Showing posts sorted by date for query daniel levinson. Sort by relevance Show all posts
Showing posts sorted by date for query daniel levinson. Sort by relevance Show all posts

Tuesday, May 21, 2019

Why Is Daniel Levinson Still Around? More Medicaid Fraud In The Residuals Of The Peculiar Institution

Why is Daniel Levinson still here?

They do these OIG reports all the time and guess what happens?

Nothing.

Do you want to know why there is no compliance with the federal Medicaid waivers and state requirements in overseaing adult day care centers and adult foster care homes?

There are three reasons:

  1. The States Medicaid Fraud Control Units do not do crap because they are clueless;
  2. These operations fund political campaigns; and,
  3. These are subcontracted by the states under foreign corporations, as corporate parents, and, therefore, the States have no jurisdicitonal standing to enforce any mandates, funded or unfunded, regulation, law, financial reporting requirements....you get the picture.
All the feds have to do is get that Conjugal Collaboration to terminate parental rights of all these corporations by bearing witness.

These corporate parents only, by law, have to give these individuals $50 a month from their Social Supplemental Income or other Social Security funds.


Daniel Levinson has been watching this crap for years, yet has been silent.

Perhaps, he was silent due to his passionate dedication to taking copious notes of what they do.

If our federal and States governments can allow the continuance in preserving the residuals of the peculiar institution, then, perhaps, it is time to just end the industry of salvaging souls.

Voting is beautiful, be beautiful ~ vote.©

Sunday, April 8, 2018

Happy Child Abuse Propaganda Month - "Saving The Savages" - 1952 Foster Care Program

The following is information from the Tekakwith Indian Mission, Inc. of South Dakota is on its christian 1952 child welfare program.

The National Indian Child Welfare Association (NICWA) is a national American Indian/Alaska Native (AI/AN) nonprofit organization. NICWA has provided leadership in the development of public policy that supports tribal self-determination in child welfare and children’s mental health systems for over thirty years. This testimony will provide recommendations for the following programs administered by the Bureau of Indian Affairs (BIA) in the Department of the Interior: Indian Child Protection and Family Violence Prevention ($43 million), Social Services ($57.3 million), Welfare Assistance ($80 million), Indian Child Welfare Act On or Near Reservation Program (Tribal Priority Allocation—$18.9 million), and Indian Child Welfare Act Off Reservation Program ($5 million).

That comes to a FY 2017 total of $202.2 million, yet poverty flourishes.

What must also me noted is that NICWA is a private non-profit corporation that subcontracts with other organizations in the name of the christian tax exempt god, meaning, there is no idea, whatsoever, how much money is laundered through the subsidiaries of the Holy See, because it is privatized and no one cares about children...unless there is an attached, monetary value.

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National Indian Child Welfare Association
NICWA is funded through the U.S. Bureau of Indian Affairs -Indian Child Welfare Act (ICWA)

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U.S. Department of Interior Bureau of Indian Affairs Child Welfare Act

For a bit of a background, I have provided links, below.

NICWA Teaches Leeching




So, pick yourself up by the bootstraps and save a savage, today!

Foster care pays for trafficking tiny humans, now-a-days, you know.

Happy Child Abuse Propaganda Month!

#Time2AuditGod


...and apologize...right after the U.S. stops "Saving the Savages".


South Dakota Boarding School Survivors Detail Sexual Abuse


The Dakota expression for child, wakan injan, can be translated as “they too are sacred,” according to Glenn Drapeau, Ihanktonwan Dakota and a member of the Elk Soldier Society on the Yankton Sioux Reservation in South Dakota. “To us, children are as pure as the holy, moving energy of the universe,” he says, “and we treat them that way.”

When Native children arrived at Holy Rosary Mission, founded in 1888 at Pine Ridge to help in the religious conversion of the Oglala Lakota, nuns staffing the school described them as having good “morals” and giving “a tenth of the trouble white children cause,” Raymond A. Bucko wrote in Lakotas, Black Robes, and Holy Women (University of Nebraska Press, 2000). Nevertheless, corporal punishment was meted out regularly at Holy Rosary—“apparently without scruple,” according to Bucko—and a primary goal of the school was to cut the children off from their parents, their language and their culture.

Across the nation, in both the secular and church-run schools the federal government required Native children to attend from the late 1800s to the 1970s, the goal was assimilation—“kill the Indian to save the man” was their motto—seemingly at any cost. Court documents filed over the last several years in lawsuits against the boarding schools in South Dakota allege that as recently as the ’70s Native students were beaten, whipped, shaken, burned, thrown down stairs, placed in stress positions and deprived of food. Their heads were smashed against walls, and they were made to stand naked before their classmates. Untold numbers of children died over the century during which the residential schools flourished: some while en route to the institutions or at the schools themselves, and others of exposure and starvation while trying to escape, according to several sources, including the Boarding School Healing Project  [www.boardingschoolhealingproject.org/]. Native parents forced to part with their children came to understand they might never see their youngsters again, and if they did, the children had often become strangers to their own people.

