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

Saturday, April 11, 2015

Florida, Medicaid and the End of Our Posterity

Florida did not accept the Medicaid Expansion.

Florida will be in direct violation of federal funding for child welfare programs.

Florida will be financially penalized.

Florida children will no longer have services for children.

The religious organizations will take over...everything...including the Social Security Trust Fund.

The posterity of Florida does not look good.   Just watch.

Florida House Overwhelmingly Passes Religious ‘License To Discriminate’ Adoption Bill
Florida State Rep. Jason Brodeur (R)
Florida State Rep. Jason Brodeur (R)
On Thursday afternoon, the Florida House of Representatives voted 75-38 to pass a bill (HB 7111) that would allow the state’s adoption agencies to engage in any kind of discrimination if serving a particular family violates its “religious or moral convictions or policies.” The state contracts with several private agencies to manage its child-placement services, some of which are religiously affiliated. Under the bill, the state could not revoke a license nor refuse any funding to these agencies based on their decision not to place children with certain families.
Unlike how the “religious freedom” bills played out in Arkansas and Indiana, proponents of Florida’s legislation were quite open during this week’s debates about the bill’s discriminatory intentions. On Wednesday, Rep. David Richardson (D) spearheaded efforts to undermine the bill with various amendments that would have carved out nondiscrimination exemptions. His first amendment would have prevented the state from funding organizations that discriminate; the bill’s sponsor, Rep. Jason Brodeur (R) responded, “This amendment does the exact opposite of the entire bill. I was ask that you vote it down.” It was, in fact, voted down 38-78.
From there, other members introduced separate amendments carving out discrimination exemptions for specific classes: one for race, one for marital status, one for sexual orientation, one for gender, etc. Among the amendment sponsors was Rep. Janet Cruz (D), who explained, “I have a daughter who’s gay and I want to make sure she’s never discriminated against if she decides to adopt a child.” In each case, Brodeur offered a substitute amendment — each of which was identical — adding instead only the words, “An act by a private child-placing agency under this subsection does not constitute discrimination.” The substitute amendments passed every time as the House essentially voted in favor of discrimination based on all of those classes.
When Brodeur was repeatedly asked to confirm that his bill would allow the various types of discrimination addressed by the proposed amendments, he usually demurred. Most times, he rejected the premise of the questions, insisting that he was simply protecting “religious freedom.” On at least one occasion, Brodeur did, however, admit the discriminatory intentions of his legislation. Richardson asked him, “If a child-placing agency decided that they had a moral objection to having single moms adopt, would they be permitted under your bill to have that policy and then reject all single mothers from adopting in the state of Florida?” Brodeur responded with a simple, “Yes.” Watch it:
Despite the bill’s passage in the House, advocates are hopeful that it won’t pass the Senate. Rather than existing as a separate bill, the pro-discriminatory measure was considered in the Senate as an amendment to the bill that is actually repealing an unconstitutional statute banning same-sex couples from adopting. The Senate blocked it Wednesday, and there is currently no other Senate bill to serve as a companion to HB 7111, making it unlikely — but not impossible — that the pro-discrimination bill becomes law before the session is over.

Equality Florida chief executive Nadine Smith responded to the House vote in a press release, saying, “Thursday’s House vote sends an ugly message about Florida, whether it becomes law or not. As other states such as Indiana have learned, discriminatory laws under the false guise of religious freedom are widely criticized. They are unfair and unjust, and they also hurt a state’s economy.” She also pointed out that Florida still has no statewide law protecting LGBT people from discrimination in employment, housing, or public accommodations.
Voting is beautiful, be beautiful ~ vote.©

Monday, February 5, 2018

Florida Admits Medicaid Fraud In Child Welfare By Covering It Up With A Constitutional Amendment

Image result for facepalm kid
Florida is just now realizing that they have been lying to
HHS and trafficking kids through foster care
without any due process?
A Florida NGO is pushing a Florida constitutional amendment for foster children to receive legal representation.

The term is Guardian ad litem (GAL) but not all GALs are attorney, well, the majority are not.

Under various federal grant funding agreements, like Targeted Case Management, the States are supposed to assign legal represntation to all children under the auspices of a state.

Remember, boys and girls, it takes a judicial determination for the federal funding spigot to be turned on.

So, quintessentially, Florida is making a public decress of a mea culpa in child welfare fraud by publishing the fact that foster children receive no due process, have no civil rights and a NGO is lobbying for more legal hustle fraud scams to bill Medicaid.

Sounds like the work of the "Legal Geniuses" (trademark pending) of Perkins Coie.

It also sounds like the trafficking of tiny humans

DOJ & HHS OIG need to put Florida in federal recievership.

Opinion: Florida’s foster children deserve legal representation

This year nearly 30,000 children will live away from their parents because our child welfare system brought them into state care.

These children linger in care for an average of almost three years; many experience mental health problems, bounce from place to place, fall behind in school and are separated from their siblings.
These children rely on dependency court proceedings to determine where they will live, who will take care of them, where they will go to school, and how often they can see siblings and other family members. Virtually every aspect of their lives is impacted by decisions made in a courtroom where they are the only party without their own lawyer.

Fewer than 10 percent of Florida's foster children have an attorney representing them in court. The Panhandle is fortunate to have Legal Services of North Florida, which has nine part-time attorneys to provide high quality representation to children in the 16 counties in Northwest Florida. They currently represent 210 of the 2,283 children in out of home care in those counties.

We need to do better for our society’s most vulnerable. Providing these children in care with both an attorney and a volunteer Guardian ad Litem is the national best practice, and it should be adopted in Florida.

There is an opportunity to fix this justice gap by urging the Constitution Revision Commission to place Proposal 40 on the ballot. Proposal 40, filed by CRC Commissioner Belinda Keiser, will provide children removed from their parents due to abuse or neglect the right to legal counsel to help protect their interests. Because their liberty is at stake, these children need an attorney to ensure their due process rights are protected.

An attorney can advise a child on his or her legal rights, legal options, and what happens next in the case, as well as the likelihood of prevailing on stated positions. A lawyer can also ensure confidentiality of communications and is a safe person with whom the child can repose trust.
Not only is it the right thing to do, but evidence demonstrates that providing children with legal counsel would save the state money.

