Showing posts with label Maximus. Show all posts
Showing posts with label Maximus. Show all posts

Thursday, September 27, 2018

JUDICIARY: Copyright Small Claims, Sports Betting & University Fraudulent Research



These are watered down hearings and do not get down to what is actually going on, which is why we have an active Office of the Special Prosecutor, right Bob, or shall I call you by your rightful name, MAXIMUS GOODLATTECUS.

You seem to be short staffed.

See ya soon!

Smooches.





Voting is beautiful, be beautiful ~ vote.©

Wednesday, September 5, 2018

Cocktails & Popcorn: Brett Kavanaugh, Medicaid Fraud In Child Welfare & Russia

George Bush, indeed, chose the right obsequious sycophant for the job.

Oh, you though Trump picked him?

Nah, Trump was "advised" to pick Kavanaugh.

I will go out there and even say that all Kavanaugh's rulings were "from his private advisors", too!

I only say this because he seems not to be the most eloquent human I have encountered in the legal profession.

Seriously, count how many words he used that contained more than three syllables.


Kavanaugh pitched some 17th century theistic rhetoric which, of course, was devoid of any modern understanding of antenatal biomedical science and technology, like one would take to referring to one's genitals as "pee-pees".

Dare I even raise the issues surrounding personhood, which only deals with asset forfeiture to a private, parent corporation, when it comes to the abortion arguments, no one wants to mention, but me, when it comes to issues on chattel law, which is the premise to privatization by stripping civil rights, in the name of the tax exempt god.

Orin Hatch slammed Kavanaugh on being on the 9th Circuit email chains.

Kavanaugh came back with a "#Me2" response, which had absolutely nothing to do with passing around nasty ass emails using federal, secured email systems, because he had lots of women he supported as clerks.

Yup.  Lots of female clerks, and community moms from his church -  nice PR move.

Good thing he did not promote women for judicial appointments, or promote a woman's right to gestate, or a mother's right to stop the trafficking of their children who have been Legally Kidnapped by Catholic Charities, raped, beaten, tortured in foster care, then sold through adoption, (only if the kid lived through foster care this long), but we can probably find out in the rest of his emails, if they are ever released to the public.

Then, Kavanaugh start spewing words on regulation like how congress passes policy.

Congress passes law, not policy, which is done in the Executive Branch.  Duh.

Someone does not understand the Chevron doctrine because it was nothing but a tool to format the powers of privatization for those Public Private Partnerships to run their own, privatized administrations of federal funding, intentionally stripping the civil rights of due process.

Then, Leahy smashed him on using his very own stolen, classified emails, by https://amp.slate.com/news-and-politics/2018/09/judge-brett-kavanaugh-should-be-impeached-for-lying-during-his-confirmation-hearings.html?__twitter_impression=true, passed on to the Bush White House Administration, when Kavanaugh was running the ship, for judicial nomination decisions .

This is when there was a very uncomfortable, eerie silence with Kavanaugh, oh, and lots of water sipping, his strong point.

Then, Leahy continues by asking about meeting with outside individuals, sharing more classified intelligence with Miranda, snatched out of Judiciary Committee.

Lindsey Graham was in rare form, on point, hitting Kavanaugh on his relationship with Catholic Charities.

Kavanaugh defended practices of Catholic Charities, expressing in detail, how he "helps out people and children who need help". (a.k.a. Foster care and Adoption, or rather "Trafficking Tiny Humans").

He probably had his talking points from the American Enterprise Institute, the privatization policy home of the Madame Maura Corrigan (said in a high British accent).

Well, I guess he will be recusing himself on just about all the cases coming before SCOTUS.

How does Kavanaugh wish to be remembered as a Justice of SCOTUS?

Well, he said as a "good dad, a good husband..." and absolutely nothing about civil rights, due process, the rule of law, equal treatment under the law, justice, and nothing about the people, but alot about himself.

I could go on about the Florida "chads" or other situations of his White House career, but, instead, I am just going to put it out there that it looks like he will be recusing himself on just about all the SCOTUS docket that will be coming up for 2019 based on his own stare decisis on that god-awful "attorney-client privilege", particularly when it comes to Whitewater.

See, he argued on behalf of the United States to strip attorney-client during Whitewater.

