Sunday, November 27, 2011

Petition To Judiciary To Hold Hearings On Penn State

As some of you may well know, I consult the U.S. House Judiciary which means I have met lots of people in Washington, D.C.

And as some of you who personally know me, you know I will open my mouth anytime, anywhere, with the greatest of eloquence, in my elegant fashion, and rip holes in any stupid, fallacious statement regarding child abuse propaganda and its imperialistic morality parade.

With that said, I have decided to create a petition to end Medicaid fraud in child welfare.

My petition is to have U.S. Representative Lamar Smith, House Judiciary Chairman and U.S. Representative John Conyers, Jr, Judiciary Chairman Emeritus to send a letter to U.S. Attorney General Eric Holder requesting investigation of the States on Medicaid fraud in child welfare.

Of course, we all know who will be writing the letter.  Me.

Here's the plan.  I plan on riding the coattails of this Penn State scandal.  U.S. Representative Shelia Jackson Lee has already called for hearings...and she sits on Judiciary.  Many of the Judiciary members are from States who have been hit with HHS OIG findings in the millions for child welfare fraud, where H.E.A.T.  has set up shop for the unreal levels of Medicare fraud.

Unfortunately, there are Members of Congress who are stuck on broken record of revving up mandatory reporting of child abuse.  You cannot report child abuse in child welfare because it is a conflict of interest.  It is hard for a state to snitch on itself so legislation is going to have other snitch.  This snitching panic for the smallest delusion of a transgression will lead to an increase of child rape in foster care, paid with Medicaid dollars.

This petition is to wake up the nation.

The only thing left to do is your signature.

Send this petition to your elected officials and administrators.  Send it anyone with an email or a facebook account.   You wanted a voice in Washington, well now you have it.


Greetings,
I just signed the following petition addressed to: Representatives Lamar Smith and John Conyers, Jr..
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In the wake of the Penn State child sexual abuse matter, the issues of fraud in child welfare must finally be addressed as the children were under the care of the state as foster children.

Under the shroud of confidentiality laws, the number of children who are murdered, raped, tortured and have committed suicide while in foster care go unreported. What is even more egregious is not the fact that these foster children have suffered were billed under Medicaid; it is the fact that there have never been national hearings on the matters of Medicaid fraud in child welfare.

Quintessentially, child welfare service providers are paid through Social Security to literally get away with murder and rape of children.

States do not maintain policies to refer Medicaid claims violations of law by its privatized Child Placing Agencies to the Medicaid Fraud Control Units, typically housed in the States Attorney General Office, due to the fact that the States Attorney General defends its privatized Child Placing Agencies under the grant of immunity.

Children in foster care are prescribed psychotropic drugs at an alarming rate because there is no enforcement oversight mechanism beyond the False Claims Act. As a result, children in foster care are improperly and unnecessarily overmedicated creating fraudulent claims for Medicaid cost reimbursements.

There have been a number of Corporate Integrity Agreements between the U.S. Department of Justice and major pharmaceutical corporations for "illegally and wrongfully" marketing psychotropic drugs, which were never FDA approved, to children; yet, in foster care, children continue to be medicated with these same drugs.

State child welfare contracts are not competitive by nature, creating breeding grounds for numerous antitrust violations which remain omitted from national discussions. Coupled with institutionalized patterns of practice in double-billing, phantom-billing (i.e. billing for non-existent, poor quality, or unnecessary services) and kiddy kickbacks (i.e. similar to physician kickbacks), and false statistical reporting of child abuse, you have the makings of Medicaid fraud in child welfare.

Most people have heard of Medicare fraud, and the campaign to stop it, but nobody knows about Medicaid fraud in child welfare. Medicaid fraud in child welfare is a multi-billion dollar industry which exists without any penalty.

Contrary to popular belief, the largest federal funding source in foster care is not Title IV-E, Title IV-A Emergency Assistance or Title XX of the federal Social Security Act, it is Title XIX (Medicaid) and the area that we are addressing is Targeted Case Management.

Targeted Case Management (TCM) is considered a “pay-as-you-go” program. This means, whenever there is a bill in child welfare, it will be paid, in full by the feds. Unlike Medicaid Federal Financial Participation (FFP), TCM in foster care and adoption is 100% covered which means the states do not pay any portion. Then, a portion of these funds was set aside to suspend regulation, called a moratoria, on TCM.

So, now we have a basic formula for the child welfare fraud:

100% FFP + MORITORIA = TCM REVENUE-MAXIMIZATION SCHEME

TRANSLATION: It becomes financially beneficial for states to place children and keep them in foster care than to provide community-based services because there is no regulation of the legitimacy of TCM costs.

TCM funds exactly what it says, the management of cases from targeted populations. So what are targeted populations?

Targeted populations are children who are considered as “at-risk”, meaning the likelihood of them being in need of child welfare services is substantial because they meet the following criteria:

At or below the Federal Poverty Level
Minorities
Single parent homes (this includes divorced and widowed)
Sibling groups
Unemployed
Living in low-income neighborhoods
Special needs (education, medical, psychological)
Disabilities (caregivers and/or children)
Homeless
Lack of medical coverage
Victims of domestic violence
Children of undocumented immigrants

These are populations who have no access to legal recourse nor opportunity to redress grievance as confidentiality laws silence any whistleblower with threats of termination of parental rights.

To first properly understand Medicaid fraud in child welfare, we must conduct a forensic autopsy, meaning, it may only be examined after the billing has been submitted and costs reimbursed. The complexity of TCM child welfare fraud varies from state to state, and from child placing agency to child placing agency, but they exist, in a multitude of shapes and forms.

Concerns of the pervasiveness of these revenue-maximizing schemes have been federally expressed, but ignored by Congress.

Therefore, gentlemen, I strongly encourage you to send letter of request to the Attorney General Eric Holder to investigate Medicaid fraud in child welfare and for this honorable body to hold judiciary hearings to bring into public light the pilfering of the Social Security system under the guise of the child.



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With serenity and sincerity,

Beverly Tran
http://beverlytran.com






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