Sunday, December 13, 2009

Behind the Iron Curtain of Child Welfare Fraud

The Washington Post reported that the Obama administration intensified its public campaign against health-care fraud Wednesday, putting drugmakers on notice that they will be forced to atone for improper marketing practices as prosecutors unveiled a record $2.3 billion settlement with Pfizer.

If Medicaid fraud of this magnitude is happening in the public eye, then think of what is happening behind the iron curtain of child welfare.

For many years the Congress of the United States has worked diligently to protect the health and welfare of the nation's elderly and poor by implementing legislation to prevent certain individuals and businesses from participating in Federally-funded health care programs. The health and welfare of the nation's children and families must be protected by including Child Welfare Agencies in this exclusion database. Foster Care and Adoption Agencies should be banned from entering contracts using federal funds if the bases for exclusion have been met.

Bases for exclusion include for child welfare program-related fraud, child abuse, child deaths, licensing board actions, improper and questionable claims, false reports.

The effect of not being able to participate in federally funded contracts is:

* No payment will be made by any Federal child welfare program for any items or services furnished, ordered, or prescribed by an excluded individual or entity. Federal foster care and adoption programs include Medicaid Targeted Case Management, and Social Security Title IV A, B, D, and E, Maternal and Child Health Services Block Grant (Title V), Block Grants to States for Social Services (Title XX), State Children's Health Insurance (Title XXI), Indian Child Welfare Act (ICWA) and all other plans and programs that provide health benefits for foster care and adoption funded directly or indirectly by the United States.

For many years the Congress of the United States has miserably failed to create any regulatory legislative action to address the billions in Child Welfare Medicaid fraud.

States Medicaid Fraud Control Units refuse touch Medicaid fraud in child welfare.

I'm going to be busy.

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