Audit: Medicaid fraud allegations stem from questions on workers

As reported yesterday by the Santa Fe New Mexican:

Portions of an audit made public for the first time show that Gov. Susana Martinez’s administration based fraud allegations against a Santa Fe-based behavioral health provider primarily on incomplete documentation of workers’ credentials, rather than on faulty Medicaid billing practices…

The Martinez administration stripped Presbyterian and the other providers of their Medicaid funding. The providers were replaced by five Arizona companies, some of which have announced they are struggling financially since setting up shop in New Mexico…

Making the audit public would compromise the long-running investigation, according to an attorney general’s spokesman. More than 18 months have passed since the audit was completed, and the Attorney General’s Office still has not contacted Presbyterian about the investigation, Daniel said…

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