Studies show that children with attorneys representing their interests are able to exit foster care more quickly and are less likely to return to care than their peers. Shorter stays in foster care translates into reduced spending on foster care and group homes, and significant savings in the long run. The ultimate goal for children in state care is to find a home where they can feel safe, stable and nurtured.
The Constitution Revision Commission should place Proposal 40 on the ballot to make Florida the national model for protecting foster children by giving them both a lawyer and a volunteer Guardian ad Litem. Our state’s children deserve better.

Christina Spudeas is the executive director of Florida’s Children First, a statewide advocacy organization focused on protecting the legal rights of at-risk and foster care children.



Voting is beautiful, be beautiful ~ vote.©

Tuesday, October 26, 2010

Will Gays and Lesbians in Florida Finally Gain the Right to Adopt Children?

Will Gays and Lesbians in Florida Finally Gain the Right to Adopt Children?

By JOANNA L. GROSSMAN
Tuesday, Octber 26, 2010



Florida's Attorney General just announced that the state will not appeal a recent ruling in which an appellate court struck down the state's longstanding ban on adoption by gays and lesbians. This ruling, In re Adoption of X.X.G. and N.R.G., puts an end to a forgettable era in which thousands of children were deprived of adoptive homes and thousands of adults were denied the opportunity to be parents -- for no reason other than animus against homosexuals and unfounded assumptions about their abilities to care for children.
The Florida Statute: An Outdated Relic
Under section 63.042(3) of the Florida code, "[n]o person eligible to adopt . . . may adopt if that person is a homosexual." This law is unique: No other state bars all gays and lesbians from adopting children.
A handful of other states do make it hard for gays and lesbians to adopt children, however. Arkansas, for example, enacted a referendum in 2008 that precludes adoption by any adult who is cohabiting with a partner outside of a lawful marriage. And since same-sex marriage can neither be celebrated nor recognized in that state, this prevents any non-single gay or lesbian adult from adopting or becoming a foster parent. Likewise, Mississippi explicitly bans adoptions by same-sex couples, and Utah bans adoption by all unmarried couples. Undoubtedly, too, gays and lesbians in many localities face difficulties in being approved as adoptive parents, even where the formal law does not stand in the way.
But the Florida law did not come as part of the anti-same-sex-marriage wave of laws passed in the 1990s and 2000s. Instead, it is a relic of an early period of controversy over gay rights, in the 1970s. Florida's gay-adoption ban was enacted in 1977, a result of former Miss America (and orange juice spokeswoman) Anita Bryant's nationwide campaign to roll back then-emerging civil rights for gays and lesbians. At the time, "gay rights" was just emerging as an idea and a movement.
Now, three decades later, the idea that an individual could be prevented from adopting an unwanted child -- even one whom he had lived with for years as a foster parent -- solely on the basis of sexual orientation seems shocking. Law and social values have moved well beyond that point. Among other relevant developments, the Supreme Court has struck down laws born solely of animosity towards homosexuals, as well as laws criminalizing private, consensual, same-sex sexual behavior.
On the specific subject of gay and lesbian parenting, the shift has been even more marked. Despite the laws mentioned above that curtail the rights of same-sex couples to adopt, most states have moved to explicitly embrace the rights of gay and lesbians to become parents. Either by court decision or statute, or in practice due to the case-by-case decisions of adoption agencies, gays and lesbians are able to adopt children in virtually every state. In addition, many states have allowed individuals to adopt the child of a same-sex partner, and have allowed same-sex couples to jointly adopt a child. In some states, gays and lesbians can become legal parents of children even without adoption -- by virtue of a same-sex marriage or civil union, or through recognition as an intended or de facto parent. Regardless of the specific context in which gay and lesbian parenting issues arise, the trend is in favor of recognizing parent-child relationships without regard to the sexual orientation of the adult or to the sex of the parent's intimate partner.
The Long Road to Invalidation: Previous, Unsuccessful, Efforts to Block Florida's Law
Despite the trend towards broader recognition of gay and lesbian parenting rights generally, and gay adoption in particular, the Florida law had been upheld against previous challenges.
Years ago, several gay men who served as foster parents in the Florida system challenged the law that precluded them from becoming adoptive parents. The named plaintiff in the case was Steven Lofton, a registered nurse who sought to adopt a boy, born HIV-positive, who had been in his care since infancy. His petition to adopt was denied under the statutory ban on adoption by homosexuals, and he challenged the denial in federal court. (Another plaintiff in the case, Doug Houghton, and the boy he lovingly foster parented but was denied the ability to adopt, is featured in a wonderful documentary on gay fatherhood by Johnny Symons entitled Daddy and Papa.)
The federal district court ruled against Lofton and the other plaintiffs, rejecting all their constitutional challenges. This was not entirely surprising, since classifications based on sexual orientation had not generally been held to warrant heightened judicial scrutiny -- and therefore had mostly been upheld. But while the case was pending before the U.S. Court of Appeals for the Eleventh Circuit, the U.S. Supreme Court decided Lawrence v. Texas , the landmark case that invalidated a criminal same-sex sodomy ban as a violation of the Due Process Clause's right to privacy.
While the full import of Lawrence is still not clear, even seven years later, the ruling robustly protected the right of individuals to engage in sexual intimate relationships without interference by or penalty from the state. It thus seemed to be a virtual no-brainer that a law precluding all practicing homosexuals from adopting -- regardless of their fitness to parent and regardless of any effect on the would-be adopted children -- could not survive a Lawrence challenge.
Lawrence was also preceded by a case that should have thrown this type of law into question. In Romer v. Evans , decided in 2003, the Supreme Court struck down an anti-gay statute in Colorado under the Equal Protection Clause, even without insisting on a heightened level of scrutiny. The Court ruled that laws that are clearly "born of animosity" to a particular class could be struck down under even the most permissive form of judicial review.
Despite these powerful precedents, however, the U.S. Court of Appeals for the Eleventh Circuit upheld Florida's gay-adoption ban in a 2004 ruling, Lofton v. Secretary of Department of Children & Family Services. The ruling took a stingy, acontextual approach to understanding and applying Lawrence, failing to see the substantial and unjustifiable harm that was imposed by categorically denying gays and lesbians the right to adopt children. The U.S. Supreme Court declined to review the case, leaving the ban intact.
In re K.K.G. and N.R.G. : The End of the Florida Statute
But then, a few years later, a new case was brought challenging the gay-adoption ban in Florida. This time, the case was litigated in state court, under state constitutional principles -- and with greater success.
In 2008, in this case (then styled In re Adoption of Doe), a Florida trial court held that the law could not survive even the lowest level of constitutional scrutiny because it lacked a rational basis.  The plaintiff was a man, known in court as F.G., who was denied the opportunity to adopt two brothers whom he had been raising for several years as a licensed foster-care provider.  The child-protection investigator had pleaded with F.G. to take the boys in so they could have "a good Christmas." F.G. was a licensed foster-care provider and agreed to take the boys in while the state sought a permanent placement for them. But after their natural parents had their parental rights terminated, and the children became adoptable, F.G. sought to become their permanent legal father—and thus, he challenged in court the Florida statute that prevented him from doing so. 
The judge held a four-day trial, which focused on the scientific evidence about how children fare when raised by gays and lesbians, versus by straight parents.  It ruled that the "best interests of the children are not preserved by prohibiting homosexual adoption."
A three-judge appellate court unanimously upheld this ruling.  In the appellate ruling, now styled as In re Matter of Adoption of X.X.G. and N.R.G., the court agreed that Florida's gay-adoption ban is unconstitutional. And it is this ruling that Florida officials -- first, the Department of Children and Families, and then the state's attorney general -- have declared they will not appeal, as I mentioned at the beginning of this column.
A possible key to the appellate ruling in favor of gay adoptive parents was a set of stipulated facts:  All the parties formally agreed that F.G. was a fit father and that his adoption of the boys was in their best interests.  It was thus very clear that, but for the statutory ban on adoption by homosexuals, the adoption would have gone forward without a hitch.  But even more importantly, the Department of Children and Families stipulated "that gay people and heterosexuals make equally good parents."
The court analyzed whether the gay-adoption ban could survive rational-basis review (the least demanding standard of judicial review) since the challenge did not involve a fundamental right or suspect class (which would have triggered a higher standard of review).  But even applying this deferential standard of review, the court concluded that the ban violated the equal- protection guarantee of the Florida constitution.  
The state argued that its ban on gay adoption is justified by the desire to provide better role models for children and to minimize the discrimination they might face in their adoptive homes.   But several features of the statute struck the court as irrational, given the state's purported interest in serving child welfare.  No other group — including even the group of parents with previous verified findings of child abuse or neglect, and the group of felons — is categorically excluded from the pool of adoptive parents.   And adoption in Florida is not reserved for those living in traditional family structures: Unmarried couples and single adults can adopt and, in fact, they account for a significant percentage of the adoptions in any given year.  And gays and lesbians, while categorically excluded from adoption, are permitted to serve as foster parents and legal guardians to children in Florida. Indeed, the plaintiff in this case has been foster parenting the two children he seeks to adopt for six years.
Very important to both the trial and appellate rulings is the emerging social-scientific consensus that children raised by gay and lesbian parents fare as well as children raised by straight parents.  Even the experts who testified to the contrary in this case did not, in the appellate court's view, provide sufficient support for a categorical exclusion.  All available evidence, the court noted, suggests that adoption placements should be made based on individualized findings about the adoptive parent(s) and the home and care they will provide for a child.  Sexual orientation is no better predictor of the ability to parent than is any other single characteristic -- such as race, gender, age, health, experience, etc. Proposed adoptions by gay and lesbian parents should thus, the court concluded, be conducted in the same manner as all other adoptions — based on a careful set of procedures designed to evaluate the best interests of the child. 
This ruling -- which effectively means the end of the gay-adoption ban -- will help Florida satisfy its obligations to dependent children. By law, the state of Florida is required to provide dependent children with a stable and permanent home, and has an obligation to seek adoptive placements -- considered the "highest and preferred form of permanency" -- as rapidly as possible. The children at issue also have a liberty interest in avoiding unnecessary confinement in foster care. As the trial court in this case observed, the adoption ban burdened those interests of children by "unduly restraining them in State custody on one hand and simultaneously operating to deny them a permanent adoptive placement that is in their best interests on the other."
Children will be well-served by this ruling, as will be the gay and lesbian Floridians who are willing to provide them a home. There are no losers here.