As a cost-saving measure, the federal government eventually turned much of the boarding-school system over to churches, primarily the Catholic Church, which used it to help expand its empire throughout the West. Churches, abbeys, convents and monasteries were built on or near reservations, and religious orders were founded and flourished.

Recent court settlements reveal that the education the Church offered Native children featured not just brutal corporal punishment but also rampant sexual abuse. Some 400 Native ex-students in the Northwest and Alaska recently shared in a $166-million settlement with the Jesuits’ Oregon Province for  abuse suffered at schools in that region. Canada has set aside $1.9 billion for payments to survivors of its residential schools; more than 20,000 ex-students have submitted claims.

In South Dakota, 100-some former students of the state’s half-dozen so-called Indian Missions have sued the Catholic Dioceses of Sioux Falls and Rapid City since 2003. They’ve also made claims against the religious orders that ran the mission schools and Blue Cloud Abbey, in Marvin, South Dakota, which provided priests and is the final resting place of several alleged predators. They charge that priests, brothers, nuns and lay employees at these institutions raped, sodomized and molested them, often for years. Court documents, including testimony and Church records filed during the lawsuits’ initial phases, contain accusations of bizarre, violent and humiliating sexual abuse, along with the horrific physical abuse described above.

In 2010, South Dakota legislators discussed the Church’s difficulty defending against these many suits and passed a statute—written by a Church attorney and submitted as a “constituent bill”—blocking anyone over 40 from suing an institution, such as the Catholic Church, for childhood sexual abuse, though they may still sue individual perpetrators. (The South Dakota statute of limitations for physical abuse has long expired for the former students.) Since virtually all the Native plaintiffs are over 40 and some of the alleged perpetrators are dead, many observers, including Robert Brancato, director of the South Dakota chapter of Survivors Network of Those Abused by Priests, have accused the legislature of targeting the Native cases. “The law was designed both to make things difficult for Native Americans and to help the Church,” says Brancato. In March 2011, a judge applied the statute to throw out 18 of the South Dakota boarding-school cases; the plaintiffs in those cases have filed appeals with the state’s Supreme Court.

Below, former students recall their experiences.

Howard Wanna, 60, is an enrolled member of the Sisseton Wahpeton Oyate, whose homeland straddles North and South Dakota. He has terminal lung cancer and recently celebrated what doctors tell him will be his last birthday.

Wanna and several siblings entered Tekakwitha Orphanage, in Sisseton, South Dakota, around 1956. Despite the institution’s name, there were few orphans among the approximately 150 American Indian children housed there at any one time. Some had been taken from their parents for reasons that were not fully; others, like the Wanna children, were placed there by desperately poor parents who believed the priests and nuns they revered would care for and educate their offspring.
When Wanna lived at Tekakwitha, the wooded, estate-like complex included a Southwest Mission-style church; the Papoose House, a nursery for children ranging in age from newborns to five-year-olds; dormitories for boys and girls aged 6 to early teens, with nuns and priests living upstairs; and a separate house for the priest in charge, John Pohlen.

Here is Wanna’s story:

“When I first arrived at Tekakwitha at age four or five, the nuns and priests seemed welcoming, as though they wanted me to think of the place as my home. This friendliness went on for several weeks. Then one day, Father Pohlen came to the Papoose House, where I was living, and took me by the hand. He led me to the church, where we went behind the altar to a little room that had nothing in it but a chair.

“Father Pohlen sat me down, unzipped his pants, took his penis out, and began to wipe it on my face and lips. I was terrified. I didn’t know what was happening. In later sessions, sometimes behind the altar and sometimes at his house, suddenly I’d be choking and something would be running out of my mouth. He’d also turn me around and rape me, hurting me badly as he used his hands to grip my hair, neck, or shoulders.

“He rotated among about five of us younger boys, which left me with such confused emotions. On days it wasn’t my turn, I was so grateful, yet I felt terrible that one of my little friends was suffering. I also dreaded the fact that my day was coming again soon. Worst of all, I had no one to turn to, not even God, because God’s representative on earth was the one hurting me.

“Soon a nun began to abuse me as well, placing me under her gown and rubbing my little hands between her legs. This was something the nuns did to other children there, too. It was horrifying, not just because of what she was doing but because it was dark and I couldn’t breathe. Other abuse included beating us with sticks, hoses, and even a metal shovel.

