Showing posts with label child welfare antitrust. Show all posts
Showing posts with label child welfare antitrust. Show all posts

Saturday, July 30, 2011

Oklahoma Medicaid Fraud In Child Welfare Shredding Policy

For all those naysayers who stay up nights battling the reality that I am proper and factual in everything I post, here is another codified reason why Medicaid fraud in child welfare is kept hidden from the public.

In Oklahoma they have a shredding policy.


Division of Children, Youth and Family Services/Management Support Unit/Operations
37-9 Remittance Statement of Medicaid Claims Paid Confidential Record 10 O.S., §7005-1.1 through 7005-1.8

Description: File contains State of Oklahoma Medicaid Management Information System report, OKMM 2790, Remittance Statement of Medicaid Claims Paid for OKDHS-Child Welfare; and M2790R04, Targeted Case Management, Monthly Statement.
Volume: 2 cubic feet per year

Disposition: Retain in office six (6) months, then transfer to the OKDHS Records Center. Destroy records when they become seven (7) years old provided: (a) all audits have been completed and all applicable audit reports have been accepted and resolved by all applicable federal and state agencies; (b) no legal actions are pending; and (c) approval to destroy documents has been received from the State Records Administrator. If legal action is pending, destroy two (2) years after exhaustion of all legal remedies provided records meet all stipulated retention requirements, and approval to destroy records has been received from the State Records Administrator.
Added October 13, 1999

Monday, February 7, 2011

REINS Drops The Reins On Medicaid Fraud

Oh, this is hilarious.

Here you have a group of individuals who believe regulation is "job killing".  Well, when you are dealing with elected persons who lack administrative sophistication, you must assume their advice comes from their advocates... oops, I mean lobbyists, the same individuals who would significantly benefit from less regulatory mandates.


See, it goes like this, even though all three branches of government have their input into any administrative regulation that comes down, it is actually "job killing" because most of the local governments would not be in operation if they had to be compliant, let alone have to be compliant wtih civil rights policies.  This rings with even more truth when you understand that these "economically significant" new rules that may come down are dealing with privatization, out-sourced by state governments.

Now, let's put this into a more familiar perspective.

States get their Medicaid funding.  Then the contracts to provide child welfare services are privatized.  Even though there is already a moritoria on Medicaid regulation ... oh hell, just watch the video!




Taking aim at federal rules

U.S. Rep. Daniel Webster is among those who want to ease the red tape that often accompanies federal money



In recent weeks, Marion County officials have complained about being hog-tied by the strings that accompany some federal money they receive.
U.S. Rep. Daniel Webster wants to help them by cutting the fiscal ties that bind.
During a recent visit to Ocala, the newly elected Republican said he supports legislation that would empower Congress to approve "major" rules made by federal regulatory agencies deemed to have a significant impact on the overall economy.
The Regulations from the Executive in Need of Scrutiny Act — or REINS Act — defines a "major rule" as one that would have an annual effect on the economy of $100 million or more — or one that causes a "major increase" in costs for consumers, individual industries or government agencies.
Federal grants and awards often have extensive requirements for compliance and reporting that lead local officials to rethink whether they should have even accepted the funding in the first place.
In recent weeks, for example, the County Commission has questioned staff spending under a federal housing grant designed to stabilize neighborhoods with large numbers of foreclosures.
The program, created in 2008 under the $800 billion Housing and Economic Recovery Act, allows the county to buy, refurbish and resell selected properties as a way to slow the spread of blight in emptying communities.
The county initially received $6.3 million toward the effort and is considering whether to take an additional $4.6 million.
Last week, the commission agreed to approach the Federal Aviation Administration to find out whether a ban on aerobatic planes and pilots at the Dunnellon-Marion County Airport would force the county to forfeit at least $2.5 million in federal grants that fund improvements at the facility.
Marion County Public Schools, meanwhile, once devoted an entire department to monitoring federally funded programs and the attached requirements to ensure compliance with Washington's demands.
Webster, in a recent interview, said there must be a way to give local governments more latitude in deciding how those funds can be spent and still comply with the goals set by federal regulators.
He noted that President Barack Obama has even said as much.
In mid January, Obama issued an executive order calling for a "government-wide" review of federal regulations that hamper job creation and adversely affect economic growth.
"We can aid our communities by getting rid of federal strings," said Webster, whose district includes much of eastern Marion, including parts of Ocala and Silver Springs Shores.
Describing these requirements as often "duplicative and oppressive," the freshman congressman, who is also a 28-year veteran of the Florida Legislature, indicated that he believes these regulations eventually catch up to local governments as they do local businesses.
"These are the items I want to dispose of," he added. "Part of Congress' duty is to oversee, and they have not done that."
He also thought Congress should start to write more specific laws to curtail the ambiguity that executive-branch agencies exploit in the absence of concrete direction from lawmakers.
"People and states have had it with the federal government telling them what to do. This just balances what's there," Webster said.
The REINS Act was introduced in January by Rep. Geoff Davis, a Kentucky Republican. The two other Republican congressmen who represent parts of Marion County — Cliff Stearns of Ocala and Richard Nugent of Brooskville — support the measure. In fact, Stearns is a cosponsor and Nugent has asked to be one.
The fourth member of Marion's congressional delegation, Democrat Corrine Brown, is still studying the legislation and has not taken a formal stand.
Not everyone thinks the bill is so great. "While the legislation...may be well-intentioned, it simply misses the mark," U.S. Rep. John Conyers (D-Mich.) told a House subcommittee last month.
He went on to summarize the critics' position:
For starters, the bill overreaches. Congress may make laws, he said, but the REINS Act "unduly trammels on executive authority."
Second, the REINS cure does not target the disease of over regulation.
"Some might argue that there is a legitimate need to strike a balance between protecting the safety and health of all Americans (through federal rules and requirements) and fostering economic growth, job creation and competitiveness," Conyers said.
But REINS "will distort the rulemaking process" and "hamper the implementation of evert single law on the books!" he said.
"By changing the presumption in the Congressional Review Act, and requiring affirmative congressional approval (as opposed to disapproval) for all major rules, this act will serve as a chokehold, and stifle regulatory review, which I am afraid is the real intent of this legislation."
Finally, he said, REINS is based on incomplete economic analysis and "solely addresses the costs of regulation, while failing to account for the tremendous cost benefits that regulations yield."