Friday, November 9, 2018

What Do Wayne County & Broward County Have In Common?

Q: What do Wayne County, Michigan and Broward County, Florida have in common?

A: A County Election Commission DOJ Voting Rights Task Force investigation!

That is correct, the 2018 Primary Election Results for both states have yet to be certified.

FUN FACT! DETROIT CITY COUNCILWOMAN BRENDA JONES SAT ON THE CITY OF DETROIT ELECTIONS COMMITTEE FOR 2016 & 2018!

I wonder if Marc is going to have time in his busy schedule, shuttling between Detroit and D.C., to properly handle this Florida case.

Everywhere in Wayne County there seems to be an issue with these absentee ballots.



RUBIO WARNS: DEMS ARE ACTIVELY TRYING TO STEAL THE FLORIDA ELECTION


Florida’s Broward County Supervisor of Elections Brenda Snipes, head of Broward County’s election board, has repeatedly been accused of misconduct.

The Florida governor and Senate races could lie in her hands. A lawyer tied to the Democratic National Committee and Fusion GPS, the group behind the Steele dossier, has now gotten involved in a recount effort. Republican Florida Sen. Marco Rubio said Democrats are trying to “change the results” of the election, and a liberal said Snipes belongs in prison.

Republican Florida Sen. Marco Rubio is warning that the fate of his state’s governorship could hang in the hands of Florida’s Broward County Supervisor of Elections Brenda Snipes, whom he’s called incompetent for violating state and federal laws. A liberal candidate similarly painted her as incompetent and corrupt.

Democratic gubernatorial candidate Andrew Gillum initially conceded the Florida race to Republican Ron DeSantis, but backtracked after vote totals changed Thursday, narrowing the gap to less than half a percent in both the gubernatorial and senatorial races.

Broward County is often the slowest of the state’s 67 counties to count votes, and its election department has repeatedly been faulted for wrongdoing.

Now, Perkins Coie lawyer Marc Elias has been enlisted in a recount effort. Democratic Sen. Bill Nelson is retaining Elias, who said it’s “not plausible” that, as Broward statistics suggest, 14,000 people voted in sometimes-obscure state-level races but left the Senate one blank. Republican Gov. Rick Scott, who, by initial appearances, beat Nelson in a race for Senate, said Elias will use aggressive techniques to “steal” the election.

