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Tag: Health Care Policy And Financing

Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation
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Colorado Politics, Approved, State

Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation

By: David Migoya | Colorado Politics The agency overseeing Colorado’s federal Medicaid program has suspended an Aurora home-health agency that is the focus of an investigation into an enterprise that lured dozens of homeless people with promises of free housing and cash and reaped tens of millions of dollars in Medicaid reimbursements. Officials said it has stopped paying Medicaid claims filed by On Going Home Health Care pending the outcome of its inquiry into “The Program,” an elaborate and intertwined confederation of businesses that provided shelter, money and prescriptions to homeless participants in return for billing the federal program for administering the drugs. The Program was the center of a Denver Gazette investigation last month that exposed how On Going ...
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Colorado Program For Immigrant Children And Pregnant Women Blows Past Cost Estimates By 611%
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The Colorado Sun, Approved, State

Colorado Program For Immigrant Children And Pregnant Women Blows Past Cost Estimates By 611%

By Jesse Paul and John Ingold | The Colorado Sun The state predicts that the Covering All Coloradans program will cost Colorado $104.5 million in the fiscal year that began July 1. Nonpartisan fiscal analysts estimated the cost would be $14.7 million. roviding health care to children and pregnant people who would qualify for Medicaid if not for their immigration status will cost Colorado more than six times what was projected this year.  Because of higher-than-forecast enrollment, the state is expecting that the Cover All Coloradans program will cost the state $104.5 million in the fiscal year that began July 1. When Democratic state lawmakers passed a bill in 2022 launching the health insurance safety net initiative, nonpartisan fiscal analysts estima...
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Congress Investigates Colorado Medicaid After Reports Of Fraud And Improper Payments
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The Denver Gazette, Approved, State

Congress Investigates Colorado Medicaid After Reports Of Fraud And Improper Payments

By Marianne Goodland | The Denver Gazette A congressional committee is probing reports of waste, fraud and abuse in Colorado’s Medicaid program, citing recent stories outlining over-billing in transportation spending and alleged improper payments in autism services. The U.S. House Committee on Energy and Commerce has sent a letter to Gov. Jared Polis and the Colorado Department of Health Care Policy and Finance, seeking, among other things, audits and processes in place to comply with federal laws The March 3 letter, signed by committee Chair Rep. Brett Guthrie, a Republican from Kentucky, and two subcommittee chairs, pointed to problems that they said surfaced in Minnesota, such as over-billing, falsified records, identity theft and phantom claims in Medicaid social s...
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Federal Audit Finds Colorado Misspent $78 Million On Autism Therapy
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The Colorado Sun, Approved, State

Federal Audit Finds Colorado Misspent $78 Million On Autism Therapy

By Jennifer Brown | The Colorado Sun The state must repay the federal government $42.6 million after “questionable billing patterns.” Colorado made at least $77.8 million in improper payments for Medicaid services for children with autism and must refund the federal government $42.6 million, federal officials said Monday.  Auditors at the federal Office of the Inspector General found the state Medicaid program has been improperly covering care by uncredentialed behavioral technicians for children with autism, among other billing discrepancies.  The audit released Monday comes as the state is already dealing with a $1 billion budget shortfall and cuts to Medicaid benefits that have affected multiple programs for people with low incomes and disabi...
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