U.S. DHHS OIG 2017 Medicaid Fraud Control Unit Report Is Out

It is that time of the year when the U.S. Department of Health and Human Services Office of Inspector General comes out with its annual report, with data that is 2 years late, on the wonderful things that have been done in the States Medicaid Fraud Control Units.

And just like every year, there is absolutely nothing, nada, nixt, rein, done with Medicaid Fraud in Child Welfare.

Why?

The Medicaid Fraud Control Unit is located, typically, with the States Attorney General because you need a law enforcement power to prosecute and recover the false claims.

Then, the States have things called False Claims Acts that are drawn up to be so restrictive, no one can bring forth a claim.

Let us not forget to mention the National Association of Medicaid Fraud Control Units that refuse, under any circumstance, be it an act of God or an act of war, to speak upon Medicaid Fraud in Child Welfare.

The original MFCU law was set up for the aged.

Child Welfare was set up for the young.

This is where the contemporaneously inherit conflict of interest exists.

"How can States Attorney General advise and advocate at the same time?"

Besides, there is too much money involved and no one cares. 

Here is the report on Michigan:

The Unit made workspace available to an OIG agent within the Unit offices. Co-location facilitated communication between the MFCU and OIG in assessing potential fraud referrals and working joint cases. Case management tools Unit management and the Michigan Department of Licensing and Regulatory Affairs (LARA) developed a streamlined process for referring cases of patient abuse or neglect. This process helped to ensure that referrals from LARA were consistent with the Unit’s statutory functions, thereby promoting Unit efficiency and case flow. 

Michigan Co-location of Unit and OIG staff:  The Unit made workspace available to an OIG agent within the Unit offices. Co-location facilitated communication between the MFCU and OIG in assessing potential fraud referrals and working joint cases. Case management tools Unit management and the Michigan Department of Licensing and Regulatory Affairs (LARA) developed a streamlined process for referring cases of patient abuse or neglect. This process helped to ensure that referrals from LARA were consistent with the Unit’s statutory functions, thereby promoting Unit efficiency and case flow.

There is no referral mechanism within Michigan administration, particularly LARA, as it has dismantled its oversight function of child welfare private contracts, switching over to the "self report" model, to report Medicaid Fraud in Child Welfare and "The Elected Ones" will never speak upon it.

Gotta fund those campaigns!

This is the only mention of children:

Inpatient Psychiatric Services for Individuals Under Age 21 criminal 17 civil 6 total 23

Medicaid Fraud Control Units Fiscal Year 2017 Annual Report by Beverly Tran on Scribd

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