Elias worked for both the Hillary Clinton campaign and the DNC during the 2016 election, even before the 2016 presidential candidate became the Democratic nominee, when the two were supposed to be independent. Perkins Coie also hired Fusion GPS during that election to investigate then-candidate Donald Trump, which ultimately resulted in an unverified dossier being sent to the FBI. “Democrat lawyers are descending on Florida,” Rubio tweeted Thursday. “They have been very clear they aren’t here to make sure every vote is counted. They are here to change the results of election; & Broward is where they plan to do it.”
“Bay County was hit by a Cat 4 Hurricane just 4 weeks ago, yet managed to count votes & submit timely results,” the Florida Republican continued. “Yet over 41 hours after polls closed Broward elections office is still counting votes?” Rubio also pointed out that Snipes “doesn’t know how many ballots are left to be counted” and that she isn’t regularly reporting results, which are “chipping away at GOP leads.”
A liberal college professor who ran for Congress challenging Democratic Rep. Debbie Wasserman Schultz from the left, Tim Canova, made similar statements. Wasserman Schultz resigned as head of the Democratic National Committee (DNC) after leaked emails showed party officials seeking to rig the 2016 presidential primary against Independent Vermont Sen. Bernie Sanders, but she continues to represent the Broward area in the House.
A judge found in August that Snipes improperly handled mail-in ballots, and ordered her not to open mail-in ballots in secret after the Republican Party complained. Snipes’s defense rested on a claim that she didn’t know what the word “canvassing” meant, even though she is on the county’s Canvassing Board.

In May, a judge found that Snipes’s office broke the law by destroying ballots in the 2016 race between Wasserman Schultz and Canova. Canova told The Daily Caller News Foundation that in that case, “they claimed to not know the difference between a federal and state investigation. They claim to be incompetent, but my impression is it’s partly a ruse.”

Polling and early-voting results showed him performing well in 2016, then the reported results rapidly shifted to favor Wasserman Schultz, leading him to suspect manipulation. “So we put in a public records request to inspect some of the ballots, and if inspecting the paper ballot matched up, then it’s done, it will satisfy everyone,” Canova told TheDCNF. ” But the supervisor of elections stonewalled me for months.”

 “I was told they didn’t have scanned images, even though on election night they put the ballots through a scanner.

So we filed a discovery request to see the paper ballots,” he continued. “Three days later [Snipes] signed an order to destroy the ballots and certified that they were not the subject to ongoing litigation.”

“Her excuse was she just signed anything put in front of her and didn’t read it,” Canova said. “Then she said the ballots were put in the wrong place and that’s why they were destroyed. She concealed the destruction for two weeks.” Snipes’s position is an elected one, and she is a Democrat. Canova said even though Snipes admitted to destroying the ballots in a videotaped deposition, the government continued to fight the case. 

“They’re using taxpayer money while bleeding us dry.” Canova questioned why Scott and state Attorney General Pam Bondi, who’s also a Republican, didn’t pursue Snipes for criminal prosecution. He said she could face felony charges that carry five years in prison.

 “We’re dealing with organized crime. I just don’t trust anything that comes out of this office,” he said. He said Republicans had joined with him to try to defeat Wasserman Schultz, saying “I might not agree with Tim about Medicare for All, but this about integrity, this is about getting out corruption.”
Canova posted video of people putting bags of ballots into private vehicles, including a sports car.
Rubio also retweeted that a teacher said found a box of provisional ballots left behind at a school after Election Day.

Snipes did not return a request for comment. Voting is beautiful, be beautiful ~ vote.©

Friday, July 16, 2010

No Medicaid Fraud Summit in Florida

What about Medicaid Fraud in Child Welfare??????  The same thing happens in child welfare.

When is the Medicaid Fraud Summit?  I wanna be there!  Call me. 

Magnitude of Medicare fraud in South Florida grows

Medicare fraud has spread to mental health and rehabilitation services in South Florida. The costly problem will take center stage this week, when top federal officials hold the nation's first  healthcare fraud summit in Miami.

jweaver@MiamiHerald.com

As the feds squeeze tighter, South Florida's Medicare schemers have scurried into new territory to loot hundreds of millions of dollars from taxpayers, now billing the system for bogus mental health, physical therapy and other rehabilitation services.

The magnitude of the region's fraud is astonishing: Florida mental health clinics submitted $421 million in bills to Medicare last year -- about four times more than Texas and a whopping 635 times higher than Michigan, both also hotbeds of healthcare rackets, according to government records.
Florida rehabilitation facilities billed $310 million for physical and speech therapy -- 140 times more than New York and 10 times higher than California, records show.

Not all of that activity is criminal. But Florida's numbers are so much higher than other major states' that officials say the only logical explanation is fraud -- the bulk of it in Miami-Dade, Broward and Palm Beach counties.

Law enforcement and healthcare officials say that mental health and rehabilitation providers are the latest agents of pervasive theft in South Florida, long considered the nation's epicenter of Medicare corruption. The services are not needed or provided, yet the federal program for the elderly and disabled still foots the bill.

``This is like a game of whack a mole,'' U.S. Attorney Wifredo Ferrer told The Miami Herald. ``The numbers are off the charts.''

The vexing problem of Medicare corruption will take center stage on Friday, when Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius hold the nation's first healthcare fraud summit in Miami. The issue has gained a higher profile as the Obama administration pushes ahead with the expansion of government-subsidized healthcare for more than 30 million uninsured Americans.

FBI supervisory special agent Randy Culp, who joined the nation's first Medicare strike force in South Florida in March 2007, said the majority of fraud prosecutions still involve medical equipment such as powered wheelchairs, HIV medical services and home healthcare for diabetics.

But federal agents now are investigating more physical and occupational therapy schemes and looking at potential criminal cases against mental health centers, he said.

``We're seeing a shift of people moving into these areas,'' Culp said.

He and other experts said the transition occurred over the past year when Medicare imposed unprecedented caps on claims submitted by healthcare agencies for homebound patients seeking up to four daily nursing visits for insulin injections.

In 2008, Medicare paid $520 million to Miami-Dade home healthcare agencies for treating diabetic patients -- more than what the agency spent in the rest of the country combined, according to federal authorities.

