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Pennsylvania Community Mental Health Clinics and Owners Agree to Voluntary Exclusions

On October 16, 2018, in connection with the resolution of their False Claims Act liability, Melchor Martinez (Martinez), Melissa Chlebowski (Chlebowski), Lehigh Valley Community Health Centers, Inc. (Lehigh Valley), Northeast Community Mental Health Centers, Inc. (Northeast), and Carolina Community Mental Health Centers, Inc. (Carolina), collectively ("MM"), agreed to be excluded from participation in all Federal health care programs under 42 U.S.C. § 1320a-7(b)(7). Martinez is presently excluded and agreed to be excluded for an additional 10-years. Chlebowski, Lehigh Valley, Northeast, and Carolina agreed to be excluded for 5 years. OIG alleged that MM submitted or caused to be submitted false claims to Medicare and Medicaid arising from: (1) Martinez's undisclosed management of Northeast, Lehigh Valley, and Carolina in violation of his exclusion from Federal health care programs; (2) Northeast's, Lehigh Valley's, and Carolina's use of unqualified and/or unsupervised mental health therapists; and (3) the submission and payment of Medicaid claims for medication management visits that were upcoded to reflect longer visits. Senior Counsel Nancy Brown represented OIG.

Action Details

  • Date:October 16, 2018
  • Enforcement Types:
    • CMP and Affirmative Exclusions