The Independent Counsel (Kavanaugh) argues that the attorney-client privilege should not prevent disclosure of confidential communications where the client has died and the information is relevant to a criminal proceeding. 

Learn more: BEVERLY TRAN: Do The "Legal Geniuses" Of The Detroit Land Bank Authority Have An Attorney Client Privilege Issue Like Trump & Stormy? http://beverlytran.blogspot.com/2018/05/do-legal-geniuses-of-detroit-land-bank.html#ixzz5QFz6ukHF
Stop Medicaid Fraud in Child Welfare 


Whitewater is back on the table, which means he would have to redo all his own, wonder, opinions in his court.

That is going to be awkward, yet, oddly entertaining watching the "Legal Geniuses" (trademark pending) squirm their way out of responding to the Catch-22 of using their own lower court decisions against themselves.

I have yet to even mention that there is a possibility that he will be called to testify about his time in the Bush Administration and its launch of privatization through Faith Based Funding slush funds.

Anyway, for the following reasons, besides the fact that the Senate already had a lockdown on the nomination before the hearings, I support his nomination so we can put him on the stand on his cover up and profiting in the industry of Trafficking Tiny Humans.

Kavanaugh sat on the appeals panel for the False Claims Act case, dealing with Medicaid Fraud in Child Welfare, reversing so the lower court could issue opinion on the tolling of the statute provision of the Act, because the court sided with MAXIMUS covering up Medicaid Fraud in Child Welfare on behalf of the private contractor.

The kids got screwed, or rather the privatized agencies covered up the Trafficking of Tiny Humans with the assistance of Kavanaugh.

I wish someone Lindsey would ask him about that.

Did I emphasize that MAXIMUS was engaging in Medicaid Fraud in Child Welfare?

Oh, I did?

Well, did I tell you about MAXIMUS GOODLATTECUS and how MAXIMUS funds political campaigns with all that Medicaid Fraud in Child Welfare? 

Ok, fine.

Did I tell you about MAXIMUS, being all Russian Corporate Shape Shifting, with all its children's trust funds?

No?

Well, click here to learn about MAXIMUS.

(Can you tell I have an issue with MAXIMUS?)

Sunday, September 2, 2018

Cocktails & Popcorn: Judiciary MAXIMUS GOODLATTECUS Has More TEVA SCOTUS Issues

Related image
Trump giving MAXIMUS GOODLATTECUS
the "Stinky Touch"
Oh, Bob....Bob, Bob, Bob.

Is this why TEVA likes you so much?

"In its favorable report on the AIA, the House Judiciary
Committee noted that inclusion of the phrase “available
to the public” in proposed Section 102(a)(1) was intended
in part “to emphasize the fact that [prior art]
must be publicly accessible.” H.R. Rep. No. 98, 112th
Cong., 1st Sess., Pt. 1, at 43 (2011)." page 24.
That "favorable report" came from the majority.

The minority offered an amendment to basically strike everything in the American Invents Act.

John Conyers, Jr. & Elijah McCoy's grandson
Detroit U.S. Patent & Trademark Office
I remember it because it was dealing with patent trolls and those fake ass business patent models filed by attorneys to hide the fact that the patents are held by Corporate Shape Shifters who are foreign nationals like the Detroit Development Fund as legal money laundering schemes with that God awful "attorney-client privilege" thang.

That is when Detroit got the first satellite U.S. Elijah McCoy Patent and Trademark Office.

Hey Bob, did you know I like to call you MAXIMUS GOODLATTECUS?

Something tells me that your last few months in office are not going to be very pleasurable, but I guarantee you, they will be memorialized.

But, hey, what do I know?

"Have a great day!"




And the moral of the story is: "Do not be mean to my Sweetie. Period."

Voting is beautiful, be beautiful ~ vote.©

Sunday, July 29, 2018

How Russians Run The U.S. Child Welfare System: Real Estate, Political Campaigns & Child Support

Image may contain: text
Child Support Order
CREDIT: Lamont Cassell 
Eric Scharfenberger speaks to the Judicial Council of California on how his child was Legally Kidnapped and was forced to pay child support that he could not afford through the financial fraud schemes of Title IV-D.

Unfortunately, he failed to mention the other child welfare fraud schemes in Medicaid, Title IV-A, B, & E.

Shirley Moore was the first in California to pull the corporate and land records to find out that there are separate corporations that own the functions of the courts, where the checks are made out to the corporation, and not the government.