“The cruelty was strangely inventive. At bath time, we’d line up, a line of naked girls and a line of naked boys, which was embarrassing to begin with. We’d take turns jumping into a laundry tub and being scrubbed—scratch, scratch, scratch—with a stiff brush you’d use for floors. We’d then hop out of the tub with scrapes all over our bodies.

“Once, after I tried to run away, I had to wear a dress for a while, and when we went outdoors I was tied to a tree.

“Tekakwitha was a very quiet place. You’d think with all those children, there’d be noise and laughing. But so many of us were being abused and simply didn’t talk. We were too frightened. It was like a horror movie in which people walk by each other but can’t communicate.

“As the years went by, my abuse lessened, probably because I wasn’t a cute little toy anymore, but also because I became more outspoken. I remember being told I was a smart-ass. When I was 8 or 9—we had no sense of time, because at Tekakwitha there were no markers, like birthday celebrations—my mother got wind of what was going on and came and ranted and raged. I heard they told her something like, ‘Take the little bastards,’ and we left.

“My adulthood was one hell of a struggle. But I fought through my failures and obstacles, went to college, and owned a restaurant and a construction company.

“[I believe] the Church caused the drinking and other problems former students experience. As a result, the tribe must sponsor chemical-dependency, suicide-prevention, anger-management, and many other programs, which is an enormous economic burden. At Sisseton Wahpeton, we just had three suicides, all youngsters in their 20s, and this happens frequently. Why? It’s the result of how we elders were treated as children—an effect that continues through the generations.

“I often wonder how so many pedophiles ended up at Native American schools. Father Pohlen was not only a pervert; he also hired the worst of the worst, which meant none of the Tekakwitha staff would protect us from the others. How did he find them? Is there someone in the Church you can call to request problem priests and nuns? Was there a dual plan to hurt Native Americans while taking care of the pedophiles? Was this genocide? It’s so confusing, but it’s also just plain evil.

“When the orphanage was demolished in 2010 [because of Environmental Protection Act issues], my relatives and I went to watch. Suddenly, during the demolition, we saw three eagles circling overhead, rising up and flying down low repeatedly for about 45 minutes. They had come to take home the spirits of the children. It was so awesome.

“I have sued the Church over my abuse, but because of my cancer I’m going to die with this on my mind, well before any chance of receiving justice. The people we looked up to most as children failed us. God’s servants blocked our power and took away our spirits. But we’ll get ’em back. By telling our stories, we’re opening a door, and we’re not going to let it shut until we’re done with them. No amount of compensation can cure us or absolve them, but we want our day in court. We want the public to hear what was happening to many Native American children in this country while non-Native people lived peacefully in their cities and towns and on their farms. Millions don’t know what we went through, and they need a quick history lesson. It’ll be a hard one, but it’s a fact.”

In 1946, when she was just three months old, Mary-Catherine Renville, 65, of the Sisseton Wahpeton Oyate, was taken from her mother for reasons that remain unclear and placed in Tekakwitha Orphanage. After Tekakwitha, which went through junior high, she was sent to a boarding school in Nebraska.

Here is Renville’s story:

“All I remember of my earliest years at Tekakwitha was being hungry and a punishment that consisted of being placed in a dark crawl space. When I was 6, they moved me from the Papoose House for babies to the main building so I could start school. The nuns there would take us to their private quarters and do things to our bodies that even at that young age I knew were not right.
“The next year, a teenaged boy raped me. He said if I told, he’d bring other boys, and they’d all rape me. I was so frightened that I never did say anything.

“When I was 8 or 9, Father Pohlen placed me with a Michigan family. I understood it was a tryout for being adopted by them. I have a memory of being told to go get Vaseline, then returning to the room to find the boys and men in the family waiting for me. This lasted for a summer.

“I didn’t know where to turn or who to tell. Father Pohlen had placed me with the family, so I couldn’t confide in him, and the nuns were so cold—they didn’t care about our feelings and showed us no affection. They wanted our souls and to teach us to fear God. Sometimes they’d whip us, holding us with the left hand while using the right to beat us with a rubber hose. None of the adults in my life ever noticed anything about me: whether I’d sustained injuries because of the rapes or mistreatment or if I was afraid.

“When I was about 10, Father Pohlen placed me with a Spanish-speaking dentist, who wanted to teach me his language so I could speak it once he and his wife adopted me and took me to their country. Instead, he raped me and said he wanted to continue his ‘affair’ with me, though I mustn’t tell his wife. After several weeks, I was returned to the orphanage. Again, I never said anything to Father Pohlen or the nuns, other than that I didn’t want to learn Spanish or live with that man. I’d learned that to protect myself I shouldn’t say much.

“We did have good times. At Christmas, we each received a shoebox full of nuts and candy and oranges and another box with trinkets and a doll. Most of us girls traded the dolls for food. We did that because the Mother Superior used to force us to simulate sex with a large doll before abusing us, so we were scared of dolls. Can you imagine putting the fear of dolls into a child’s mind?

