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Federal agency backs state’s actions after behavioral health report

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Posted: Monday, July 15, 2013 9:00 pm

The state Human Services Department did not violate any federal regulation when it suspended payments to 15 behavioral health providers last month, according to a spokesman for the federal Centers for Medicare and Medicaid Services.

But Brian Cook, media relations director for the federal agency, declined to answer specific questions about the situation — such as whether the state was forced by Medicaid regulations to suspend the payments and whether a serious need in rural areas for behavioral health services could be considered “good cause” for an exception to the suspensions.

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Welcome to the discussion.

3 comments:

  • Kenneth Davis posted at 7:00 pm on Tue, Jul 16, 2013.

    concerned and confused Posts: 38

    correction should be 15 agencies not 14

     
  • Kenneth Davis posted at 6:59 pm on Tue, Jul 16, 2013.

    concerned and confused Posts: 38

    The things not being looked at are behavioral health is a highly regulated and monitored industry. Some of these agencies passed 12 previous audits in the previous 12 months with very high marks but the 13th audit by an auditing firm paid on commission suddenly finds 100% of these agencies to be committing fraud when they were chosen at random? The same company that theoretically found exactly the same dollar amount in alleged fraud in an audit of North Carolina but a long investigation was only able to prove 3 million dollars in accidental overpayment and no fraud.
    Agencies from "Arizona" are lined up to take up the slack of the agencies for a small fee of 17.5 million dollars? Secretary Squier is a native of Arizona. Isn't this saying that New Mexicans are incapable of handling their own business or problems?
    And whatever happened to innocent until proven guilty? and to due process of law? The agencies concerned have not been issued audit results or compliance lists, they haven't been informed of any charges against them and have not even had any charges filed against them but they are having punitive actions taken against them and being forced into bankruptcy by continuing to provide the services that are needed.
    These agencies are all non-profit organizations not a for profit provider was included on the "Target" list. Wasn't there a recent scandal about the IRS targeting non-profits in an auditing form of persecution? incidentally these 14 agencies comprise more tha 85% of the behavioral health industry in the state.
    Final thought if 100% of a random sampling (Theoretically 15 were chosen at random from a list of 40)were found to have "irregular" billing practices wouldn't it stand to reason that 100% of the entire industry would have the same irregularities and that it would be the fault and misguidance of the regulating authorities who regularly monitor and require compliance to their standards?
    Personally I would think from this that possibly the wrong people are being investigated. In the mean time it's a moot point because as I understand it the reserves are running out for these agencies and three are bankrupt, several more will be by the end of the month and more out of state companies will be sending portions of an already inadequate budget out of New Mexico.

     
  • mark mocha posted at 11:46 am on Tue, Jul 16, 2013.

    brnfre47 Posts: 207

    Names, we want names.

     
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