Then, he also failed to recognize MAXIMUS, the privatized contract administrator of child support for California.



Did you know MAXIMUS also funds political campaigns with child support?

So, in essence, this father should ask Bob Goodlatte to give all that Title IV-D campaign money back to the children.

This is just an example of the amount of money MAXIMUS wastes in pervasive, privatized contracts, specifically targeting "The Poors" (always said with clinched teeth) that end up engaging in complex financial fraud schemes to fund political campaigns and trust funds.

The following article is an example out of Wisconsin.

MAXIMUS Awarded $11.7 Million Enrollment Broker Contract for Wisconsin Department of Health Services

RESTON, Va.July 24, 2018 /PRNewswire/ -- MAXIMUS (NYSE: MMS), a leading provider of government services worldwide, announced that it has signed a new contract with the Wisconsin Department of Health Services to operate the state's Medicaid Enrollment Broker. The contract was awarded on November 1, 2017. The four-year base contract has three one-year option periods, for a total contract value over seven years of $11.7 million if all option periods are exercised.
An enrollment broker is an individual or entity that provides unbiased education and enrollment services to help Medicaid beneficiaries select health plans that are most appropriate for them. Under the Wisconsin Enrollment Broker contract, MAXIMUS will serve the members of the state's managed care programs, Medicaid SSI (Supplemental Security Income) and BadgerCare Plus. MAXIMUS professionals will provide member call center support, including choice counseling and enrollment in a Health Maintenance Organization (HMO), through multichannel communications. The Company will inform and educate members regarding choice options, as well as data entry of enrollment choices and exemption/disenrollments in the state's Medicaid Management Information System (MMIS). In addition, MAXIMUS will be responsible for tracking and reporting on call center statistics, to further improve operations and customer experience.
"MAXIMUS has proven experience in providing customer contact operations to nearly 45 million state Medicaid beneficiaries across the country, demonstrating our status as a market leader for Medicaid. We look forward to assisting the people of Wisconsin with understanding their health insurance options and choosing the health plan that best meets their needs," commented Bruce Caswell, President and Chief Executive Officer of MAXIMUS.
MAXIMUS brings unrivaled experience in helping states administer and operate large-scale government health benefits programs. The Company helps 19 states and the District of Columbia operate their Medicaid programs. Having managed large-scale program operations on behalf of states, MAXIMUS offers Wisconsin both a deep understanding of the state's population and the capacity and scalability to support the state's long-term efforts in helping individuals and families secure affordable health insurance.

CIKCompanyState/Country
0001372897MAXIMUS CAPITAL FUND L PTX
0001167471MAXIMUS CAPITAL LLCNY
0001620026Maximus Development Fund II, LLCCA
0001372183Monaker Group, Inc.
SIC: 4700 - TRANSPORTATION SERVICES
formerly: MAXIMUS EXPLORATION CORP (filings through 2008-10-01)
Next 1 Interactive, Inc. (filings through 2015-06-26)
FL
0001037403MAXIMUS FUND I LLC
SIC: 6200 - SECURITY & COMMODITY BROKERS, DEALERS, EXCHANGES & SERVICES
IL
0001507411Maximus Holdings Inc.CA
0001032220MAXIMUS INC
SIC: 7389 - SERVICES-BUSINESS SERVICES, NEC
VA
0001353773MAXIMUS MEDIA GROUP LLCCA
0001552045Maximus Media Worldwide, Inc.PA
0001417707Maximus Ventures Ltda8
0001021120MAXIMUS VENTURES LTD/FI
formerly: ESSEX RESOURCE CORP /FI (filings through 2002-06-10)
A1

Orbis Asset Management
http://alpharock.com/max-shishlyannikov/
This is the asset management of MAXIMUS, called ALPHAROCK.

Everyone meet Max Shishlyannikov, the man who invests your child support payments, including the arrears and administrative fees, into political campaigns and real estate and whatever other dark projects they are into.

Sometimes MAXIMUS will just keep the child support a parent pays.

Sometimes MAXIMUS will even get contracts to administer other child welfare programs, like foster care and adoption, and skim, oops, I meant to say "optimize profits" from Medicaid.

