Thursday, January 21, 2010

Michigan Senate Resolution Ends Medicaid Fraud

MICHIGAN SENATE ALTERNATIVE CONCURRENT RESOLUTION 32A.

A concurrent resolution to memorialize the President, the Congress, and the Secretary of the Department of Health and Human Services to enhance provisions of the final version of federal health care reform legislation that would reinstate Medicaid regulations and mandate the Medicaid Fraud Control Unit to aggressively prosecute and recover funds of Medicaid Fraud in Child Welfare;

Whereas, Michigan, along with the other States, has a horribly ineffective Medicaid Fraud Control Unit in the Office of Attorney General and does absolutely nothing in contractual debarment, license revocation, or any other form of prosecution of Medicaid fraud in child welfare, regulation would mandate the Unit to aggressively prosecute and recover federal and state funds to reduce the budget deficit;

Whereas, the national Federal Funding Percentage (FFP) of Medicaid is 75%, Michigan is currently at the bottom of the barrel at 50%, lifting the moritoria on Medicaid regulation would place Michigan in a position of compliance, resulting in an increase in the FFP;
Whereas, the Auditor General has documented, through limited information, over $1 billion in known and likely know questionable costs in child welfare services last year, mandating Medicaid regulation would prevent the $1 billion to $1.5 billion shortfall in General Fund dollars for fiscal year 2011;
      
Whereas, the State Medicaid Director continues to implement policies to authorize payment of fraudulent claims in child welfare, federally mandated Medicaid regulation would allow more individuals to become eligible for Medicaid coverage and prevent the children from entering the foster care system as many will be able to access medical resource; and,

Whereas, the practice of double-billing, treble-billing, phantom-billing, kiddy kickbacks, and defalcation will be ameliorated by the conformation to basic standards of ethics and administration through innovative policies of accountability and transparency by Michigan and the other States; now, therefore be it

Resolved by the Senate (the House of Representatives concurring), That we memorialize the President, the Congress, and the Secretary of the Department of Health and Human Services to provide that federal health care reforms, including the federal Patient Protection and Affordable Care Act (H.R. 3590) and the Affordable Health Care for America Act (H.R. 3962), impose regulatory mandates on Michigan and other states, whether through expanded Medicaid requirements or other mandates to end Medicaid fraud; and be it further
 
Resolved, That copies of this resolution be transmitted to the Office of the President of the United States, the President of the United States Senate, the Speaker of the United States House of Representatives, the members of the Michigan congressional delegation, and the Secretary of the Department of Health and Human Services.

Michigan,stop playing games and end Medicaid fraud!

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