The Massachusetts Attorney General’s Office (AGO) has reached a settlement with Evolve Health, PC, a Quincy-based physician group practice specializing in substance abuse treatment. The settlement resolves allegations that the organization submitted false claims to MassHealth and MassHealth managed care entities (MCEs) by billing MassHealth for services that were not provided and billing for more expensive levels of service than actually provided. As part of the settlement, Evolve will pay $650,000 in restitution to the Commonwealth and will implement a three-year independent compliance monitoring program at its own expense. The compliance program will result in updated policies and procedures to ensure compliance with MassHealth and MCE requirements, along with trainings for staff on the updated policies and procedures, and annual record and on-site audits.