Maxim Edward Shishlyannikov
Co-Founder and Chief Investment Officer

Mr. Maxim Edward Shishlyannikov is the Co-Founder and Chief Investment Officer of Orbis Asset Management, and has served in these roles since 2015.

Orbis Asset Management aims at providing attractive risk return opportunities to investors in the alternative space. Orbis Asset Management is a member of the Allrise Group.

 Mr. Shishlyannikov also serves as Chief Executive Officer of George Washington Lending, Inc. – a company engaged in providing private financing opportunities to the real estate developers.

George Washington Lending, Inc. funded more than 300 re-development projects in California, Nevada, and New Jersey and currently managing loan portfolio totaling over $70 million.

 Mr. Shishlyannikov co-founded and directed ATM Financial, Inc. building in only 2 years a full-service mortgage organization with offices in Oakdale, Pleasanton, Sacramento, and San Francisco.

 ATM delivered its clients a full range of mortgage products through 78 mortgage professionals. Prior to co-founding ATM Financial, Inc., Mr. Shishlyannikov worked at Bonus Financial Management, a Moscow-based investment banking partnership.

 Serving as the Head of Fixed Income, Max increased partnership revenues by 120% and within a year was promoted to CFO and Partner.

Two years later he launched Bonus Financial Management operations in the United States, creating and leading ELPOINT in San Francisco.

As a General Partner, Max raised more than $150 million as VC capital and participated in two reverse mergers of Russian chemical companies with US shell companies.

Maxim Edward Shishlyannikov received his MBA and BS in Accounting and Finance from State Financial Academy of Moscow, as well as BA in Philosophy from Moscow State University.

I wonder how much TARP MAXIMUS snatched through child support.

I wonder how many political campaigns were funded through child support.

We should go ask Bob Goodlatte because he should know why Judiciary refused to address the issues.

Voting is beautiful, be beautiful ~ vote.©

Tuesday, October 11, 2016

Privatization Always Begins In Child Welfare Policies

The genisus of all policy development is found within child welfare.

Privatization began in child welfare, in Michigan, which is more than just dealing with social norms in raising children.

Privatization quickly evolves to expand into the realms of property ownership, criminal & civil justice, voting rights and education as these are funded through the Social Security Trust fund, and these people want to get their hands on it, badly.

This report details just how badly these actors are creating layers, upon layers of administrations and fees through the privatization of governmental services, to generate profit off "The Poors".

I only wish the report addressed the contraints in oversight and the lack of regulation.

If the U.S. House Judiciary Committee is going to continue to advance criminal justice reform, it is going to have to address child welfare and privatization.
Voting is beautiful, be beautiful ~ vote.©

Monday, April 6, 2015

MAXIMUS, The "Poors" and Medicaid Fraud: A Religious Love Story of Profit

If big banks are cashing in on SNAP, then what do you think is going on with the contracted administrators of State run child welfare programs?

My favorite mega corporate administrator of social welfare programs is MAXIMUS, Inc.

Notice how there is no access to information on Children and Family Services and there is a reason why, or rather I have developed an hypothesis which needs to be challenged.

MAXIMUS has contracts with multiple States in handling child support and adoption subsidies.  As a result, they have been found, only on a handful of occasions, to be found with their hand in the cookie jar.

Of course, MAXIMUS has always been in the mix when it comes to cashing in on federally subsidized welfare programs.

MAXIMUS is your "go-to" privatization corporation.  Yes, that is correct, MAXIMUS is a leading player in the race to privatize the social safety net and this is why:  Religious Freedom.

Yes, #MAXIMUS is a Religious Freedom Restoration Act advocate, whether knowingly or willingly.

Why?  Because you cannot audit God and they want the Social Security Trust Fund.

So, if you think Big Banks are cashing in on federal social welfare programs, never forget to look at the contractual administrators like MAXIMUS.

#MAXPAC

Medicaid fraud in child welfare is a secret cash boon for MAXIMUS.
MAXIMUS might get mad and tell God to cut off "the poors"


If the feds, and I most definitely include state and federal elected officials and administrators, are so concerned with waste, fraud and abuse in programs like SNAP, then I suggest they stop attacking "the poors" and start going after the biggest wasteful loophole in the social safety net, and that is the layers upon layers of creatively constructed administrative fees.

Lest we fail to mention, child welfare programs are excluded and exempted from any disclosure or scrutiny.  God forbid anyone challenges the corporate protocol of "the best interests of children" on the road to privatization.