“The Nebraska boarding school where I went to high school subjected us to similar physical violence, though no sexual abuse. We all continually tried to escape. We weren’t trying to get home, because we didn’t know where that was. We were completely disoriented. We just took off and took our chances in the world, hitchhiking down the road. Then they’d find us and bring us back.

“As an adult, I’ve been a traveler. I’ve lived in 14 states, mostly waitressing, because it’s a job you can get quickly. I’d always move on, though. I think I was searching for family. I eventually had three children, who were taken from me or I gave up. I don’t know where my boys are, though I keep in touch with my girl. Now, I’m back living on my reservation, which sometimes feels like a foreign country, though I’m related to half the people here.

“What I want to do is talk about Tekakwitha. They took away our sense of belonging to anyone, our opportunities to develop relationships. They kept us off-balance by sending us here and there without warning. But they could never take away the truth: that what they were doing was wrong. I want everyone to know what happened to us there.”

As Sherwyn Zephier, 54, drives to his job at Ihanktonwan Community College, in Marty, South Dakota, where he is the adult education director and teaches math, science, English, art history, and other subjects, he passes the derelict buildings of what was St. Paul’s Indian Mission. During the 1960s and 1970s, he was a student at the Catholic-run school, where children were required to board during the nine-month school year, even though many, like Zephier, were from the surrounding community, the Yankton Sioux Tribe.

Here is Zephier’s story:
“The priests’ and nuns’ keys jangled as they walked, so we knew when they were coming. Everyone in the dorm would quiet down, because you never knew what they’d do. Sometimes they’d bring high school students or more priests and brothers to hold our arms and press our bodies against a metal pole in the center of the room. Then they’d beat us with straps and a two-by-four with handles, which they called the ‘board of education.’

“There were also regular whippings at noon. One day, my older brother, Loren, created a commotion at midday so just that once we little ones escaped the whipping. Because we showered together in one large room, we could always see that many of us were bruised black, blue and purple. The beatings were so frequent, we adapted to the pain and got used to living that way.

“The nuns were as vicious as the priests—real brutes. I remember getting caught in the barbed wire around the top of the little boy’s playground. I’d seen Loren go by and had tried to go over the fence to get to him. Once the nuns got me untangled, I got quite a beating. At night, they’d pretend they’d left us, then stand in the dark corners of the dorm room, eerie in their hooded robes.

“The school was essentially a prison, with every door locked and total control of the children. We went in supervised groups from one secured place to another: to lunch, play, church, the dorm, and so on. Even if you managed to get out of a dorm room or classroom, you couldn’t run far, because at the end of each corridor was a locked floor-to-ceiling gate. The windows were covered with bars or chain-link grates, and the campus had barbed wire everywhere—along sidewalks and even around the church itself.

“As children, we didn’t know their policy was to de-Indianize us. We only knew we enjoyed one another’s company and would play games, such as ‘migs,’ or marbles, that involved phrases in our language. Another student would inevitably run and ‘tell Sister,’ and I would get a beating. At the time, they never explained my infraction. Just recently, the reality hit me hard: it was because I had so frequently spoken my language with my playmates. I suddenly understood why those snitches, often from more assimilated families, ‘told’ and why I was punished so often.

“Another aspect of assimilation was taking away ribbon shirts and other culturally related clothes. Every year, I looked forward to wearing clothing my mother spent most of the summer sewing to make me look proud and colorful for school. But once I got there, those items were removed, and instead I wore clothes that were drab and not even mine.

“The child-molesters would come and go, as the Church rotated them among the Indian missions. We children stood by each other as best we could, but for a child, it was a disturbing, sickening place to be. I have often wondered, where did the nuns and priests learn those things?

“My class, 1975, was the last to graduate from St. Paul’s Indian Mission, which then passed to tribal control and became Marty Indian School. At our commencement, a medicine man, Pete Catches, was allowed for the first time to fill his sacred pipe on the altar and pray with us.

“There’s beauty in our traditional ways. There’s honor, honesty—no lies, no judgment, no exaggeration. It’s the true experience of life. There’s no interpreting of someone else’s words, and no one else interpreting your experience. No one can tell you what is good or bad. That’s where the Church confused a lot of our people, conditioning them to think the traditional way of prayer was evil, the devil’s way. And if you didn’t believe them, they’d beat you.

“After I filed my lawsuit against the Church—with the blessings of my most revered supporter and hero, my father—I started talking about my experience to sisters, brothers and cousins who had also attended St. Paul’s. It was a relief to sit with them—to share and to cry. We knew what we experienced was unfathomable to others.”

