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re: Audit: Louisiana spent $112 million+ on Medicaid for people who don’t live in Louisiana
Posted on 8/22/23 at 7:56 am to LSUFanHouston
Posted on 8/22/23 at 7:56 am to LSUFanHouston
quote:
Remember, we privatized Medicaid. If the private companies told the state someone was eligible, the state paid them. Is the state supposed to double check the private companies?
The privatization is only for administration of benefits. The state manages eligibility for nations and is the only entity who can remove someone from the Medicaid rolls. The private managed care organizations can and do report beneficiaries to the state who seem to have moved out of state. However, if those members receive services out of state the MCO is obligated to treat them as eligible beneficiaries and enter into single case agreements with the provider when possible.
1
Posted on 8/22/23 at 8:02 am to bad93ex
quote:
Would like to see how much of every dollar collected via taxes is wasted through fraud.
Whatever amount it is, federal agencies would argue that every dollar in fraud generates $6 in economic activity. Government math is the best.
Posted on 8/22/23 at 8:15 am to goofball
But it's just a small amount of the total budget! Fraud isn't that big of a deal!!!
Posted on 8/22/23 at 8:19 am to goofball
The same LDH that threw a colossal fit when the legislature cut their funding this year by $100 million at the last second? LOL
Posted on 8/22/23 at 8:26 am to LSUFanHouston
quote:
Is the state supposed to double check the private companies?
Usually, the government has some form of audit/reviews and a way to fine/penalize the private companies.
Posted on 8/22/23 at 9:24 am to lsu13lsu
I am on disability. How can I check to see if I was automatically enrolled in something like that?
Posted on 8/22/23 at 9:31 am to Tygerfan
quote:
We know they won't but it sounds like these health care providers needs to repay the state. You know damn well they would come after your or I if they incorrectly sent us money.
i am a "provider". it is not my responsibility to make sure someone is living here. that is the responsibility of the people providing free health insurance. my job is to see the patient and take care of the patient.
and it happens all the time. its way more than 100 million since 2016. i ask patients that have Texas addresses and they say oh I still live in Louisiana but I'm over working right now.
Posted on 8/22/23 at 9:36 am to goofball
Every govt outlay needs to be audited. I think all the systems are corrupt.
Who we can get trustworthy to audit? That's the tough part.
Who we can get trustworthy to audit? That's the tough part.
Posted on 8/22/23 at 10:08 am to goofball
quote:
Audit: Louisiana spent $112 million+ on Medicaid for people who don’t live in Louisiana
Thanks Obama care.
Posted on 8/22/23 at 10:24 am to Wiseguy
quote:
The privatization is only for administration of benefits. The state manages eligibility for nations and is the only entity who can remove someone from the Medicaid rolls. The private managed care organizations can and do report beneficiaries to the state who seem to have moved out of state. However, if those members receive services out of state the MCO is obligated to treat them as eligible beneficiaries and enter into single case agreements with the provider when possible.
So this is fully the fault of the state, then? The private companies only go off of what the state tells them?
Posted on 8/22/23 at 11:11 am to goofball
DHH, Labor, and DCFS will be audited at length in 2024. Predicting 1 billion or more in total fraud/incorrectly paid benefits. The waste that occurred over the last 8 years and lack of oversight will be shocking.
Posted on 8/22/23 at 11:40 am to michael corleone
Democrats can't afford to lose votes. Playing Santa Claus is their biggest draw.
Posted on 8/22/23 at 11:44 am to goofball
If Louisiana DPH updated to what Florida has - where you can call a phone number and put in the applicant’s social security number or resident alien number and see if they have benefits in that state - this wouldn’t be a problem
But Louisiana likes to keep people on Medicaid for the fed $$!
But Louisiana likes to keep people on Medicaid for the fed $$!
Posted on 8/22/23 at 11:44 am to goofball
Just another reason this is a Shithole State
Posted on 8/22/23 at 1:20 pm to michael corleone
quote:
DHH, Labor, and DCFS will be audited at length in 2024. Predicting 1 billion or more in total fraud/incorrectly paid benefits. The waste that occurred over the last 8 years and lack of oversight will be shocking.
This will be interesting. The incompetence at the State level for LA is horrendous. Government is always ran terribly and wasteful but LA takes or into a whole new level.
Posted on 8/22/23 at 1:54 pm to LSUFanHouston
quote:
Remember, we privatized Medicaid.
If the private companies told the state someone was eligible, the state paid them.
Louisiana absolutely did not privatize Medicaid. Managed Care Organizations have nothing to do with determining Medicaid eligibility they just get a monthly payment from the state to administer services. So instead of the State paying for 100% of the costs of Medicaid services an individual receives the State pays a single fee per person each month to the MCOs who then pay for the services.
The State still determines Medicaid eligibility and sends that eligibility information to the MCOs. It's the States fault for not verifying the residency of these individuals.
Posted on 8/22/23 at 2:15 pm to 97tiger
So you profit from Medicaid fraud.
Posted on 8/22/23 at 2:36 pm to FightinTigersDammit
quote:
So you profit from Medicaid fraud.
Shut up, you ignoramus. That statement proves you have no idea what you’re talking about.
Posted on 8/22/23 at 3:50 pm to LongueCarabine
The man said he didn't care if it was fraudulent or not. Dumbass.
Posted on 8/22/23 at 3:58 pm to FightinTigersDammit
quote:
The man said he didn't care if it was fraudulent or not. Dumbass.
No, he didn't.
quote:
it is not my responsibility to make sure someone is living here.
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