The more "poors" created through economically sardonic policy initiatives (see the Ryan Budget House Budget Committee Report directly below); the greater the profits for the corporations who now claim to possess a religious belief.

This includes the Medicaid Expansion Tales.  (Coming soon).

By the way, did I mention #MAXIMUS ?  <==Click the link.


The Agricultural Act of 2014, signed into law by President Obama last Friday, includes $8 billion in cuts to the Supplemental Nutrition Assistance Program (SNAP) over the next decade. One way the bill proposes to accomplish these savings is by reducing food stamp fraud. When the new farm bill is enacted, many of America’s hardest working families will experience cuts in services and have trouble putting food on their family’s table. But there will be major gains for an industry that most Americans might not expect: banking.
Banks reap hefty profits helping governments make payments to individuals, business that only got better when agencies switch from making payments on paper—checks and vouchers—to electronic benefits transfer (EBT) cards. EBT cards look and work like debit cards, and by 2002, had entirely replaced the stamp booklets that gave the food stamp program its name. SNAP is the most well-known program delivered via EBT, but they also carry payments for Temporary Aid to Needy Families (TANF); Women, Infants and Children (WIC); childcare subsidies; state general assistance; and many other programs. EBT use is widespread, from the corner store to the supercenter. According to a 2012 USDA report, SNAP funds, averaging $133 per family member per month, can be spent at more than 246,000 authorized stores, farmers' markets, farms, and meal providers nationwide.
Not only are the operating costs of delivering benefits by EBT lower—no paper checks to cut, envelopes to stuff, or postage to pay—but electronic forms of payment allow banks to multiply opportunities for revenue generation. Banks hold contracts with federal, state, and municipal agencies to provide EBT cards and services, collect interest on federal reserve money held for government programs (though not on SNAP funds), charge transaction fees for merchant use of bank technology and infrastructure, and levy penalties on users for EBT card loss, out-of-network use, and balance inquiries. Banks make money distributing government benefits if the economy is bad, because more people sign up for assistance; they make money if the economy is good, because rising interest rates mean more profit on the money they hold to distribute to beneficiaries.
Distributing government benefits is a lucrative industry. According to theGovernment Accountability Institute, J.P. Morgan Chase, which currently controls EBT contracts in 21 states, Guam, and the Virgin Islands, made more than half a billion dollars between 2004 and 2012 providing government benefits to U.S. citizens. In New York alone, J.P. Morgan Electronic Financial Services (EFS) holds a nine-year, $177 million EBT services contract with the State Office of Temporary and Disability Services (OTDA). New York currently pays $0.95 per month for each its 1.7 million SNAP cases. In addition, J.P. Morgan EFS collects penalties and fees from benefit recipients: $5 to replace a lost EBT card, $0.40 for each balance inquiry, $0.50 each time their cards are declined for insufficient funds, and $1.50 per withdrawal if they use ATMs to get cash more than once a month. While information about profit margins on EBT contracts is neither collected at the national level nor released by banks, EBT is a significant growth area for big banks. Last year, the Federal Reserve Payments Study reported that the number of EBT transactions more than doubled since 2006.
Electronic benefits delivery is such a rewarding business that banks seem to fear only two things: policy changes and bad publicity. The publicity problems of EBT programs became obvious over the last three months of 2103 when three major EBT system failure scandals erupted. The threat of policy change is perhaps less visible. New regulations could take distribution of these benefits out of the hands of for-profit banks, limit the fees they are able to collect, or mandate a switch from EBT cards to different kinds of electronic funds transfer with fewer opportunities for generating revenue, such as direct deposit. But banks have nothing to fear in the new Agricultural Act; it’s only good news for the finance sector.
The new farm bill lowers benefit levels somewhat, exempts new categories of people—college students, ex-felons, and lottery winners—from SNAP eligibility, and prohibits advertising to increase enrollment of eligible individuals, like radio and television campaign launched by the USDA in 2004. But the bill's sponsor, Representative Frank Lucas (R-OK), and other members of the House Committee on Agriculture seem to trust that detecting and preventing fraud will accomplish much of the hoped-for savings. The new Act includes numerous fraud-fighting provisions, including those that:
  • Require merchants to maintain unique terminal identification numbers for point of sale machines, further restrict the kinds of food that can be bought with SNAP, and bar manual sales of food items without bar codes;
  • Improve procedures and technologies to facilitate state-to-state and state-to-federal information sharing;
  • Invite federal-state collaborative pilot projects to “identify, investigate, and reduce fraud” by merchants; and
  • Set aside $40 million to help the USDA store information, such as food purchase data from chain stores and loyalty card companies, and data-mine it, by linking store sales and EBT transaction data at the household level to uncover purchasing patterns, for example.
In short, the SNAP fraud provisions will increase the ability of state and federal agencies to track who bought what food, where, and for how much. A vast amount of information on the purchases of millions of U.S. citizens will be collected by state agencies and private entities, stored by the USDA, and data-mined for patterns of EBT use that indicate fraud.
Why will this intensified focus on fraud work out so well for banks? First, banks innovate and control the most cutting-edge technologies that detect and prevent fraud in electronic funds transfer. The financial sector employs armies of computer programmers, IT specialists, and software engineers, and banks hold dozens of patents on biometric technology, data-mining systems, and payment tracking software. State and federal agencies can develop fraud-fighting code and procedures themselves, but many lack sufficient capacity and choose instead to contract with banks. Florida, for example, piloted an eight-month EBT abuse detection project in 2012 that was staffed by both J.P. Morgan and state employees, as Peter Schweizer reported in The Daily Beast. The anti-fraud provisions of the farm bill, thus, provide a significant opportunity for more, and more lucrative, contracts for banks.