On a side note, "Father John", signator of the 1952 letter, above, was prosecuted for sexual abuse.  This was provided to me from a survivor who sued.  I have not verified this claim, but feel free to, at your leisure, of course.

Voting is beautiful, be beautiful ~ vote.©

Thursday, July 13, 2017

National Health Care Fraud Takedown Results in Charges Against Over 412 Individuals Responsible for $1.3 Billion in Fraud Losses

But what about the children?

Largest Health Care Fraud Enforcement Action in Department of Justice History...forgot about Medicaid fraud in child welfare

Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced today the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, involving 412 charged defendants across 41 federal districts, including 115 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings. Of those charged, over 120 defendants, including doctors, were charged for their roles in prescribing and distributing opioids and other dangerous narcotics. Thirty state Medicaid Fraud Control Units also participated in today’s arrests. In addition, HHS has initiated suspension actions against 295 providers, including doctors, nurses and pharmacists. 

How about child placing agencies, residential institutions, child development centers, foster care &
adoption workers, managers and directors, judges, NGOs, heck, the list of suspension actions taken against any child welfare entity engaging in Medicaid fraud does not even exist.

Where is the exclusionary database for Medicaid in child welfare fraud?
Attorney General Sessions and Secretary Price were joined in the announcement by Acting Assistant Attorney General Kenneth A. Blanco of the Justice Department’s Criminal Division, Acting Director Andrew McCabe of the FBI, Acting Administrator Chuck Rosenberg of the Drug Enforcement Administration (DEA), Inspector General Daniel Levinson of the HHS Office of Inspector General (OIG), Chief Don Fort of IRS Criminal Investigation, Administrator Seema Verma of the Centers for Medicare and Medicaid Services (CMS), and Deputy Director Kelly P. Mayo of the Defense Criminal Investigative Service (DCIS).

