US EditionLawmaker Demands Probe After Fraud Allegations in Maine’s Medicaid Program
Gateway Community Services denies intentional wrongdoing despite state audits finding over $660,000 in MaineCare overpayments from 2015 to 2018, attributing allegations to a disgruntled former employee.
- On Friday, December 12, 2025, Gateway Community Services denied a former employee's falsified billing claims and said audits found no evidence of billed-but-unprovided services.
- The complaints prompted state audits in 2018 and 2024 that followed allegations by Chris Bernardini, former billing and payroll specialist, who said he saw record falsification to inflate MaineCare payments.
- State audits identified $662,608 in overpayments for 2015–2018, and Gateway paid $125,058 in 2018 and $34,095 in 2024 after presenting documentation; DHHS noted recoupments over $100,000 are higher than normal.
- Media reporting and Gateway's statement say Pawel Binczyk warned misleading coverage has caused threats against employees and misinformation, while Gov. Janet Mills' spokespeople did not respond and at least one Republican lawmaker called for an investigation, with the Maine attorney general's office declining comment.
- National conservative outlets this week resurfaced Bernardini's claims and linked them to Minnesota fraud schemes, while Gateway said portrayals of founder Abdullahi Ali were distorted amid national rhetoric targeting Somali immigrants.
22 Articles
22 Articles
Whistleblower exposes Somali refugee contractor for Medicaid fraud: Report
A whistleblower recently accused Gateway Community Services, a health services contractor, of defrauding the Medicaid program in Maine. Christopher Bernardini, who worked as the program coordinator for Gateway Community Services from May of 2018 to April of 2025, told NewsNation that the health services contractor managed an electronic monitoring system that filed false records of visits to disabled and low-income clients that never happened. Ga…
Central Maine News
MaineCare provider denies fraud allegations it says were amplified by attacks on Somali community
Following claims by a former employee in national news outlets this week, Gateway Community Services said Friday it did not falsify billing records and has been receiving threats of violence as a result of the reporting.
MACDONALD: More Somali Medicaid Fraud
Talk about a double tap. We’ve got illegal immigrants committing crimes, Americans most certainly will do, while simultaneously proving there is massive fraud in the Medicaid System. If I recall correctly, before caving, Senate Democrats shut the government down, demanding that taxpayers give up their hard-earned dollars to provide health care to illegals. That was ... Read more The post MACDONALD: More Somali Medicaid Fraud appeared first on Gr…
Somali-Linked Lawmakers Who Attacked Trump Now Engulfed in Expanding Medicaid Fraud Scandal
The political firestorm surrounding Gateway Community Services, the Somali-run nonprofit accused of defrauding Maine’s Medicaid system, is rapidly escalating, and the blast radius now fully engulfs the very legislators who attempted to shift national attention onto former President Donald Trump just days earlier. What began as a whistleblower complaint about fraudulent billing has evolved into [...] The post Somali-Linked Lawmakers Who Attacked …
The Post Millennial
RevolverSomali refugee contractor defrauded Maine Medicaid funds, lied about completing services: whistleblower
"Never worked a shift with a client and yet the PPP loan comes, they’re giving $2,000 away like they’re lollipops at a doctor’s office."
sgtreport.com
Slay NewsWhistleblower: Somali Fraudsters Stole Millions from Taxpayers in Maine
by Frank Bergman, Slay News: A massive welfare-fraud scandal, involving millions of dollars in stolen taxpayer money, is now unfolding in Maine, mirroring the billion-dollar criminal scam that is currently rocking Minnesota. A former insider has stepped forward alleging that Gateway Community Services, a Somali-owned company in Maine, systematically falsified Medicaid billing records in a scheme eerily […]
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