Second, fraud in food stamps, despite public perceptions, is already low, and getting from very little fraud to zero fraud is prohibitively expensive. This is especially true for trafficking—the trading of SNAP benefits for cash—the most common form of SNAP fraud. Merchants and recipients must work together to traffic SNAP benefits. Recipients approach a merchant, who might offer 50 cents on the dollar to convert food stamps to cash. The merchant runs the EBT card, hands over cash, and then reports sales for reimbursement by the Treasury. Current fraud detection and prevention focuses on suspicious patterns—merchants who claim lots of even-dollar sales, recipients who spend all of their SNAP benefits in the first week of the month—but traffickers have adjusted quickly, learning to input odd dollar amounts and to spread requests for reimbursement over time.
The USDA estimates that the amount of SNAP benefits being trafficked has been reduced by 61 percent since 1993. According to a March 2011 Food and Nutrition Service (FNS) report, for the period of 2006-2008, trafficking diverted about 1 cent of each benefit dollar. Trafficking is difficult to detect and prevent, because retailers and recipients who commit fraud adapt as fast as banks, states, and the USDA can develop new data-mining and investigative procedures. This fraud-detection arms race is expensive and time-consuming for government agencies and contractors, and adds cumbersome limits and procedures for users—both merchants and recipients—most of whom aren’t committing fraud.
What cost are we willing to bear to reduce SNAP fraud to less than a penny per dollar? Federal and state government agencies invest astronomical sums in high-tech tools to address a financially negligible problem. For comparison's sake, while we lose $330 million a year to SNAP trafficking, Ashlea Ebeling of Forbes estimates that the U.S. government loses $40 to $70 billion a year to offshore tax evasion. Nevertheless, in 2012, the FNS conducted 4,396 undercover investigations of retail grocers suspected of fraud, at an undisclosed cost to taxpayers, identifying violations in about 40 percent of cases. In 2011, Alabama's RFP for EBT services strongly encouraged potential vendors to “recommend the use of new and innovative technologies” to “improve detection and prevention of fraud” and integrate biometrics in their proposals for the state’s SNAP program. The five-year Alabama contract, worth $51 million, went to Xerox, the same company that denied SNAP users in 17 states access to food for several hours when they shut down their EBT system without any warning last October.
Third, only three firms handle the majority of EBT contracts with states and U.S. territories: J.P. Morgan EFS (23 contracts); Xerox State and Local Solutions, Inc. (17 contracts); and eFunds Corporation, a subsidiary of FIS Global (11 contracts). On February 10, J.P. Morgan confirmed that it plans to sell its prepaid card business, including U.S. Public Sector and EBT programs, after suffering a serious data breach on debit cards used at Target stores and facing inquiries from Connecticut and New York about its lack of sufficient privacy safeguards and high card fees. This may leave even fewer players in the mix, and that’s a bad thing, according to Michele Simon, author of the report, "Food Stamps, Follow the Money: Are Corporations Profiting From Hungry Americans?", who provided a copy of the New York/J.P. Morgan EBT contract for this story. When so few firms control such significant market share, it implies limited competition and excessive market power. Simon suggests, in fact, that the recent changes to SNAP represent a large, mostly overlooked corporate subsidy. “The real policy challenge in SNAP is not fraud. It is the fact that we have an $80 billion a year program that does not solve hunger, and certainly does not provide good nutrition, but instead is a boon for banks, big box retailers, and junk food companies.”
If banks are secret winners, the losers are pretty clear: taxpayers, particularly those who receive nutritional support through the SNAP program. That’s one in seven Americans at this moment, and 52 percent of all Americans at some point in their lifetimes, according to Mark Rank, author of One Nation, Underprivileged: Why American Poverty Affects Us All. Put simply, the Agricultural Act of 2014 takes money from a program that serves the majority of Americans and gives it to banks and high-tech companies.
But it does something else. These provisions improve a system meant to collect information on the food purchases of more than half of the U.S. population, and fund the development of increasingly sophisticated technology to sift and analyze it. In the same year that we expressed shock and outrage that the NSA is collecting meta-information on our cellphone calls and Google searches, why are we acquiescing, even welcoming, a sophisticated new program to collect American consumer information? Do we really want the federal and state governments data-mining our grocery lists?
We need a solution that contains bank profits and prevents this kind of mass surveillance. The answer’s simple: stop trying to predict fraud, eliminate complicated rules about what can and cannot be bought with food stamps, and switch to direct deposit.
A key challenge of this solution is connecting benefits recipients with affordable bank accounts, because for-profit banks are not particularly interested in low-balance, high-transaction customers. But, according to Aleta Sprague, policy analyst in the Asset Building Program at the New America Foundation, strategies that focus on eliminating barriers to bank accounts will provide significant benefits for poor and working Americans. Connecting benefits recipients to the financial mainstream poses real challenges to both the public assistance system and current financial practices, but there are intriguing experiments already underway. In Washington state, for example, a collaboration of the Department of Commerce andBurst for Prosperity is connecting households on public assistance with affordable banking services and requiring that no-fee accounts be included in future EBT provider contracts.
“Instead of seeking to monitor and regulate every purchase a low-income consumer makes,” says Sprague, “we should recognize and capitalize on the potential of the public assistance system to serve as a mechanism for financial inclusion. That way, rather than constructing the safety net around distrust of the poor, we would leverage the system to increase families’ financial autonomy and capabilities.”
Direct deposit is more efficient, cheaper, and requires less administrative oversight. That’s why the IRS, Social Security, and Unemployment Insurance encourage us to use it. What direct deposit would not allow is paternalistic rules about how public assistance beneficiaries choose to use their resources to best support their families. Treating SNAP recipients like the reasonable, hard-working adults they are is not only simpler and less expensive; it is most just. 
Voting is beautiful, be beautiful ~ vote.©