Hey Danny!  You still suck but can redeem yourself and make a public statement on Medicaid fraud in child welfare and its history in human trafficking through foster care and adoption.
Today’s enforcement actions were led and coordinated by the Criminal Division, Fraud Section’s Health Care Fraud Unit in conjunction with its Medicare Fraud Strike Force (MFSF) partners, a partnership between the Criminal Division, U.S. Attorney’s Offices, the FBI and HHS-OIG.  In addition, the operation includes the participation of the DEA, DCIS, and State Medicaid Fraud Control Units. 
The charges announced today aggressively target schemes billing Medicare, Medicaid, and TRICARE (a health insurance program for members and veterans of the armed forces and their families) for medically unnecessary prescription drugs and compounded medications that often were never even purchased and/or distributed to beneficiaries. The charges also involve individuals contributing to the opioid epidemic, with a particular focus on medical professionals involved in the unlawful distribution of opioids and other prescription narcotics, a particular focus for the Department. According to the CDC, approximately 91 Americans die every day of an opioid related overdose.   
“Too many trusted medical professionals like doctors, nurses, and pharmacists have chosen to violate their oaths and put greed ahead of their patients,” said Attorney General Sessions. “Amazingly, some have made their practices into multimillion dollar criminal enterprises. They seem oblivious to the disastrous consequences of their greed. Their actions not only enrich themselves often at the expense of taxpayers but also feed addictions and cause addictions to start. The consequences are real: emergency rooms, jail cells, futures lost, and graveyards.  While today is a historic day, the Department's work is not finished. In fact, it is just beginning. We will continue to find, arrest, prosecute, convict, and incarcerate fraudsters and drug dealers wherever they are.”
“Healthcare fraud is not only a criminal act that costs billions of taxpayer dollars - it is an affront to all Americans who rely on our national healthcare programs for access to critical healthcare services and a violation of trust,” said Secretary Price. “The United States is home to the world’s best medical professionals, but their ability to provide affordable, high-quality care to their patients is jeopardized every time a criminal commits healthcare fraud. That is why this Administration is committed to bringing these criminals to justice, as President Trump demonstrated in his 2017 budget request calling for a new $70 million investment in the Health Care Fraud and Abuse Control Program. The historic results of this year’s national takedown represent significant progress toward protecting the integrity and sustainability of Medicare and Medicaid, which we will continue to build upon in the years to come.”
According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare, Medicaid and TRICARE for treatments that were medically unnecessary and often never provided. In many cases, patient recruiters, beneficiaries and other co-conspirators were allegedly paid cash kickbacks in return for supplying beneficiary information to providers, so that the providers could then submit fraudulent bills to Medicare for services that were medically unnecessary or never performed. The number of medical professionals charged is particularly significant, because virtually every health care fraud scheme requires a corrupt medical professional to be involved in order for Medicare or Medicaid to pay the fraudulent claims.  Aggressively pursuing corrupt medical professionals not only has a deterrent effect on other medical professionals, but also ensures that their licenses can no longer be used to bilk the system.
“This week, thanks to the work of dedicated investigators and analysts, we arrested once-trusted doctors, pharmacists and other medical professionals who were corrupted by greed,” said Acting Director McCabe. “The FBI is committed to working with our partners on the front lines of the fight against heath care fraud to stop those who steal from the government and deceive the American public.”
“Health care fraud is a reprehensible crime.  It not only represents a theft from taxpayers who fund these vital programs, but impacts the millions of Americans who rely on Medicare and Medicaid,” said Inspector General Levinson. “In the worst fraud cases, greed overpowers care, putting patients’ health at risk. OIG will continue to play a vital leadership role in the Medicare Fraud Strike Force to track down those who abuse important federal health care programs.”
“Our enforcement actions underscore the commitment of the Defense Criminal Investigative Service and our partners to vigorously investigate fraud perpetrated against the DoD's TRICARE Program. We will continue to relentlessly investigate health care fraud, ensure the taxpayers' health care dollars are properly spent, and endeavor to guarantee our service members, military retirees, and their dependents receive the high standard of care they deserve,” advised Deputy Director Mayo.
“Last year, an estimated 59,000 Americans died from a drug overdose, many linked to the misuse of prescription drugs. This is, quite simply, an epidemic,” said Acting Administrator Rosenberg. “There is a great responsibility that goes along with handling controlled prescription drugs, and DEA and its partners remain absolutely committed to fighting the opioid epidemic using all the tools at our disposal.”
“Every defendant in today’s announcement shares one common trait - greed,” said Chief Fort. “The desire for money and material items drove these individuals to perpetrate crimes against our healthcare system and prey upon many of the vulnerable in our society.  Thanks to the financial expertise and diligence of IRS-CI special agents, who worked side-by-side with other federal, state and local law enforcement officers to uncover these schemes, these criminals are off the street and will now face the consequences of their actions.”
The Medicare Fraud Strike Force operations are part of a joint initiative between the Department of Justice and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country. The Medicare Fraud Strike Force operates in nine locations nationwide. Since its inception in March 2007, the Medicare Fraud Strike Force has charged over 3500 defendants who collectively have falsely billed the Medicare program for over $12.5 billion.
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For the Strike Force locations, in the Southern District of Florida, a total of 77 defendants were charged with offenses relating to their participation in various fraud schemes involving over $141 million in false billings for services including home health care, mental health services and pharmacy fraud.  In one case, the owner and operator of a purported addiction treatment center and home for recovering addicts and one other individual were charged in a scheme involving the submission of over $58 million in fraudulent medical insurance claims for purported drug treatment services. The allegations include actively recruiting addicted patients to move to South Florida so that the co-conspirators could bill insurance companies for fraudulent treatment and testing, in return for which, the co-conspirators offered kickbacks to patients in the form of gift cards, free airline travel, trips to casinos and strip clubs, and drugs.
In the Eastern District of Michigan, 32 defendants face charges for their alleged roles in fraud, kickback, money laundering and drug diversion schemes involving approximately $218 million in false claims for services that were medically unnecessary or never rendered. In one case, nine defendants, including six physicians, were charged with prescribing medically unnecessary controlled substances, some of which were sold on the street, and billing Medicare for $164 million in facet joint injections, drug testing, and other procedures that were medically unnecessary and/or not provided.
In the Southern District of Texas, 26 individuals were charged in cases involving over $66 million in alleged fraud. Among these defendants are a physician and a clinic owner who were indicted on one count of conspiracy to distribute and dispense controlled substances and three substantive counts of distribution of controlled substances in connection with a purported pain management clinic that is alleged to have been the highest prescribing hydrocodone clinic in Houston, where approximately 60-70 people were seen daily, and were issued medically unnecessary prescriptions for hydrocodone in exchange for approximately $300 cash per visit. 
