Legislators' Request Brings Action on Behavioral Healthcare
U.S. Senators and Representatives Call on DOJ and Push Federal Legislation
Last week, NM House Democratic Floor Leader Brian Egolf, along with Senate President Pro Tempore and Senate Majority Leader Michael Sanchez forwarded letters from 3 behavioral healthcare providers that were falsely accused of fraud to the New Mexico Federal Delegation. Along with the accounts from the providers that outlined the troubling circumstances that led to the freezing of funds, disruption of care, and the losses of hundreds of jobs; the legislative leaders requested that the the letters be forwarded to the United States Department of Justice for review. (Click here for the full story and letters from healthcare providers)
The request was founded on the fact that the NM Human Services Department, which originally brought the claims, is now left with sorting everything out through administrative hearings. This is particularly troublesome since the NM Attorney General's Office investigated all 15 healthcare providers and found no patterns of fraudulent activity. The Attorney General's investigation also revealed a $31 million dollar discrepancy in the audit that HSD used as justification for the healthcare freeze. Therefore, NM legislative leaders called for federal review, at the urging of patients whose healthcare was disrupted and the providers, most of which were forced out of business without due process.
The Democratic Federal Delegation offered the following response and action as a result of the request:
See background on the bill mentioned here: http://www.heinrich.senate.gov/press-releases/members-of-nm-delegation-introduce-bill-to-prevent-suspension-of-medicaid-services-without-thorough-investigation