CONCORD, New Hampshire—Attorney General John M. Formella announced a settlement with Maxim Healthcare Services resolving a dispute over Maxim’s documentation of home health aide services.
In May 2022, the New Hampshire Department of Health and Human Services’ Administrative Appeals Unit upheld an audit by New Hampshire Healthy Families, which found that Maxim’s documentation was insufficient. As a result, Maxim was required to repay $28,269.50. Despite this ruling, Maxim did not seek judicial review of the decision and continued to document services in the same manner that was deemed insufficient by the Appeals Unit.
To resolve the issue and avoid further legal action, Maxim has agreed to pay an additional $100,000 to the state, on top of the $28,269.50 previously ordered. Maxim also committed to improving its compliance by enhancing its electronic visit verification (EVV) technology.
The Attorney General’s Office’s Medicaid Fraud Control Unit conducted the investigation with assistance from the New Hampshire Department of Health and Human Services’ Program Integrity Unit.
The Medicaid Fraud Control Unit investigates and prosecutes fraud by health care providers who treat Medicaid beneficiaries. If you would like to report a case of provider fraud, contact the Medicaid Fraud Control Unit at (603) 271-1246.
The Medicaid Fraud Control Unit receives 75% of its funding from the U.S. Department of Health and Human Services under a grant award totaling $1,032,556 for Federal fiscal year (FY) 2025. The remaining 25%, totaling $344,185 for FY 2025, is funded by New Hampshire.