The New Mexico Foundation for Open Government has filed a lawsuit seeking public disclosure of an audit that identified potential overbillings and fraud by providers of mental health and substance abuse services.
The Human Services Department has frozen payments to more than a dozen behavioral health providers because of the fraud allegations.
When Medicaid funding for 15 of New Mexico’s behavioral health providers was frozen earlier this summer, lawmakers began hearing from their constituents.
Senator Tim Keller says people in his district in southeast Albuquerque are extremely upset. Now Keller has drafted a piece of legislation he hopes will prevent this kind of situation from happening again.
The state expects about half of the 400,000 uninsured New Mexicans to purchase insurance through the state health insurance exchange when it’s fully implemented in 2014. A new study by the Kaiser Family Foundation finds New Mexicans will pay some of the lowest rates in the nation.
"The age group that will face the highest increases is actually older individuals, 64 year olds in New Mexico will see a 159% increase in their rates to $494 a month and similarly women will see a 160% increase in their rates," says Avik Roy with the Manhattan Institute for Policy Research.
Members of New Mexico's Behavioral Health legislative subcommittee discovered this week that state officials were considering contracts with Arizona providers before local firms had been notified of fraud allegations.
Some lawmakers are now looking at potential lawsuits because of an audit performed by the firm Public Consulting Group, or PCG. The audit resulted in a freeze of Medicaid funding to 15 local behavioral health providers.
Federal authorities heard directly Wednesday from more than two dozen behavioral health clients concerned about the continuing disruptions of services in New Mexico. Callers were highly critical of the state's move to freeze Medicaid funding for providers suspected of fraud. One after another, men and women, adult patients and parents of children recounted problems getting services.
Often, redacted documents might look like this, with blurred or darkly marked segments. But according to The Albuquerque Journal, the redacted Audit Protocol documents they received were so heavily redacted that 8 of 13 pages were entirely blank.
Governor Susana Martinez’s administration is moving ahead - despite objections from state legislators - with plans to use more than 10-million dollars from the Human Services Department to pay Arizona contractors that are taking over New Mexico’s Medicaid-funded behavioral health operations. The Legislative Finance Committee voted 15 to 1 on Wednesday to reject the budget transfer.
More than 300 people in 37 states have been infected by salmonella, many of which were children. Investigators have linked the source of the outbreak to a chicken, duck and turkey hatchery in Eastern New Mexico.
In the Southwest, nine people have been infected in California, eight in Arizona, 19 in New Mexico, and 32 in Texas.
There are still a lot of questions about the New Mexico Human Services Department's abrupt halt of Medicaid funding to 15 behavioral health providers and the state's contracts with Arizona firms to take over provider management.
Approximately 63,000 people are currently unemployed in New Mexico. It's also estimated that nearly a third of New Mexicans speak a language other than English in the home, and that's part of the problem.
According to the CDC, excessive alcohol consumption, primarily binge drinking, poses a huge public health problem across the country. Major economic impacts include police responses to violence and treatment of health problems related to alcohol.
Rio Arriba County health officials hosted their first-ever Twitter Town Hall today - A panel of experts answered tweeted questions about Medicaid. The twittersphere was abuzz with questions about the state's recent audit of behavioral health providers.
The state Human Services Department has run into a roadblock with the contracts it signed with five Arizona providers who are taking over management of behavioral health services in New Mexico. The Legislative Finance Committee has delayed transfer of funds to pay for the out-of-state firms’ contracts, but the Arizona contractors still have an obligation to provide services to behavioral health clients.
New Mexico behavioral health providers who had their Medicaid funding frozen after allegations of fraud and mismanagement are in the process of transitioning to management from several Arizona contractors.
Meanwhile, Valencia Counseling Service, a facility south of Albuquerque, is holding out for a last minute reprieve from an Albuquerque District Court.
There’s been a lot of uncertainty about what new management by out-of-state firms will mean for behavioral health providers in New Mexico. Thursday morning on the KUNM Call In Show some of that uncertainty was dispelled by Diana McWilliams of the state Human Services Department .
Many clients of the providers who've had their funding frozen are considered some of the most fragile residents of the state. Gay Finlayson's son Neil was diagnosed with schizophrenia when he was 20. Doctors told the family it was one of the most difficult mental health conditions to treat.
Behavioral health clinicians have direct contact with their clients in a trusted relationship. Joe Frechen is a psychiatrist who's been treating people for drug addiction and suicide prevention for 20 years in southern New Mexico. He works on contract with many current providers and wants to continue that arrangement.
Frechen says he’s concerned that the patients he sees at clinics that have had their funding frozen won’t get what they need from out-of-state contractors hired by the Human Services Department.
Farmers marketsare in full swing around New Mexico. That’s good news for families with school-aged children. Childhood obesity rates are declining a bit across the state and around the nation. What might be playing a role in the decrease? We visited a northern New Mexico market to find out.
Business is bustling at the Española Farmers Market.
Exercising the right to peacefully assemble, this afternoon hundreds of people from across New Mexico stood shoulder to shoulder in a Legislative Finance Committee meeting, urging lawmakers and the Cabinet Secretary of the Human Services Department to reinstate funding for Behavioral Health Services across the state.