Saturday, August 7, 2010

My Message To Congress

Naturally, as I reside in Michigan, I enjoy using the state as my working model.

If there are any other states that would like to borrow this for its own purposes of ending Medicaid fraud in child welfare, please, be my guest and if there is any need for assistance, feel free to contact me.

What I enjoyed the most about putting this together was the fact that I knew there were powers that be, fuming under the collars.  Fuming for the simple fact that there is nothing they can do to me because they know I am right and I have valid, pending claims.

Then, I just tickle myself thinking of all the elected officials...

who like to make everyone get in touch with their inner child and not think about the jacked up child welfare system

who would read this and have absolutely no clue of what Medicaid fraud is because they are too busy asking for more Medicaid funds and,

who are too scared to bite the kingmaker hand that feed them.

But, most of all, I just have a hearty guffaw watching Michigan Bar Association community fashion model its lack of legal acumen down the runway of Medicaid fraud in child welfare in fear of loosing license to practice law.  (how's that for a visual)


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 85%, Michigan is currently close to being at the bottom of the barrel at 65.79%, [enhanced Federal Medical Assistance Percentage (FMAP)76.05%] 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.

Whether it be parody or your basic public humiliation, I really do not care as long as the job gets done.

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