2016 Top Stories #3: AG clears final behavioral health providers

Years after the state cut off Medicaid funding to 15 behavioral health providers, citing “credible allegations of fraud,” the Attorney General cleared all providers of the alleged fraud. AG Hector Balderas made finishing the investigation into the providers a key goal when he entered office in 2015. Previously: Top ten stories of 2016: 10-6; #5: NM […]

2016 Top Stories #3: AG clears final behavioral health providers

Years after the state cut off Medicaid funding to 15 behavioral health providers, citing “credible allegations of fraud,” the Attorney General cleared all providers of the alleged fraud.

AG Hector Balderas made finishing the investigation into the providers a key goal when he entered office in 2015.

Previously: Top ten stories of 2016: 10-6; #5: NM Dems buck national trend, retake House#4: Demesia Padilla resigns

In April, Balderas announced the investigation was complete, with no evidence of fraud in the final two companies.

Balderas previously cleared ten providers in February, and had already cleared two others in 2015.

The allegations of fraud came from a 2013 audit for the state Human Services Department by Boston-based Public Consulting Group.

But Balderas clearing them came too late for some providers, who shut their doors after losing the Medicaid funding for behavioral health services.

The AG’s investigation found $1.16 million in overbilling between the 15 companies. The audit alleged $36 million in overbilling.

HSD has said it will continue to seek recouping the overbilled funds.

“It now falls to the Human Services Department to take timely and appropriate administrative action to resolve this regrettable situation to ensure that tens of thousands of vulnerable New Mexicans receive their critical services,” Balderas said at the time. “The department must find a way to fight fraud that does not put services to the most vulnerable at risk or result in hundreds of New Mexicans losing their jobs.”

Balderas also released the PCG audit, which former AG Gary King and HSD had kept from the public. Even providers who lost their funding said they never saw the audit that led to the allegations of fraud against them before the state cut off their Medicaid funding.

And more news came late in the year.

To fill the hole made by cutting off funding to the 15 New Mexico providers (some New Mexico organizations later resumed providing services), Arizona providers were brought in.

In December, news broke that the fourth of the five Arizona providers was leaving the state.

We're ad free

That means that we rely on support from readers like you. Help us keep reporting on the most important New Mexico Stories by donating today.

Related

Governor to call special session for public safety legislation this summer

Governor to call special session for public safety legislation this summer

Gov. Michelle Lujan Grisham announced that she will call the Legislature into a special session this summer to address public safety legislation that did…
Emily’s List endorses seven candidates for Legislature

Emily’s List endorses seven candidates for Legislature

Emily’s List, a nonprofit that supports women candidates and reproductive rights, endorsed seven incumbents facing general election opponents in New Mexico legislative elections. All…
Equality New Mexico endorses 15 legislative candidates

Equality New Mexico endorses 15 legislative candidates

A New Mexico-based LGBTQ rights organization endorsed 15 candidates for state House and Senate seats for the 2024 elections.  Marshall Martinez, executive director of…
BLM finalizes controversial public lands rule

BLM finalizes controversial public lands rule

The U.S. Bureau of Land Management finalized its controversial public lands rule on Thursday. This rule is controversial because it allows for conservation leasing…
Haaland signs order protecting sacred lands near Placitas

Haaland signs order protecting sacred lands near Placitas

Interior Secretary Deb Haaland signed an order on Thursday to withdraw more than 4,200 acres of land in Sandoval County near Placitas from mineral…
Sandia researchers look at ways to store hydrogen underground

Sandia researchers look at ways to store hydrogen underground

As the world looks to decarbonize, governments are promoting hydrogen, a somewhat controversial energy source, as an important component of that effort. But that…
Amid new graduation requirements, what do high schoolers want to learn?

Amid new graduation requirements, what do high schoolers want to learn?