``After we put pressure on them, they started moving their activities into other areas such as mental health and rehabilitation facilities,'' said Cecilia Franco, director of Medicare in South Florida. ``We see them move year after year from one business to another. Their patients' Medicare numbers carry great value, and they're always coming up with new ways to bill for them.''

Last year, for example, Florida's comprehensive rehabilitation facilities billed $171 million for physical, occupational and related services -- about 23 times higher than California and 26 times more than New York, records show.

Overall, Medicare fraud in South Florida costs taxpayers between $3 billion and $4 billion annually, according to experts. Nationwide, Medicare and other healthcare fraud is estimated to cost $68 billion annually -- about $18 billion more than the Obama administration plans to spend on education in the next fiscal year.

``The government has to stop pretending these are legitimate businesses and cut them off,'' said Washington attorney Kirk Ogrosky, former head of the Justice Department's healthcare fraud section, who oversaw hundreds of criminal prosecutions.

Last year, the Justice and Health and Human Services departments expanded criminal ``strike forces'' from Miami, Los Angeles and Houston to Detroit, Brooklyn, Baton Rouge and Tampa. They also committed about half a billion dollars to fraud-prevention efforts, and began working on sharing suspicious billing information with Medicare -- an agency that pays claims fast without verifying them -- to help stop fraud.

The fight to stamp it out is a constant struggle, despite convictions of about 1,000 defendants in South Florida alone who submitted roughly $3 billion in false Medicare claims since 2005. The region accounts for one-third of all healthcare fraud prosecutions in the nation.

During the past five years, thousands of Medicare fraud offenders have shown that they can outsmart the system. Their weapons: cash kickbacks to Medicare patients, repeated use of their ID numbers for unnecessary costly services, manipulation of medical records to justify phony charges, and submitting different billing codes to get around Medicare's technology to block false claims.

Authorities say the rising wave of Medicare fraud over the past decade is the result of more immigrants from Cuba and elsewhere switching from violent to white-collar crime, partly because the risks of getting caught and concurrent penalties are relatively low.

In South Florida, authorities have made a handful of major criminal cases against rehabilitation clinics.
In December, Dr. Fred E. Dweck of Hollywood, director of a Miami healthcare clinic, Courtesy Medical Group, was arrested along with 14 others, including nurses, operators and a patient.

Dweck, 74, was charged with accepting bribes to write prescriptions at $100 a pop for about 1,300 homebound patients at Courtesy and other local clinics. But the patients didn't need the prescribed diabetic, physical therapy and other costly services billed to Medicare,according to a federal indictment.

The Medicare bill from Courtesy and the other clinics: almost $41 million between 2006 and 2009. The government paid out nearly $24 million.

In April, a longtime Miami-Dade healthcare operator and his son, along with a business partner, were charged with bilking more than $2.8 million from Medicare in an undercover FBI case. Ernesto Angel Montaner, 69, and his son, Ernesto Montaner, 44, were accused of operating a chain of physical rehabilitation clinics in Miami-Dade that submitted millions of dollars in phony Medicare bills between 2003 and 2008.

Kickbacks were paid to assisted living facilities and others for Medicare referrals,prosecutor Ryan Stumphauzer said.

Ernesto Angel Montaner fled to Costa Rica in February 2009, five months after the FBI executed a search warrant at his four medical clinics, prosecutors said. He was arrested last week.
The son, Ernesto Montaner, and business partner Jose Antonio Varona, have pleaded guilty to one count of conspiring to commit healthcare fraud.

Wednesday, October 6, 2010

Tampa Law Firm Petitions Against Florida Attorney General Bill McCollum On Medicaid Fraud

The Law offices of Cohen, Foster & Romine announce its public challenge to the Florida Supreme Court to disqualify Attorney General Bill McCollum  (right) from the Medicaid fraud settlement with Wellcare due to conflict of interests and questionable political activities.


Most of you are familiar with the matter of Wellcare's theft of hundreds of millions of dollars from the Florida's Medicaid Fund.  As you know, Wellcare's fraud was exposed through the efforts of my client, Sean Hellein, who provided the FBI and Justice department with the documentation and proff necessary to expose Wellcare and its officers and directors and provided the basis for a federal False Claims Act suit on behalf of the US Government against Wellcare.

The public import of this matter, however, reaches far deeper than one company's fraud and theft - massive though it is.

The systematic raiding of the State's Medicaid funds on such an enormous scale could not have occurred without the knowledge and help of certain public officials.  We have learned the Wellcare's graft and corruption was accomplished via a state government system of personal political favors, legislative quit pro quo and legalized bribery so extensive that is has permeated the entire system of legal and legislative process, thereby placing Florida taxpayers at immediate risk of losing their rights to recover hundreds of millions of dollars in stolen Medicaid funds without so much as a word from the state's chief law enforcement officer or any other state government official.

As such, in legal action never before brought in the State of Florida, we have filed a petition asking the Florida Supreme Court to disqualify Attorney General Ira "Bill" McCollum, Jr. from making any decision concerning the proposed settlement in the Wellcare lawsuit that would have the effect of allowing Wellcare to keep nearly two thirds of the monies it stole from Florida taxpayers.

The basis for this unprecedented action is our uncovering of McCollum's financial connections to Wellcare and the employment of a political quid pro quo by McCollum and other legislators to such an extent that it has created an inherent conflict of interest and answers the questions regarding McCollum's inexplicable failure to initiate any action whatsoever on behalf of the taxpayers to even determine how much money Wellcare actually stole from the State, as well as his willful blindness to critical healthcare legislationwhich would cost the taxpayers additional hundreds of millions of dollars.

Political favors are certainly nothing new.  But the petition we have filed with the Florida Supreme court exposes legal bribery in the name of campaign contributions that is staggering in both its scope and potential cost.  We have invited the Court to address this climate of corruption disguised as political contributions in addition to requesting disqualification of Attorney General McCollum.

Consistent with out strong feelings about the public's right to know and the historical purpose of our First Amendment, we urge the press to hear the details of this landmark legal action at the offices of Cohen, Foster & Romine, 201 E. Kennedy Blvd., Suite 1000, Tampa Florida, 336o2 at 10:00 a.m. on Tuesday, October 5, 2010.

