audit

Public Health New Mexico
5:48 pm
Thu March 26, 2015

Turquoise Closure Leaves Roswell Courts Scrambling

Judge Freddie Romero gives candy bars to the kids who have a good day in Drug Court.
Credit Marisa Demarco / KUNM

After less than two years serving southeastern New Mexico, a behavioral health provider will shutter its programs on March 31, leaving hundreds without services.

What does this mean for Roswell and its courts, which were ordering offenders into treatment there?

Judge Freddie Romero presides over the drug court for juveniles in Chaves County. It’s not what you might imagine. The judge is warm and friendly. The kids who approach the podium with their parents in tow are everyday teenagers—jeans, T shirts, the occasional piercing.

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Local News
7:59 am
Sat February 28, 2015

Nonprofits Cut Services In Arizona While Expanding Into New Mexico

Credit AHealthBlog via Flickr / Creative Commons License

Another Arizona-based behavioral health provider is planning to shut down operations in New Mexico. La Frontera is one of five nonprofits that took over for local providers accused of fraud. Turquoise Health and Wellness announced earlier this year they would close their New Mexico offices on April 1st.

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Public Health New Mexico
6:41 pm
Thu January 29, 2015

Balderas Releases Audit, Says Attack Fraud Without Harming Citizens

Attorney General Hector Balderas announces the release of the PCG audit
Credit Marisa Demarco / KUNM

It’s his first month as attorney general and on Thursday, Jan. 29, Hector Balderas released the more than 300-page PCG audit that caused 15 behavioral health service providers to have their funding suspended. 

Since 2013, behavioral health providers in New Mexico have waited to see the details of accusations of Medicaid fraud leveled against them. 

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Public Health New Mexico
2:06 pm
Thu January 29, 2015

AG Releases Behavioral Health Audit

  Attorney General Hector Balderas released a 339-page audit by Public Consulting Group that caused the suspension of funding for 15 behavioral health providers in New Mexico.

Read the released audit here.

Arizona firms were hired to provide behavioral health services, and local providers have said they were unable to see or refute the specific fraud allegations against them. 

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Public Health New Mexico
11:26 am
Thu October 30, 2014

Behavioral Health Audit Firm Didn’t Follow Normal Practice

Credit audit screen shot

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 is a common practice for auditors. Running the findings by staff gives organizations the opportunity to refute findings or address misunderstandings. It’s a way of ensuring the accuracy of an audit, among other things.

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Public Health New Mexico
5:38 pm
Fri October 10, 2014

Health Provider Says State Refused Evidence Refuting Audit

Credit Rubén Diaz Alonso via Flickr

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. 

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Public Health New Mexico
10:29 am
Wed September 10, 2014

News Orgs Appeal Ruling That Lets Health Audit Stay Secret

New Mexico In Depth and the Las Cruces Sun-News are appealing District Judge Douglas R. Driggers' August ruling allowing the audit to remain secret.
Credit Robin Zielinski / Las Cruces Sun-News

Two news organizations are asking the N.M. Court of Appeals to overturn a ruling allowing last year’s audit of 15 health organizations to remain secret.

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From New Mexico In Depth
5:48 pm
Thu August 14, 2014

Judge Rules Health Audit Can Remain Secret

Credit Yuri Yu. Samoilov via Flickr / Creative Commons License

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.

The ruling marks the second time in nine months that Douglas R. Driggers, a district judge in Doña Ana County, has agreed with the state’s Human Services Department (HSD) and Attorney General’s Office (AG) that protecting an ongoing criminal investigation trumps the public’s right to information.

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Public Health New Mexico
11:41 am
Fri January 24, 2014

In New Mexico: Guilt, Fraud, Audits And Behavioral Health

On Jan. 16, the New Mexico Attorney General’s Office announced it had found “insufficient evidence to support allegations of fraud” against The Counseling Center in Alamagordo, N.M.

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Public Health New Mexico
11:24 am
Mon December 2, 2013

The Case Of New Mexico's Altered Audit

A page from the redacted audit documents released earlier this year.

It's been almost six months since the New Mexico Human Services Department (HSD) froze Medicaid payments to mental health providers in the state due to a "credible allegation of fraud."

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Public Health New Mexico
5:05 pm
Wed October 23, 2013

Secrecy Surrounds Fraud Allegations In New Mexico Mental Health Audit

Many pages of the behavioral health audit were partially or fully redacted.

In June, New Mexico’s Behavioral Health care system was thrown into chaos — the state abruptly froze Medicaid payments to more than a dozen mental health providers in the state after an audit allegedly found widespread

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Public Health New Mexico
1:34 pm
Fri September 13, 2013

Timeline: New Mexico's Shake Up Of Behavioral Health Providers

N.M. Human Services Department Secretary Sidonie Squier reviews behavioral health audit findings with Attorney General Gary King at the Legislative Finance Committee's July 17 meeting in Albuquerque.
Credit Bryant Furlow / New Mexico In Depth

At the end of June, 15 New Mexico behavioral health agencies had their Medicaid funding frozen by the state's Human Services Department due to “credible allegations of fraud.”

The agencies provide services to approximately 30,000 patients, many who seek help for mental health issues ranging from substance abuse treatment to schizophrenia.

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Public Health New Mexico
4:05 pm
Mon September 9, 2013

Company That Conducted NM Behavioral Health Audit Has Questionable Record

Fifteen New Mexico behavioral health providers that were accused of fraud and shut down still haven’t been able to see the audits that lead to their downfall. The audits supposedly showed the companies over-billed the state for Medicaid reimbursements.

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Public Health New Mexico
2:35 pm
Tue September 3, 2013

Service Disruptions Mark Transition Of New Mexico Behavioral Health To Arizona Hands

On June 24, New Mexico's Human Services Department announced that an audit found "credible allegations of fraud" for

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