Tuesday, July 26, 2011

Maine Will Not Eat Its Medicaid Meat


Working fast to fix Medicaid billing

If Maine can get its system to conform to federal standards, the U.S. government would increase matching funds.

AUGUSTA - The state's recently approved budget assumes that Maine will receive nearly $17 million if it can get its Medicaid billing system to meet federal standards.
Since it switched computer systems in 2005, and again last year, the state has not been able to gain federal certification. That's important because it has been costing the state money for several years.
This is the lamest excuse I have ever seen published as media spin.  Yes, the computer system may have played a small part of the issue in gaining federal certification, but the real reason lies in the area of Medicaid fraud in child welfare.  Here are $29,759,384 reasons the feds found to support my statement.
HHS Appellate Decision on Maine Department of Health and Human Services 2009 Targeted Case Management
The state currently gets a 50 percent match from the federal government for Medicaidservices -- but if the system meets federal standards, the state would get a 75 percent federal match.


It is not the computer system, it has to do with the lack of regulation.  In child welfare, a child will be placed under the auspices of the state for simply needing resources, whether educational or medical.  Then, the powerful child abuse propaganda machines will parade for more money, called lobbying, all paid through tax dollars, to continue its sustainable practices of phantom billing, double billing, kickbacks, and fraudulent billing.


