

The suspension is administrative and tied to an ongoing investigation. It does not by itself establish that fraud occurred. However, Maine’s decision indicates that investigators considered the allegations serious enough to halt additional MaineCare payments while the matter is reviewed.

Why the suspension matters

Community Home Health Care was reportedly Maine’s largest home health care biller by total MaineCare reimbursements during the period reviewed. Its payments exceeded those of Gateway Community Services, another provider previously suspended amid allegations of improper billing.

For state officials, stopping payments can limit additional financial exposure while investigators determine whether claims were supported by actual services, eligible patients, and adequate documentation. The action could ultimately save taxpayers millions if the allegations are substantiated.

Provider remains licensed

Although MaineCare billing has been suspended, Community Home Health Care continues to hold an active home health care license and is listed as a business in good standing. The distinction is important: a licensing status does not necessarily confirm that a provider remains eligible to receive reimbursement from a specific Medicaid program.

The provider’s owner, Noora Abd, has the opportunity to challenge the suspension. Publicly available records cited in the report do not clarify whether an appeal has been filed. The company also did not provide a response to questions about the allegations.

Broader oversight concerns

The case follows scrutiny of several Maine home health organizations, including Five Star Home Health Care, which was shut down after the state raised credible overbilling concerns. A former Five Star executive later worked at Community Home Health Care before moving overseas, adding context to the broader investigation but not independently proving wrongdoing by Community Home Health Care.

For home health and hospice operators, the development underscores the importance of accurate billing controls, payroll records, patient-service documentation, and timely cost-report preparation. Specialized accounting support—including bookkeeping, payroll, cost report filing, compliance consulting, and fractional CFO services—can help small providers identify inconsistencies before they become repayment demands or program-integrity findings. Firms such as Soriaga and Associates focus on these accounting needs for home-based care providers in the Chicagoland area.

The Maine investigation will determine whether the allegations are substantiated and whether further administrative or legal action follows. Until then, the payment suspension remains a significant warning for providers that depend on Medicaid reimbursement.

Sources

• MaineCare Mega-Biller That Drew Over $47 Million Has Payments Suspended Months After The Maine Wire Visited Their Office, The Maine Wire.