This is not limited to the State of Florida as WellCare operates in:




Saturday, June 30, 2012

Florida Uses Kids For Politics

The State of Florida is parading around in the news that it has been rated in the top 5 as one of the best state child welfare systems.

I found this 2012 Right For Kids Survey to be quite odd considering that I never heard of this before and the fact that Florida's child welfare system is not doing so well with how it treats its kids and how it deals with its contracts as shown below.


The Florida Department of Children and Families (Florida, DCF)appeals a determination by the Administration for Children andFamilies (ACF) disallowing $1,076,006 in federal financialparticipation (FFP) for the period January 1, 2002 though March31, 2005. Florida claimed this FFP in the costs of trainingpersons for employment as social workers with private agenciesthat deliver foster care services under contract with Florida. Florida claimed the costs as training expenses under the fostercare program of title IV-E of the Social Security Act (Act), forwhich the Act provides 75% reimbursement. ACF disallowed Florida’s claims at the 75% rate on the ground that funding fortitle IV-E training costs is not available for training persons for employment at private agencies.

Upon further investigation I found that the Right For Kids Survey, which only began this year, named Florida to be in the top of states with the best child welfare system, to be out of Florida.

The name of the group is the Foundation For Government Accountability who is linked up with conservative backers of the Parental Rights Amendment which has nothing to do with parental rights.  It has to do with a propaganda cover up campaign to continue doing what it has always been doing.  Selling chattel.



 
Voting is beautiful, be beautiful ~ vote.©

Saturday, July 17, 2010

Nothing Quick & Dirty in Florida Healthcare Fraud Summit

For viewing pleasure, I shall go through this press release and identify the limitations of using data mining for the purposes of detection and preventing Medicaid fraud in child welfare in red.

HHS Announces New Tool to Help Fight Health Care Fraud in Florida

HHS Secretary Sebelius and Attorney General Holder to Co-Host Fraud Prevention Summit Tomorrow in Miami

U.S. Health and Human Services Secretary Kathleen Sebelius announced today that health care fraud fighters in the state of Florida will now have additional funding to help find potential fraud and abuse in the state’s Medicaid program through the use of Medicaid claims data.

The health care fraud fighters in Florida who are versed in the area of Medicaid fraud in child welfare, including those who are willing to import this expertise to the state, are typically grassroots organizations and lone parents whose parental rights have been terminated who have been made out to be dismissed on their cries of fraud in child welfare.  Lacking the sophistication to participate in qualification of this additional funding, Medicaid fraud in child welfare will continue along its happy incremental increase slope.

Today, Secretary Sebelius approved Florida’s Medicaid waiver request to help fund a demonstration program that will allow the state’s Medicaid Fraud Control Unit (MFCU) to “mine” Medicaid Management Information System (MMIS) data to identify cases of potential Medicaid fraud.

The MFCU will rely upon subcontracting this data mining demonstration program to Maximus, Inc.   With a reputation of being the "jeepers-creepers keeper" of the record, Maximus, Inc. does not have a very reliable track record when it come to skills, knowledge and abilities (I refer to as the "skas") when it comes to handling data.

Corporate Integrity Agreement between the HHS OIG and Maximus, Inc. 2007  

Medicaid billing for many health care services in South Florida is disproportionately high compared to other parts of the country. Although significant progress has been made, fraudulent billing health care fraud continues to cost Medicaid millions of dollars.

Medicaid billing in child welfare for the state is proportional to the other States as the pattern exists in every state.  Very little progress has been made in Florida regarding the aberrant billing practices in child welfare fraud which continues to cost Medicaid billions of dollars. 

“To fight health care fraud, we need to coordinate all of the resources and data we can muster,” said Secretary Sebelius. “By allowing the state of Florida to use more information to find potential fraud in Medicaid, this waiver will improve Florida’s ability to effectively identify and combat fraud and abuse.”

There is a reason why there will never be a coordination of resources and data to end Medicaid fraud in child welfare because the child abuse propaganda marches to the tune of the imperialistic morality parade.

The announcement comes in advance of the Department of Health and Human Services and Department of Justice’s first Regional Health Care Fraud Prevention Summit being held tomorrow at the Knight Center in Miami, Fla.

The summit, which will feature keynotes remarks by U.S. Attorney General Eric Holder and Secretary Sebelius, kicks off the first in a series of day-long summits bringing together a wide array of federal, state, and local partners, beneficiaries, providers, and other interested parties to discuss innovative ways to eliminate fraud within the U.S. health care system.

As part of its efforts to coordinate the fight against fraud across the nation’s health care systems, including Medicaid and Medicare, data mining will allow Florida’s MFCU to sort electronic claims through the use of statistical models and intelligent technologies to uncover patterns and relationships. Using the identified patterns, investigators can review Medicaid claims activity and history to find abusive or abnormal use of services and billing that may be potentially fraudulent. Data mining is done with software programs which include algorithms that automatically analyze the MMIS data.

The HHS Inspector General reported to Congress just a few months ago that the MMIS data were not "timely, accurate, or comprehensive for detection of fraud, waste, and abuse."  The MMIS data, handled by the unenlightened over at Maximus, Inc. is not the only database Florida has to execute the task of ending Medicaid fraud in child welfare.

There are other statistical methodologies that can easily be applied to detect patterns and relationships of fraud in child welfare.  There are other databases and potential other databases that can be analyzed but will never see the light of day.   

There is no oversight and no reporting avenues for fraud in child welfare.   There is no exclusionary database in child welfare.

Currently, state MFCUs are prohibited from using federal Medicaid matching funds to detect potential fraud through routine claims review procedures such as screening of claims, analysis of billing practice patterns, or routinely verifying that billed services were actually received by patients, since these functions are a primary program operation function of the state Medicaid agency. Instead, MFCUs generally rely on referrals from the State Medicaid agency. The waiver approved today will allow the Florida MFCU to use federal matching funds to apply sophisticated electronic data mining tools that are beyond the scope of the claims review activities normally performed by the State Medicaid agency to identify potential fraud.

Currently, the MFCU is prohibited from ending Medicaid fraud in child welfare.  The MFCU is located in the Office of the Attorney General.  The Attorney General represents state agencies in dealing with child welfare.  There exists an inherent conflict of interests for the MFCU to prosecute and recover Medicaid fraud in child welfare as it is the entity which defends the actions of the state agencies that have committed Medicaid fraud in child welfare.

