Showing posts with label Sioux. Show all posts
Showing posts with label Sioux. Show all posts

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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Thursday, September 11, 2014

DOJ Files Amicus Brief in Support of Native Americans Lawsuit of Civil Rights Violations in Taking of Children

Long after the Trail of Tears Native American children have been removed from families and placed in Christian boarding homes to be "assimilated" under the guise of abuse and neglect.

The practice of "assimilation" (stripping of culture, language, indoctrination of Christianity) only recently ended in the late 1990s but continues in the blatant violations of the Indian Child Welfare Act.

The funding nomenclature of these activities is simply termed, "Targeting".

Targeting is designed to focus on "vulnerable populations".

Vulnerable populations are just that; people of color.

It is easiest to see the target when the bullseye is based on the pseudo-science of racial profiling and no oversight of due process; hence, the purposes of this DOJ filing.

The time has come to illuminate the egregious practice of civil rights violations in child welfare.

Amicus Brief of U.S. in support of Sioux Tribe on civil rights violations of Native children and culture

Justice Department Supports Native Americans In Child Welfare Case

The Justice Department has weighed in on a class-action lawsuit in South Dakota pitting Native American tribes against state officials, and come down resoundingly in support of tribes.

It's the first time the department has intervened in a federal district court case involving the Indian Child Welfare Act, a law meant to keep Native American families together. The department filed an amicus brief.

In the suit, tribes claim the state is failing to abide by the 36-year-old federal law, removing hundreds of Indian children from their families in court hearings where parents are rarely allowed to speak, and that often last less than 60 seconds.

The children are then placed in foster care, where they may stay for months or years.

"It's disgraceful," says Stephen Pevar, who is a senior staff attorney at the ACLU, which has brought the suit along with the Oglala Sioux and Rosebud Sioux tribes.

As part of the lawsuit, the state had to turn over rarely seen transcripts of 120 recent court hearings. In every one, the Native American children were taken into state custody.

Not a single parent was allowed to testify at the hearings. Most were not allowed to say anything except their names.

"These were virtually kangaroo courts," Pevar says. "There was nothing, nothing that any of the parents did or could have done. It was a predetermined outcome in every one of these cases."

In one case cited in the lawsuit, children were taken away from a mother who the state said was neglectful. Their father, who was divorcing the mother, appeared at the hearing and said, "I am here. Please give custody of my children to me." The judge placed the kids in foster care.

In another example, a mother returned home from work to find her children had been taken away when her babysitter got drunk. She went to the hearing to explain she was the mother. Her children were also placed in foster care.

"This violates every concept of humanity," Pevar says. "If you have a right to a prompt hearing when [your] automobile is seized, they have a right to a prompt hearing when their children are seized."
State officials declined NPR's request for comment, citing the ongoing lawsuit. Pevar says the suit has been a long time coming.

"There is a crisis in many parts of the United States, and there has been one for decades involving the forceable removal of Indian children from their homes by state judges and social services employees," he says. "This lawsuit seeks to do something about it."

In its brief, the Justice Department wrote that state court and state officials with the Department of Social Services have an obligation to "actively investigate and oversee emergency removals of Indian children to insure that the removal ends as soon as possible, and that Indian children are expeditiously returned to their parents or their tribe" from the beginning of the process with the first court hearing to the end.

The Indian Child Welfare Act mandates that states place children with their tribes, their relatives or Native American foster parents if they have to be removed from their families.

In South Dakota, almost 9 out of 10 Native American children are placed in non-Indian homes or group homes, says Chase Iron Eyes, a staff attorney with the Lakota People's Law Project.
"It's a human rights crisis what's going on," he says.

This year, 7 of the state's 9 tribes applied for federal planning grants, with the help of the law project, in an effort to develop their own foster care programs. State officials have said they support that effort.

"We're trying to turn the whole system around," Iron Eyes says, "and give that power back to where it belongs — the power to raise our own families."

Iron Eyes says the future of Native American tribes depends on it.

Transcript

MELISSA BLOCK, HOST:
The Justice Department has weighed in on a case in South Dakota, where Indian tribes charged that too many of their children are put in foster care improperly. In a rare move, the DOJ is supporting the tribes in a class-action lawsuit. The tribes say, the state is violating the 36-year-old Indian Child Welfare Act by removing hundreds of children after extremely brief court hearings. NPR's Laura Sullivan reports.

LAURA SULLIVAN, BYLINE: Last year, tribes in South Dakota came together with the ACLU to file a class-action lawsuit against South Dakota courts and state officials. The tribes say, the state has removed their children and placed them in foster care without giving them notice or a proper court hearing.

As part of the lawsuit, the state had to turn over rarely seen transcripts of 120 recent court hearings - hearings where Native American children were taken into state custody and typically placed for months into foster care. Most of the hearings lasted just a few minutes. Others lasted less than 60 seconds.

STEPHEN PEVAR: It's disgraceful.

SULLIVAN: Stephen Pevar is a senior staff attorney with the ACLU, which has brought the suit along with the Oglala Sioux and Rosebud Sioux tribes. Not a single parent was allowed to testify at the hearings. Most were not allowed to say anything except their names.

PEVAR: These were virtually kangaroo courts. There was nothing - nothing - that any of the parents did or could have done. It was a predetermined outcome in every one of these cases.

SULLIVAN: In one case cited in the suit, children were taken away from a mother the state said had neglected them. Their father, who was divorcing the mother, appeared at the hearing and said, I am here. Please give custody of my children to me. The judge placed those children in foster care.
In another example, a mother returned home from work to find her children had been taken away when the babysitter got drunk. She went to the hearing to explain she was the mother. Her children were also placed in foster care.

PEVAR: There's a crisis in many parts of the United States - and there has been one for decades - involving the forcible removal of Indian children from their homes by state judges and social services employees. And this lawsuit seeks to do something about it.

SULLIVAN: State officials declined NPR's request for comment, citing the ongoing lawsuit. This month, the Justice Department sided overwhelmingly with tribes. It has never before intervened in a district court case involving the Indian Child Welfare Act.

The act mandates that states do everything they can to keep native families together and that they place native children with their relatives, tribes or Native American foster parents if those children are removed from their families. Chase Iron Eyes is a staff attorney with the Lakota People's Law Project. He says nine out of 10 Native American children who are taken from their families in South Dakota are placed in non-Indian homes or group homes.

IRON EYES: It's a crisis. It's a human rights crisis - what's going on.

SULLIVAN: This year, seven tribes in the state applied for federal planning grants to develop their own foster care programs.

EYES: We're trying to turn the whole system around - turn the whole ship around - and kind of give that power back to where it belongs - the power to raise our own families.

SULLIVAN: Iron Eyes says, the future of Native American tribes depends on it.

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