Health
News orgs appeal ruling that lets health audit stay secret
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New Mexico In Depth and the Las Cruces Sun-News are asking the N.M. Court of Appeals to overturn a ruling allowing last year’s audit of 15 health organizations to remain secret.
New Mexico In Depth (https://nmindepth.com/series/medicaid-freeze/page/3/)
In June 2013, Gov. Susana Martinez’s administration decided to freeze Medicaid funding to 15 health organizations after an audit found problems including over-billing and potential fraud and asked the attorney general to investigate. New Mexico In Depth has been covering the fallout. Here’s a timeline of events constructed with our media partner Fronteras Desk:
New Mexico In Depth and the Las Cruces Sun-News are asking the N.M. Court of Appeals to overturn a ruling allowing last year’s audit of 15 health organizations to remain secret.
A state agency can continue to keep secret most of an audit it used last year to suspend funding for 15 health organizations and spark criminal investigations into potential Medicaid fraud, a judge ruled Thursday.
A health organization battling state fraud allegations is accusing the state of acting in bad faith by “improperly withholding” more than half a million dollars in Medicaid funds it contends it is owed.
Trip Jennings, New Mexico In Depth’s executive director, talked about the ongoing effects of last year’s behavioral health transition, efforts to deal with the flood of Central American immigrants into the United States and other issues during last week’s episode of New Mexico In Focus. Click on the headline to watch.
New Mexico asks AG to determine whether Easter Seals El Mirador can bill for certain services. An official at the organization says New Mexico certified it to bill for the services years ago. Why, suddenly, is the billing an issue, she asks.
COMMENTARY: We at New Mexico In Depth were a bit confused – befuddled might be a better word – at your press release yesterday implying the media hasn’t scrutinized the behavioral health situation. We think maybe you’re a little behind on your reading.
New Mexico In Depth and the Las Cruces Sun-News are asking a judge to reconsider a ruling that kept secret an audit a state agency used to justify suspending funding for 15 health organizations.
New information trickling out of the Office of the Attorney General continues to raise questions about the integrity of the audit upon which the state based its 2013 decision to freeze Medicaid funding for 15 New Mexico health organizations.
Attorney General Gary King has cleared the second of 15 health organizations accused of defrauding Medicaid, saying there was “insufficient evidence of fraud” against northern New Mexico’s Easter Seals El Mirador.
La Frontera, an Arizona firm brought in last year to care for the mentally ill and those struggling with addiction across Southern New Mexico, laid off or fired 20 employees last week. According to La Frontera’s CEO, about half were laid off to reduce expenses and the rest were fired for “performance issues.”