The state lost Medicaid funds and the Federal Financial Participation Rate was decreased because Maine just would not get its act together in child welfare.


Do not think Maine is alone.  Every single state that is crying the blues about its Medicaid has been penalized by the feds.  They do not want to be compliant and provide for its citizens yet want more money to keep doing what they are doing.




"Take care of the people. How can you get any more Medicaid dollars when you let the children suffer?"


How can a state provide for its citizens when it will not protect its children.  That is why the feds cut Maine's Medicaid funding.  It jacked it up.

"We're cautiously optimistic on certification," said Stefanie Nadeau, director ofMaineCare Services. "We are working feverishly to resolve provider issues. Unfortunately, we've hit a couple of bumps in the road."


Those "bumps in the road" are called "fraud".


Maine Targeted Case Management Audit 2007
MaineCare is the state's version of the federal Medicaid program, which provides health insurance to low-income Mainers.
For years, Paula Benson, who handles the MaineCare accounts at the Achilles Foot & Ankle Center in Augusta, has struggled to get claims handled properly in a timely manner. In January, she and her husband Daniel, a podiatrist, signed up for one of Gov. Paul LePage's Saturday meetings with the public to express their concerns about the system.
"We showed him our error rate was at 40 percent," she said.
LePage designated someone at the Department of Health and Human Services to take calls from Paula Benson when she had trouble with the system. Since then, the error rate has dropped, but 50 to 60 claims out of 600 are still erroneously rejected each month, she said.


Governor LePage will not make formal content because he advocates for the new model of social infrastructure which is the construction of the poverty industrial complex.  By unraveling the social safety net and repealing child labor laws and standards, corporations are free to come in and partner with the state through quasi-governmental partnerships to secure, not just the old funding streams of the social safety net, but to acquire new, cheap labor through the "nurturing of children", the new corporatized foster care.
That compares to one Medicare rejection each month on about 400 claims, she said. Medicare is health coverage for the elderly.
Nadeau said the system handles a large number of claims each month -- nearly 1 million -- and that the state pays out $30 million in claims each week. The state is preparing for a team of federal auditors to visit the state this fall -- possibly the end of September or early October -- to test the system to see if it can be declared federally compliant.
Benson doubts it will be ready in time.
"I don't think it's realistic," she said. "I do not think it will happen."
The state hired Molina Healthcare, based in California, to install the new system and to run a call center where the state's providers can get help with problems. In addition to Maine, Molina has contracts with Idaho, Louisiana, New Jersey and West Virginia to manage Medicaid billing systems.


Molina and other companies such as MAXIMUS, make enormous profits off of the poor in what is called administration fees and other sophisticated revenue-maximization schemes.  Maine's computer system problems allowed the state to generate revenue off the backs of the needy.
There are 5,000 enrolled MaineCare providers who must process claims through the Maine system. They range from hospitals and nursing homes to podiatrists and mental health agencies.
The state does provide bridge payments to those who are having trouble getting claims processed properly. The temporary payments are designed to keep money flowing to the providers while kinks continue to get worked out of the system.
"There's a large majority of issues still out there yet to be resolved," Nadeau said. "If you're the provider who is having your cash flow impacted, it does not seem like a positive experience."
To help providers better understand the system, DHHS conducted 26 forums across the state this spring.
Members of the Legislature's Health and Human Services Committee say they hope the department and Molina will be ready to reach compliance.
Rep. Margaret Craven, D-Lewiston, said she received a complaint about the system from a constituent about three weeks ago. She said Molina, which has run similar systems in other states, should be held accountable for reaching federal compliance.
"I'm hoping over hope we're going to reach that threshold," she said.
House Committee chairman, Rep. Meredith Strang Burgess, R-Cumberland, said she's heard from developmental disabilities providers who continue to have trouble.
"As a new administration came on board, the committee made it really clear to the department that they should put as high a priority as possible to make sure the computer system becomes fully functional," she said.
She described the $17 million in budgeted savings as a "placeholder," noting that there will be several tests and deadlines that must be met to win certification. But she said the September 2010 switchover was done in a more thoughtful way -- for one thing, they ran two systems simultaneously for several weeks -- to put less stress on providers.
"We will not allow the crazy computer errors to go on like they were in the past," she said.