UPDATED: The New Mexico Attorney General exonerated 10 health providers of fraud charges Monday, a significant reversal for Gov. Susana Martinez’s administration, which accused 15 organizations of wrongdoing more than two years ago and forced many out of business.
“While we did find some regulatory violations, there did not appear to be a pattern of fraud for any of the ten completed investigations,” Attorney General Hector Balderas said in a two-page letter released this morning.
Balderas’ announcement means 13 of the 15 organizations accused of fraud have been cleared of wrongdoing.
The state’s decision to shut off government dollars to the organizations because of the fraud accusations disrupted care to tens of thousands of vulnerable New Mexicans struggling with mental illness or drug addiction. It also caused staff layoffs and at least one pharmacy’s temporary shutdown. Continue Reading →
Here's a podcast NMID's Trip Jennings and Gwyneth Doland put together Friday afternoon about Thursday's release of a controversial 400-page health audit. Continue Reading →
The audit, released Thursday by new Attorney General Hector Balderas, does nothing to provide definitive proof of Medicaid fraud. But it does offer some striking numbers and raises more questions for the administration of Gov. Susana Martinez. Continue Reading →
New Attorney General Hector Balderas reversed a decision by his predecessor that had been upheld by two judges when he released a 2013 audit of 15 health organizations on Thursday. Continue Reading →
Weeks after taking office, new Attorney General Hector Balderas released on Thursday the remainder of the 2013 audit of 15 New Mexico behavioral health agencies, albeit with some redactions. Read it here. Continue Reading →
Officials in the city of Roswell and surrounding Chaves County are scrambling to prepare for the possibility that on April 1 there will be fewer available services for the mentally ill and other vulnerable populations. Continue Reading →
A Massachusetts firm that audited 15 health organizations in New Mexico last year normally gives companies it’s scrutinizing a chance to respond before issuing official findings. It didn't do that in New Mexico. The results were catastrophic for many of the organizations. Continue Reading →
An Oct. 25, 2012 e-mail from an Optum official provides the earliest glimpse of an idea that eventually became reality: bringing in Arizona providers to take over care for tens of thousands of vulnerable New Mexicans. Read it here. Continue Reading →
Filed under: Health
A top state senator wants a law requiring the state to prove wrongdoing before cutting off government dollars to health-care organizations suspected of committing fraud or overbilling Medicaid. Continue Reading →
Filed under: Health
A state agency citing potential Medicaid fraud refused to consider documents that could have cleared a health care provider of allegations that it had overcharged the government by as much as $4.3 million, the organization’s officials said this week. Continue Reading →