In addition, there was nothing written in the final rules mandating MFCUs to address Medicaid fraud in child welfare.  The final rules exclusively were designed to address the aged and "safe harbors", exceptions to fraud practices.

The Centers for Medicare & Medicaid Services (CMS) expects the MFCU to work closely with AHCA to ensure their collective efforts are effective. CMS will monitor the progress of this waiver in conjunction with the HHS Office of Inspector General, which has oversight of MFCUs.

CMS should expect to work closely with the people to ensure there collective efforts to end Medicaid fraud in child welfare will take effect, otherwise, Medicaid fraud (as well as all other frauds) in child welfare will only be addressed under the False Claims Act.  Unfortunately, there are very few law firms that are willing to grasp the concept that fraud in child welfare even exists.

“The demonstration approved today will allow Florida’s Medicaid Fraud Control Unit to take full advantage of their expertise in detecting and investigating Medicaid fraud,” said CMS Administrator Don Berwick, M.D. 

###

Thursday, February 17, 2011

Twenty People Indicted in Florida for Health Care Fraud Scheme Involving Approximately $200 Million in Medicare Billing


Twenty People Indicted in Florida for Health Care Fraud Scheme Involving Approximately $200 Million in Medicare Billing
Related Action Charges Four Other Defendants with Additional Offenses
WASHINGTON – Twenty individuals, including three doctors, were charged today in the Southern District of Florida for various health care fraud, kickback and money laundering charges related to their alleged participation in a fraud scheme involving approximately $200 million in Medicare billing for purported mental health services, announced the Departments of Justice and Health and Human Services (HHS).
The 38-count indictment unsealed today in U.S. District Court in the Southern District of Florida alleges that the defendants worked with and for American Therapeutic Corporation (ATC) and Medlink Professional Management Group Inc.  According to court documents, the defendants participated in a scheme to defraud Medicare by submitting false claims for mental health services administered at ATC facilities that were medically unnecessary or not provided at all.  The indictment alleges that various defendants paid kickbacks to patient brokers and owners and operators of halfway houses and assisted living facilities (ALFs), in exchange for delivering patients to ATC facilities.  Various defendants are charged with participating in an extensive and complicated money laundering scheme related to the cash for kickback payments.  Sixteen defendants were arrested this morning in the Southern District of Florida and are expected to appear in U.S. District Court in Miami later today.   Arrests are expected to continue in the coming days. 
ATC’s and Medlink’s owners and managers, Lawrence S. Duran, Marianella Valera, Judith Negron and Margarita Acevedo, were originally indicted along with the corporate entities, ATC and Medlink, in October 2010.  A superseding 38-count indictment unsealed today in the Southern District of Florida charges them with additional offenses.
“As today’s charges reflect, defrauding the Medicare system was not an aberration at ATC, but instead part and parcel of its business operations,” said Assistant Attorney General Lanny A. Breuer of the Criminal Division.  “The alleged scheme was brazen in scope, and carried out by the company’s owners, doctors, marketers and others.  By exploiting positions of trust, these defendants masked their fraudulent operation as a legitimate mental health business.  These charges are evidence that we will pursue Medicare cheats no matter their position.”

“Community mental health centers are an essential element of the nation’s health care system and serve vulnerable populations,” said Daniel R. Levinson, HHS Inspector General.  “Today’s arrests by OIG agents and our law enforcement partners show that we will not tolerate criminals who pay kickbacks for referrals of Medicare business or who bill for services that were either medically unnecessary or never provided.”

