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Our View: Go after answers on behavioral health

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Posted: Saturday, July 12, 2014 10:00 pm | Updated: 10:59 pm, Sat Jul 12, 2014.

Aftershocks from the abrupt decision a year ago to shake up behavioral health service for New Mexicans are still being felt today.

Most importantly, clients across New Mexico say service is not the same and that people are suffering. Costs are soaring. To date, payments to out-of-state providers — managed care was shifted from 15 New Mexico firms to companies in Arizona — have shot up past $24 million. And so far, there is little evidence of the widespread fraud that was given as the reason for dumping New Mexico providers.

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5 comments:

  • STEVE Solano posted at 10:34 am on Sun, Jul 13, 2014.

    gpa Posts: 14

    I think Martinez's political advisor ' J ' called the shots on this deal just like the Downs contract. She told her transition team J would be calling all the shots. He seems to have ties to the AZ firms, to the LA Downs, and to the NV Koch brothers connections. Northern New Mexico voters do not believe she ' is one of us'. We deserve better.

     
  • Patsy Romero posted at 10:24 am on Sun, Jul 13, 2014.

    Patas Posts: 3

    CANNOT be used to pay administrative costs unless the dollar value of services have been provided. Thank you.

     
  • Patsy Romero posted at 10:23 am on Sun, Jul 13, 2014.

    Patas Posts: 3

    Excellent comments by the editors of The Santa Fe New Mexican. Patrick Malone has done an extraordinary job in bringing this issue to the attention of New Mexicans, especially those who suffer from Mental Illness and Substance Abuse. However I would add that the $36 million overpayment figure that PCG came up with is a "made up number". It does not exist, the CANNOT identify claims that total up to that amount of money. And it is also important to point out that general fund dollars that were allocated for SERVICES

     
  • William Mee posted at 9:46 am on Sun, Jul 13, 2014.

    WilliamHenryMee Posts: 14

    I worked for the Community Services Section of HSD in 1990, we would make quarterly site visits to all the Community Provider agencies and see if they were providing services as stated in their contracts. Our counterpart, the Financial Services Section of HSD would also go on these site vists and review the on-site accounting methods. Each month the community provider would send our office a programmatic report (how many clients served for what program) and a financial report to the financial services section. On occasion numbers did not add up and we called the provider to correct the mistake. In cases we provided them training. BUT NEVER DID WE STOP SERVICES TO CLIENTS! We were tough on the community providers administration who were certified in the 1965 federal act (Economic Opportunity Benefit act that became the Community Block Grant Act), to serve specific county boundaries and with specific services. Federal decertification of an individual provider was possible and only happened twice since 1965. Why didn't Susan Martinez understand this process? Who is Arizona is she trying to pay off?

     
  • Philip Taccetta posted at 8:52 am on Sun, Jul 13, 2014.

    PhiltheElder Posts: 190

    This could be and should be Susana's downfall.

     

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Today’s New Mexican, July 26, 2014

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