By Margaret O’Hara, The Santa Fe New Mexican The main things that bring Brayan Chavez to school every day: Seeing, talking to and engaging with…
Special ed teachers hope lawmakers OK pay raises, admin changes

Special ed teachers hope lawmakers OK pay raises, admin changes

By Margaret O’Hara, The Santa Fe New Mexican Brittany Behenna Griffith has a laundry list of adjectives to describe the ideal special education teacher:…
Lawmakers must find consensus on competing education spending plans

Lawmakers must find consensus on competing education spending plans

By Margaret O’Hara, The Santa Fe New Mexican A challenging task awaits New Mexico lawmakers in the next 30 days: Reconciling three very different…
Health workers fear it’s profits before protection as CDC revisits airborne transmission

Health workers fear it’s profits before protection as CDC revisits airborne transmission

Amy Maxmen, KFF Health News Four years after hospitals in New York City overflowed with covid-19 patients, emergency physician Sonya Stokes remains shaken by…
Lujan Grisham, Biden admin announce $10 million in federal funds for tribes, pueblos

Lujan Grisham, Biden admin announce $10 million in federal funds for tribes, pueblos

Gov. Michelle Lujan Grisham announced Friday $10 million in funding from the federal American Rescue Plan Act was awarded to six tribal nations and…
Proposal to curb executive powers moves to House Judiciary

Proposal to curb executive powers moves to House Judiciary

The House Government, Elections and Indian Affairs Committee discussed a potential constitutional amendment that seeks to limit the governor’s executive powers. The committee approved…
Stansbury introduces judicial ethics bill on U.S. Supreme Court steps

Stansbury introduces judicial ethics bill on U.S. Supreme Court steps

U.S. Rep. Melanie Stansbury announced a bill on Thursday that would, if enacted, establish judicial ethics to the U.S. Supreme Court. The Judicial Ethics…
Politics and abortion, how much will it matter?

Politics and abortion, how much will it matter?

At the national level, abortion is still a high-stakes issue with both major presidential candidates talking about it in their campaigns, but it may…
How the AZ Supreme Court decision on abortion impacts New Mexico

How the AZ Supreme Court decision on abortion impacts New Mexico

The Arizona Supreme Court ruled on Tuesday that an 1864 abortion ban is enforceable, throwing another state bordering New Mexico into the situation of…
Politics and abortion, how much will it matter?

Politics and abortion, how much will it matter?

At the national level, abortion is still a high-stakes issue with both major presidential candidates talking about it in their campaigns, but it may…
How the AZ Supreme Court decision on abortion impacts New Mexico

How the AZ Supreme Court decision on abortion impacts New Mexico

The Arizona Supreme Court ruled on Tuesday that an 1864 abortion ban is enforceable, throwing another state bordering New Mexico into the situation of…
The status of the lawsuit New Mexico joined to remove FDA restrictions to mifepristone

The status of the lawsuit New Mexico joined to remove FDA restrictions to mifepristone

While the U.S. Supreme Court considers the future of access to the abortion medication, mifepristone, another lawsuit against the FDA that would expand access…
Vasquez calls out Republicans for ‘inaction’ on border policy

Vasquez calls out Republicans for ‘inaction’ on border policy

U.S. Rep. Gabriel “Gabe” Vasquez, a Democrat who represents the state’s 2nd Congressional District along the U.S.-Mexico border, cosponsored a resolution on Monday calling…
Politics and abortion, how much will it matter?

Politics and abortion, how much will it matter?

At the national level, abortion is still a high-stakes issue with both major presidential candidates talking about it in their campaigns, but it may…
Politics Newsletter: Early and absentee voting

Politics Newsletter: Early and absentee voting

Good morning fellow political junkies! Early and absentee voting for the June 4 New Mexico primary begins in about a month. The nonprofit election…
Haaland signs order protecting sacred lands near Placitas

Haaland signs order protecting sacred lands near Placitas

Interior Secretary Deb Haaland signed an order on Thursday to withdraw more than 4,200 acres of land in Sandoval County near Placitas from mineral…
Sandia researchers look at ways to store hydrogen underground

Sandia researchers look at ways to store hydrogen underground

As the world looks to decarbonize, governments are promoting hydrogen, a somewhat controversial energy source, as an important component of that effort. But that…
American Rivers ranks waters in New Mexico as the most endangered in the country

American Rivers ranks waters in New Mexico as the most endangered in the country

New Mexico rivers are the most endangered in the country, according to the annual report from American Rivers. This is because of two U.S.…

GET INVOLVED

© 2023 New Mexico Political Report