Press Release  AG's Office Secures Up To $770,000 in Settlements with Former Whitinsville Applied Behavioral Analysis Provider and Its Co-Owners for Submitting False Claims to MassHealth

BOSTON — The Massachusetts Attorney General’s Office (AGO) announced today that it has reached settlements with Flexible Fundamentals, Inc. (Flexible Fundamentals) – a former Whitinsville-based Applied Behavioral Analysis (ABA) provider – and its co-owners, Jennifer McGee and Errion McGrath. The settlement agreements resolve allegations that, under McGee’s and McGrath’s ownership, the company fraudulently billed MassHealth, the state Medicaid program, through its managed care entities (MCEs), for ABA services that were never provided and/or not properly documented, and for failing to provide adequate supervision of its paraprofessional behavioral technicians.  

Under the terms of the agreements, Flexible Fundamentals and its co-owners will pay up to $778,703 to the Commonwealth. The settlement also requires McGee and her new company, Pragmatic Minds, LLC, and McGrath and her new company, Social Perspectives 4 Everyone, LLC, to implement compliance and monitoring programs for three years to ensure compliance with ABA requirements and provide additional training to staff. The independent compliance monitors will conduct annual on-site audits to verify each company's compliance with state and federal laws.  

ABA is a treatment principally designed for children with autism spectrum disorder. ABA services focus on the analysis, design, implementation, and evaluation of social and other environmental modifications to produce meaningful changes in behavior. Many of these services are delivered by paraprofessional staff, often referred to as behavioral technicians, but MassHealth and its MCEs require that all behavioral technicians be supervised by Licensed Applied Behavioral Analysts. 

 The AGO alleges that Flexible Fundamentals, McGee, and McGrath billed MassHealth for more hours of service than Flexible Fundamentals had actually provided to members.  

The AGO alleges that the company and its owners submitted claims to MCEs for ABA services provided by paraprofessional behavioral technicians who were not supervised by Licensed Applied Behavioral Analysts, as required. 

This case is representative of the AGO’s broader efforts to combat fraud by ABA providers. In June 2025, the AGO secured indictments against two Randolph Autism service providers and their owner for fraudulently billing MassHealth more than $1 million for services that were never provided. In February 2025, the AGO announced that it had secured a conviction against an Essex County man for stealing more than $33,000 in MassHealth funds for ABA services that were never provided. In October 2023, the AGO announced $2.5 million in recoveries from two settlements with ABA providers who were alleged to have submitted fraudulent claims to MassHealth for services not provided by individuals with appropriate credentials, not properly documented, and/or noncompliant with supervision requirements established by MassHealth and its MCEs.  

This case was handled by Managing Attorney Katie Davis, Assistant Attorney General Matthew Jones, Investigations Supervisor Heather Dwyer, Senior Healthcare Fraud Investigator Kathleen Tansey, and Senior Data Scientist William Welsh, all of the AGO’s Medicaid Fraud Division. MassHealth and its MCEs 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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