“Community Mental Health Centers can no longer use phantom medical care as a front to bilk Medicare for unnecessary or nonexistent medical services,” said FBI Special Agent in Charge John V. Gillies of the Miami Field Office.   “The FBI and our law enforcement partners will investigate and criminally prosecute such fraud to the fullest extent of the law.”
U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida stated, “Health care fraud has evolved from DME fraud, to infusion fraud, to home health care fraud, and now, as this case shows, to community mental health treatment fraud.  Worse yet, health care fraud has come to permeate every level of the health care industry, from the owners and managers of dirty clinics, to complicit doctors, program directors, therapists, marketers, and patient recruiters.  Today’s prosecution confirms that we are well-equipped and primed to fight the changing face of Medicare fraud in the Southern District of Florida, and that we will prosecute every link in the fraud chain.” 
According to court documents, ATC, headquartered in Miami, operated purported partial hospitalization programs (PHPs) in seven different locations throughout Florida, from Homestead to Orlando.  A PHP is a form of intensive treatment for mental illness.  Court documents allege that Duran and Valera orchestrated the fraud, kickback and money laundering schemes.  Negron assisted Duran and Valera in operating the schemes.  Acevedo operated the kickback scheme.       
According to court documents, doctors Mark Willner, Alan Gumer and Alberta Ayala were medical directors for ATC, and Vanja Abreu (Ph.D.), Nancy Merced-Sola and Lydia Ward (Ph.D.) served as program directors who managed ATC facilities.  Nichole Eckert was a therapist at ATC.  Court documents allege that Duran, Negron and Valera, along with the program directors and Eckert, regularly altered and instructed others to alter patient charts and notes from therapy sessions at ATC in order to make it appear that the patients being treated qualified for PHP treatments, when, in fact, they did not.  According to the indictment, Willner, Gumer and Ayala then signed the false patient charts authorizing unnecessary treatment or continued treatment for patients who were not eligible for PHP treatment, without examining the patients or the charts.  Duran and Valera also allegedly instructed employees and doctors at ATC, including Willner, Gumer and Ayala, to alter diagnoses and medication types and levels to falsely make it appear that the patients qualified for PHP treatments.
According to court documents, Valera, Willner, Gumer and Ayala manipulated the length of patients’ stays in order to maximize the number of days Medicare would pay for the PHP services.  According to a civil complaint filed in the Southern District of Florida, ATC routinely admitted patients to the PHP program who suffered from Alzheimer’s and severe dementia and therefore were not eligible for the PHP program because their mental capacity did not allow them to benefit from group therapy.
The indictment also alleges that Sandra Jimenez, Hilario Morris and Joseph Valdes were marketers for ATC and participated in the kickback operation.  These marketers, along with Duran, Valera, Negron and Acevedo, allegedly paid kickbacks to patient brokers and owners and operators of ALFs and halfway houses in exchange for delivering patients from their facilities to ATC.  The indictment alleges that defendants Mathis Moore, Nelson Fernandez, Leyanes Placeres, James Edwards, Frank Criado and Curtis Gates were patient brokers and, in exchange for kickbacks, provided patients to ATC every month from ALFs and halfway houses with which they had relationships.  The indictment alleges that the kickback payments totaled millions of dollars.
The indictments allege that the kickback scheme was supported by a money laundering scheme whereby individuals received checks in their own names or in the names of shell corporations they created, cashed the checks and returned the cash to Duran and Valera, which Duran and Valera then used to pay the kickbacks.  Defendants Adriana Mejia, Pedro Sosa, Yoisel Cancio and an unnamed coconspirator, along with Moore, Fernandez, Placeres, Edwards, Criado and Gates, allegedly participated with Duran, Valera, Negron and Acevedo in the charged money laundering conspiracy.  According to the indictment, Mejia, Sosa and Cancio received monthly, bi-weekly and weekly payments from Medlink despite the fact that they had no job functions at Medlink or ATC, other than laundering money.  The indictments also charge that Duran, Valera, Negron, Mejia, Sosa and Cancio engaged in transactions designed to conceal proceeds of unlawful activity and structured their transactions to avoid reporting requirements that require banks to report certain transactions.  According to the indictments, these defendants together laundered millions of dollars over several years.
The alleged scheme also involved a company called American Sleep Institute (ASI), which purportedly provided sleep study services.  The defendants paid additional kickbacks for some patients to also visit ASI.  Court documents allege that Willner, Gumer and Ayala furthered the health care fraud conspiracy by referring patients to ASI.
In a separate action in October 2010, a civil complaint for injunctive relief was filed in U.S. District Court in the Southern District of Florida and a preliminary injunction was obtained to freeze the assets of Duran, Valera, Negron, Acevedo, ATC and Medlink as well as ASI and D&V Development Inc., as participants in the health care fraud.  Civil court documents allege that D&V Development was owned and operated by Valera and Duran and was established in an effort to divert funds received by ATC and ASI.
An indictment is merely a charge and defendants are presumed innocent until proven guilty.
Today’s actions were announced by Assistant Attorney General Lanny A. Breuer of the Criminal Division; U.S. Attorney Wifredo A. Ferrer for the Southern District of Florida; Special Agent in Charge John V. Gillies of the FBI’s Miami Field Office; and Daniel R. Levinson, Inspector General of HHS.
The criminal cases are being prosecuted by Trial Attorneys Jennifer L. Saulino, Maria Gonzalez Calvet and Joseph S. Beemsterboer of the Criminal Division’s Fraud Section.  The related civil action is being prosecuted by Vanessa I. Reed and Carolyn B. Tapie of the Civil Division and Assistant U.S. Attorney Ted L. Radway of the Southern District of Florida. The cases are being investigated by the FBI and HHS Office of Inspector General (OIG). The cases were brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Florida.
Since their inception in March 2007, Strike Force operations in seven districts have obtained indictments of more than 850 individuals who collectively have falsely billed the Medicare program for approximately $2.1 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.
To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to:www.stopmedicarefraud.gov .


Hey DOJ/HHS!

When ya gonna hit Medicaid fraud in child welfare?

Oops!  

I forgot!





Wednesday, October 6, 2010

All Hail The Florida Whistleblowers!

Taking the time to disperse Medicaid fraud news is more than exposing the fraud schemes, it also praises the brave and brilliant individuals who embark on such endeavors.

To Barry Cohen and his associates, I thank you for believing.


Petition says McCollum gave WellCare a break in fraud case

TAMPA - Attorney Barry Cohen claims in a new court petition that Florida Attorney General Bill McCollum is so tainted by campaign cash from WellCare  Health Plans and [here are the foster care Targeted Case Management programs!] that he shouldn't be involved in a massive settlement with the insurer.
Cohen's law firm is representing Sean Hellein, a former WellCare financial analyst, in a whistleblower suit against the Tampa-based company.
Hellein claims WellCare conspired over several years to defraud the federal government, Florida and six other states out of at least $400 million. [It's more than that!!!] He said WellCare got the money through Medicaid, the insurance program for low-income people.
WellCare has reached a potential deal to settle with the U.S. Department of Justice for $137.5 million. But Cohen and Hellein say the amount is too low and would allow WellCare to keep two-thirds of its ill-gotten gains.
At a news conference Tuesday morning, Cohen sought to link McCollum to what he called the state's failure to aggressively pursue WellCare. Cohen filed a petition asking the Florida Supreme Court to block McCollum from the proposed settlement.
The petition said that when he ran for attorney general in 2006, McCollum received $9,000 in direct contributions from WellCare. The figure is supported by a Tribune search of online campaign finance records.
But the petition said McCollum also benefited from more than $800,000 in contributions that WellCare provided to the Republican Party of Florida. The money was turned over to McCollum's campaign, the petition said.
The petition cites Republican Party contributions to McCollum's campaign that occurred within days of a large WellCare contribution to the party. Most money went to McCollum's campaign for attorney general, not his recent unsuccessful run for governor.
As attorney general, McCollum heads a unit that investigates Medicaid fraud.
Ryan Wiggins, a spokeswoman for McCollum's office, declined to comment on the allegations, saying, "We are waiting on further direction from the court."
Daniel Conston, spokesman for the Republican Party of Florida, denied any contributions were earmarked for McCollum.
"I'd chalk this up to one of many absurd allegations thrown around in politics today," Conston said. "The RPOF simply does not earmark contributions, nor would a contribution cause a GOP leader to turn a blind eye to a potential crime."
The petition said the contributions help explain why McCollum failed to investigate exactly how much WellCare improperly received from Florida, and why McCollum did not object when Gov. Charlie Crist appointed Andrew Agwunobi as head of the Florida Agency for Health Care Administration.
Agwunobi served on WellCare's board of directors before taking the job at AHCA.
McCollum also looked the other way when legislators drafted a bill that might have helped WellCare but hurt the public, the petition said.
It happened when WellCare faced a $23 million repayment to the state of Florida for overcharging its Medicaid fund. WellCare successfully lobbied for legislation to head off future repayments but Crist vetoed the bill containing the measure.