In the Central District of California, 17 defendants were charged for their roles in schemes to defraud Medicare out of approximately $147 million. Two of these defendants were indicted for their alleged involvement in a $41.5 million scheme to defraud Medicare and a private insurer. This was purportedly done by submitting fraudulent claims, and receiving payments for, prescription drugs that were not filled by the pharmacy nor given to patients. 
In the Northern District of Illinois, 15 individuals were charged in cases related to six different schemes concerning home health care services and physical therapy fraud, kickbacks, and mail and wire fraud.  These schemes involved allegedly over $12.7 million in fraudulent billing. One case allegedly involved $7 million in fraudulent billing to Medicare for home health services that were not necessary nor rendered.
In the Middle District of Florida, 10 individuals were charged with participating in a variety of schemes involving almost $14 million in fraudulent billing.  In one case, three defendants were charged in a $4 million scheme to defraud the TRICARE program.  In that case, it is alleged that a defendant falsely represented himself to be a retired Lieutenant Commander of the United States Navy Submarine Service. It is alleged that he did so in order to gain the trust and personal identifying information from TRICARE beneficiaries, many of whom were members and veterans of the armed forces, for use in the scheme.
In the Eastern District of New York, ten individuals were charged with participating in a variety of schemes including kickbacks, services not rendered, and money laundering involving over $151 million in fraudulent billings to Medicare and Medicaid. Approximately $100 million of those fraudulent billings were allegedly part of a scheme in which five health care professionals paid illegal kickbacks in exchange for patient referrals to their own clinics.
In the Southern Louisiana Strike Force, operating in the Middle and Eastern Districts of Louisiana as well as the Southern District of Mississippi, seven defendants were charged in connection with health care fraud, wire fraud, and kickback schemes involving more than $207 million in fraudulent billing. One case involved a pharmacist who was charged with submitting and causing the submission of $192 million in false and fraudulent claims to TRICARE and other health care benefit programs for dispensing compounded medications that were not medically necessary and often based on prescriptions induced by illegal kickback payments.
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In addition to the Strike Force locations, today’s enforcement actions include cases and investigations brought by an additional 31 U.S. Attorney’s Offices, including the execution of search warrants in investigations conducted by the Eastern District of California and the Northern District of Ohio.
In the Northern and Southern Districts of Alabama, three defendants were charged for their roles in two health care fraud schemes involving pharmacy fraud and drug diversion.
In the Eastern District of Arkansas, 24 defendants were charged for their roles in three drug diversion schemes that were all investigated by the DEA.
In the Northern and Southern Districts of California, four defendants, including a physician, were charged for their roles in a drug diversion scheme and a health care fraud scheme involving kickbacks.
In the District of Connecticut, three defendants were charged in two health care fraud schemes, including a scheme involving two physicians who fraudulently billed Medicaid for services that were not rendered and for the provision of oxycodone with knowledge that the prescriptions were not medically necessary. 
In the Northern and Southern Districts of Georgia, three defendants were charged in two health care fraud schemes involving nearly $1.5 million in fraudulent billing.
In the Southern District of Illinois, five defendants were charged in five separate schemes to defraud the Medicaid program.
In the Northern and Southern Districts of Indiana, at least five defendants were charged in various health care fraud schemes related to the unlawful distribution and dispensing of controlled substances, kickbacks, and services not rendered.
In the Southern District of Iowa, five defendants were charged in two schemes involving the distribution of opioids. 
In the Western District of Kentucky, 11 defendants were charged with defrauding the Medicaid program.  In one case, four defendants, including three medical professionals, were charged with distributing controlled substances and fraudulently billing the Medicaid program.
In the District of Maine, an office manager was charged with embezzling funds from a medical office.
In the Eastern and Western Districts of Missouri, 16 defendants were charged in schemes involving over $16 million in claims, including 10 defendants charged as part of a scheme involving fraudulent lab testing.
In the District of Nebraska, a dentist was charged with defrauding the Medicaid program. 
In the District of Nevada, two defendants, including a physician, were charged in a scheme involving false hospice claims. 
In the Northern, Southern, and Western Districts of New York, five defendants, including two physicians and two pharmacists, were charged in schemes involving drug diversion and pharmacy fraud.
In the Southern District of Ohio, five defendants, including four physicians, were charged in connection with schemes involving $12 million in claims to the Medicaid program.
In the District of Puerto Rico, 13 defendants, including three physicians and two pharmacists, were charged in four schemes involving drug diversion, Medicaid fraud, and the theft of funds from a health care program.
In the Eastern District of Tennessee, three defendants were charged in a scheme involving fraudulent billings and the distribution of opioids.
In the Eastern, Northern, and Western Districts of Texas, nine defendants were charged in schemes involving over $42 million in fraudulent billing, including a scheme involving false claims for compounded medications. 
In the District of Utah, a nurse practitioner was charged in connection with fraudulently obtaining a controlled substance, tampering with a consumer product, and infecting over seven individuals with Hepatitis C.  
In the Eastern District of Virginia, a defendant was charged in connection with a scheme involving identify theft and fraudulent billings to the Medicaid program.
In addition, in the states of Arizona, Arkansas, California, Delaware, Illinois, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, New York, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Utah, Vermont and Washington, 96 defendants have been charged in criminal and civil actions with defrauding the Medicaid program out of over $31 million. These cases were investigated by each state’s respective Medicaid Fraud Control Units. In addition, the Medicaid Fraud Control Units of the states of Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Missouri, Nebraska, New York, North Carolina, Ohio, Texas, and Utah participated in the investigation of many of the federal cases discussed above.
The cases announced today are being prosecuted and investigated by U.S. Attorney’s Offices nationwide, along with Medicare Fraud Strike Force teams from the Criminal Division’s Fraud Section and from the U.S. Attorney’s Offices of the Southern District of Florida, Eastern District of Michigan, Eastern District of New York, Southern District of Texas, Central District of California, Eastern District of Louisiana, Northern District of Texas, Northern District of Illinois and the Middle District of Florida; and agents from the FBI, HHS-OIG, Drug Enforcement Administration, DCIS and state Medicaid Fraud Control Units.
A complaint, information, or indictment is merely an allegation, and all defendants are presumed innocent unless and until proven guilty.
Additional documents related to this announcement will shortly be available here: https://www.justice.gov/opa/documents-and-resources-july-13-2017.
This operation also highlights the great work being done by the Department of Justice’s Civil Division.  In the past fiscal year, the Department of Justice, including the Civil Division, has collectively won or negotiated over $2.5 billion in judgements and settlements related to matters alleging health care fraud. 