Regulations From the Executive in Need of Scrutiny (REINS) Act of 2009

Saturday, January 29, 2011

The Art Of War On Fraud

One of my favorite books is the Art of War.

When one is on a mission, strategic plans and loyal supporters come together for a common cause...to end child welfare fraud.


Funk star’s visit kicks off campaign for artists’ rights

By Ian Perrotta
On a recent Saturday night, Kelly’s Bar was taken over by George – George Clinton, that is.
Well, he didn’t really take it over, but even without his trademark dreadlocks his presence was obvious among the usual suspects that make up the Saturday night blues crowd.
Clinton was at the bar attending the monthly meeting of the Detroit Blues Society, which was holding its awards ceremony for lifetime achievement in the industry. He was there to bring awareness to the important issue of recording artists’ royalty rights.
Over the last several decades, Clinton – who rose to fame with the Parliament-Funkadelic music collective in the 70s – has recorded countless songs and albums through a number of projects with various other artists. However, because the recording companies have retained the copyrights to the music, Clinton is now broke and faces homelessness.
It’s an issue that faces thousands of musical artists and their families, and one that is especially inherent in Detroit, where many recording artists were signed to unfair contracts that excluded them from money that was rightfully theirs.
In his pursuit to recapture his copyrights, Clinton has retained legal counsel and brought forth civil claims. But during the course of arbitration his attorney met with record company producers – without notifying Clinton – and after advising him not to attend that meeting, subsequently removed himself from the case two days before court.
Additionally, the attorney has placed liens on Clinton’s accounts, properties and all future settlements. Now being sued for his own music, he has turned into an advocate for music rights. He is currently working in conjunction with Congressman John Conyers and local resident Beverly Tran to bring the issue to the forefront of the national agenda, particularly through House Resolution 848, which is designed to provide parity in radio performance rights.
Though Clinton did not speak at Saturday’s meeting, he did perform an impromptu song. Being a spokesman is still something he’s getting used to, and his presence signaled the beginning of a new era of recording in which artists are not only appreciated for the work they do, but adequately compensated as well.
And while copyright issues will become more important in the coming future, Tran says that the past matters just as much.
“The immediacy of the matter demands attention as individuals are rewriting the history of the world through the methodical annihilation of national treasures which have left legendary black musical artists and their families destitute by claiming royalties without authorization or notification,” says Tran. “The removal of original names of legendary Detroit musical artists and their heirs from the record through the presentation of false documents is corrupting the recorded history of the civil rights movement.

This is my journey through the political process in the United States to end 
Medicaid fraud in child welfare.

Qui tam pro domino rege quam pro se ipso in hac parte sequitur.