Duluth Therapist Accused of 27,430 False Medicaid Claims in $2.25 Million Scheme
The
The criminal complaint alleges some recipients had only limited contact with Meilahn before claims continued under their names for months or years. Other recipients told investigators they had never received psychotherapy services from him.
The Complaint Alleges 27,430 Claims for Services Not Provided
The 18-page criminal complaint says UCare received a fraud complaint from a member who reported having one brief phone conversation with Meilahn in
UCare reviewed nearly 2,000 psychotherapy claims submitted between January and
Investigators ultimately identified 27,430 instances in which the complaint alleges claims were submitted for psychotherapy services that were not provided. The complaint says Meilahn received more than
Investigators also said claims involving 117 Medicaid recipients lacked required supporting documentation. Fifteen recipients were identified as people who never had a single session with Meilahn, and eight told investigators they had not provided him with their insurance information.
The complaint says DHS also requested documentation supporting Meilahn’s Medicaid claims. After investigators said he failed to provide the required records, DHS terminated him from the Medicaid program as a provider on
Claims for Seven Children Allegedly Generated More Than
One family described in the complaint had planned for seven children to receive psychotherapy from Meilahn. Their mother provided insurance information while arranging possible treatment.
Investigators allege none of the seven children ultimately received services from Meilahn. Claims were nevertheless submitted under their names from
The complaint describes another family in which more than
Other recipients told investigators they attended between one and four sessions before stopping treatment, while claims allegedly continued under their names for extended periods afterward. The complaint says recipients interviewed who confirmed they had not received the claimed services were associated with more than
The Complaint Lists 11 Theft Counts and Two Identity-Theft Counts
Meilahn is charged with 11 felony counts of theft by false representation involving more than
Minnesota’s theft statute includes intentionally false Medical Assistance reimbursement claims that misstate the costs or actual services provided by a medical-care vendor.
The remaining charges are one felony identity-theft count involving eight or more victims and another involving more than
Court Sets $1
An
The conditions include Level 2 supervision, making all required court appearances, surrendering his passport, signing a waiver of extradition and remaining in
The order also bars Meilahn from working in Medicaid or other state programming while the conditions remain in effect.
Members Can Review Claims and Report Suspected Provider Fraud
UCare says its Medical Assistance plans transitioned to Medica One Health Plan on


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Confusion and angst follow state’s early rollout of Medicaid work rules
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