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Thursday, September 15, 2016

South Dakota Is Why HHS OIG Daniel Levinson Must Go Far Away

Well, well, well.  Look at what we have here.

The U.S. Department of Health and Human Services Office of Inspector General has issued a report on some of the "general compliance" issues within the State of South Dakota's Medicaid Fraud Control Unit.

Aww.

The HHS OIG said, "Bad South Dakota MFCU, bad."

They even went so far as to generate a podcast on the great things it is doing for the poor lil' Indians in South Dakota but here is my issue:

Daniel Levinson has got to go.

Yes, Levinson, the Inspector General of the DHHS has been at the helm for quite some time, and, for quite some time, Medicaid Fraud in Child Welfare has been utterly ignored, intentionally omitted from the political conversation for years.

HHS OIG Danny Levinson
contemplating the quagmire
of Medicaid Fraud in
Child Welfare
Levinson cannot say that he is unaware of Medicaid Fraud in Child Welfare because I have a big mouth and I have actually sat at the table in D.C. to have raised the issue, only to be met with silence, with mouths wide open, as the concept of incompetence within the administration went flying over their heads.

One reason why there is no public discussion of Medicaid Fraud in Child Welfare is because the States Attorneys General contemporaneously "advise and advocate" for its contractual fraudfeasors.

That is correct.  How can a State Attorney General prosecute what it defends?

Then there is the nasty issue of these MFCUs not being designed to even address child welfare fraud.

See, the original legislation, stemming from Walter Mondale's actions to protect the aging population from fraud within the Social Security programs excluded the children.

Child Abuse Prevention Treatment Act (CAPTA) came around and everyone thought it was the greatest invention since sliced bread as it established funding for economically struggling cities to create educational and employment opportunities for those historically excluded, for the purposes of "assimilating children of the poors".

No one would ever consider that there would be fraud in a child welfare program.  Nope, because most of this work was done in the name of God, non-profits, and everyone knows.... say it together with me...

"YOU CANNOT AUDIT GOD"

Then came the horrific Adoption Safe Families Act which set an expedited timeline to allowed fraudulent billing under Targeted Case Management, a Medicaid program, and also provided for, what I like to call the "shredding of the bills" through termination of parental rights.

As long as these States are without policies to refer child welfare fraud to the MFCU for prosecution and recovery, there will always be a few of those pesky "general compliance" issues found.

Do not even let me get started on advocating for the use of aggregate data to generate predictive models of abuse and neglect or the blatant refusal to even touch contract compliance and fraud within the Administration of Children and Families!

Just take a look, below, at the recently upheld decision on improper removals of Sioux children in South Dakota.  If this is not a working example of the lackadaisical stewardship of Daniel Levinson, I do not know what is.

Hey, Danny, time to retire!

You suck.

Feds fault state for Medicaid fraud efforts

A federal report on Wednesday criticized South Dakota’s commitment to fighting Medicaid fraud, finding the state is understaffed in a key area for rooting out fraud and abuse.

The report from the United States Health and Human Service’s Office of Inspector General was ostensibly a review of the state’s Medicaid Fraud Control Unit, or MFCU, within the attorney general’s office. Nationally, MFCUs are responsible for prosecuting Medicaid fraud cases, levying civil fines or prosecuting abuse and neglect cases.

Medicaid is a taxpayer funded health program for the poor.

The federal review found that the state’s MFCU was in “general compliance” with federal requirements. But it also found that the fraud unit was receiving few referrals of potential cases from the Department of Social Services, which administers Medicaid.


Each time a kid is snatched from the family for the crime of poverty, another state child welfare contractual arm cashes a check drawn off Medicaid.

Whether the snatching is legitimate or not, does not matter, because the States Medicaid Fraud Control Units will never, ever, receive referrals of fraudulent billing in child welfare.

Aho.
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