PCG

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. 

Read more
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. 

Read more
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.

Read more
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.

Read more
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."

Read more
Public Health New Mexico
5:44 pm
Mon October 21, 2013

Partial Release Of New Mexico Mental Health Audit Raises Questions

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

This summer, the State of New Mexico froze Medicaid payments to mental health providers because of fraud allegations.

Read more
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.

Read more
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.

Read more