Press Release  AG Campbell Secures $1.25 Million Settlement With Brockton Adult Foster Care Provider For Failing To Comply With Key Regulatory Requirements

BOSTON — Massachusetts Attorney General Andrea Joy Campbell today announced a $1.25 million settlement with WeCare 365 (WeCare), an adult foster care (AFC) provider in Brockton, resolving allegations that the company did not comply with MassHealth regulations requiring AFC providers to maintain proper caregiver logs documenting services provided to members.

Under the agreement, WeCare will pay $1.25 million back to MassHealth. WeCare has also agreed to a series of compliance measures as part of the settlement, including a $200,000 investment in an enhancement of their electronic medical record system, the implementation of a policy requiring monthly review of all caregiver logs, the development of a new training program for all new employees on AFC regulations, and contracting with a reporting system that enables anonymous reporting of fraudulent activity. Additionally, WeCare has agreed to self-report annual audits of compliance to the Attorney General’s Office’s (AGO) Medicaid Fraud Division for three years following this agreement.  

AFC is a service ordered by a primary care provider and provided to MassHealth members that includes assistance with daily activities and nursing oversight. AFC providers are responsible for the management and training of AFC caregivers, and caregivers are required to complete care logs and submit them to the AFC provider’s registered nurse at the end of each month, where they are required to be maintained as part of the AFC member’s records. All AFC providers are required to employ or contract with a registered nurse whose responsibilities include reviewing caregiver logs at a minimum of every 30 days. Pursuant to state law, MassHealth will not pay an AFC provider for services if it does not have adequate documentation, including caregiver logs, to substantiate the delivery of services payable under MassHealth.  

The case was initiated based on a referral to the AGO from MassHealth, via one of MassHealth’s managed care entities.

This matter is Attorney General Andrea Joy Campbell’s latest effort to ensure that caregivers, including adult foster care providers, across the Commonwealth follow the law when providing care to Massachusetts residents.In September 2025, AG Campbell secured a guilty plea from the ringleader of a Worcester-based home health fraud scheme involving the stealing of personal information from disabled, elderly, and unhoused individuals to bill for home health services, including AFC services, that were never provided. In August 2025, AG Campbell secured a guilty plea from a Worcester-based group adult foster care provider and its administrator related to a scheme to defraud MassHealth of more than $1.6 million dollars.

This matter was handled by Assistant Attorney General Mary-Ellen Kennedy, Senior Healthcare Fraud Investigators Mirlinda Sejdiu and Ashley Marquez, Investigator Julia Galvao, and Senior Data Scientist Will Welsh, all of the AGO’s Medicaid Fraud Division. MassHealth and its managed care entities provided substantial assistance with the investigation.

The AGO’s Medicaid Fraud Division is a Medicaid Fraud Control Unit, annually certified by the U.S. Department of Health and Human Services to investigate and prosecute health care providers who defraud the state’s Medicaid program, MassHealth. The Medicaid Fraud Division also has jurisdiction to investigate and prosecute complaints of abuse, neglect and financial exploitation of residents in long-term care facilities and of Medicaid patients in any health care setting. Individuals may file a MassHealth fraud complaint or report cases of abuse or neglect of Medicaid patients or long-term care residents by visiting the AGO’s website.   

The Massachusetts Medicaid Fraud Division receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $6,458,176 for federal fiscal year 2026. The remaining 25 percent, totaling $2,152,724 for FY 2026, is funded by the Commonwealth of Massachusetts.   

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