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Federal audit questions nearly $54 million in Colorado Medicaid home-care payments
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Rocky Mountain Voice, State, Top Stories

Federal audit questions nearly $54 million in Colorado Medicaid home-care payments

By Jen Schumann | Rocky Mountain Voice Colorado can’t fully document millions of dollars it billed for Medicaid home care. That’s the finding of a new federal audit. The Office of Inspector General wants Colorado to return $8.07 million in federal money it says the state was not entitled to claim for personal care in a single budget year, the one ending June 30, 2024. Auditors questioned another $45.69 million and told the state to work it out with CMS. The $8.07 million is a recommended refund. The $45.69 million is a different story. It’s still under review, and CMS could recover all of it, some of it or none. Either way, nobody has ordered Colorado to repay the full $53.8 million. In the sample, auditors kept hitting records that didn’t add up. Where the care happened. H...
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DOJ Charges Record 455 Defendants In $6.5 Billion Healthcare Fraud Sweep
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Washington Examiner, Approved, National

DOJ Charges Record 455 Defendants In $6.5 Billion Healthcare Fraud Sweep

By Kaelan Deese | Washington Examiner A nationwide healthcare fraud crackdown resulted in charges against 455 defendants accused of schemes involving more than $6.5 billion in fraudulent claims, marking what federal officials on Tuesday described as the largest coordinated healthcare fraud enforcement action in Justice Department history. Acting Attorney General Todd Blanche, Health and Human Services Secretary Robert F. Kennedy Jr., FBI Director Kash Patel, and Centers for Medicare & Medicaid Services Administrator Mehmet Oz announced the operation, which spanned 57 federal districts across 41 states and territories and included charges against 90 licensed medical professionals. https://twitter.com/FBIDirectorKash/stat...
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Federal Government Requires Colorado to Share Medicaid Data With Homeland Security
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Colorado Public Radio, Approved, State

Federal Government Requires Colorado to Share Medicaid Data With Homeland Security

By Bente Birkeland and John Daley | Colorado Public Radio In January, the state’s flagship safety net hospital, Denver Health, distributed a one-page notice about patient privacy that carried groundshaking implications, especially for Colorado’s immigrant population. The notice stated that due to federal changes within Medicaid, the federal-state program for hundreds of thousands of low-income and disabled Americans, “limited” personal information could be shared with U.S. Immigration and Customs Enforcement. Denver Health said the information applied only to people who are not lawfully residing in the U.S and are enrolled in a program called Emergency Medicaid or pregnant and enrolled in Medicaid through Cover All Coloradans. But if a person is in one of those groups,...
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