PMS and YDI are two of 15 organizations HSD accused this June after an undisclosed audit of over-billing Medicaid by $36 million from 2009 to 2012. Medicaid is the government’s health insurance program for the low-income.
After a cursory reading of each agreement, there don’t appear to be any surprises.
The agreements don’t provide many details beyond Monday’s announcement by HSD that the two nonprofits were settling with the state. Nor do they provide any new information on the types of billing practices that led the state agency and its contractors to allege that PMS and YDI over-billed the Medicaid program. More information might not be coming anytime soon, either. Each nonprofit signed a non-disclosure agreement with the state agency.