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Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children
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Colorado Public Radio, Approved, State

Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children

By: John Daley | CPR News With the budget in crisis, state lawmakers capped the number of hours a week a person providing care to someone else, often a family member, can be reimbursed. A series of phased in cuts started taking effect this month and impacted families expressed deep apprehension about what the coming months will bring. “Disproportionate, unfair, insensitive,” were among the words Kelly Lyons had for the change. The deadline comes with the state Medicaid program under intense scrutiny, as a new commission, set up by the legislature starts its work and a new governor will be elected in November and take office next January. She lives in Castle Rock and cares for a 16-year-old daughter, Kendall, who she said was diagnosed with an an...
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Nick Shirley’s message to Colorado: Follow the money. Knock on the doors.
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Rocky Mountain Voice, State, Top Stories

Nick Shirley’s message to Colorado: Follow the money. Knock on the doors.

By Jen Schumann | Rocky Mountain Voice Nick Shirley spent Saturday night walking the Freedom Fest audience through the questions that have taken him from hotels near Denver International Airport to empty daycare centers in Minnesota and apartment complexes in Aurora. Interviewed by Jeff Hunt, co-host of the Jeff and Bill Show on Denver's 710 KNUS, Shirley spent less time talking about what he uncovered than how he uncovered it. Colorado was one of the first places he looked Long before a Minnesota daycare investigation made him nationally known, Shirley found himself in Colorado after repeatedly hearing migrants at the southern border mention the same destination. Denver. He came to look.  "You guys are from Latin America? It's cold in Denver," he remembered asking....
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Who’s guiding Colorado’s Medicaid Commission? A closer look at the panel shaping future policy
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Colorado Accountability Project, Approved, Commentary, State

Who’s guiding Colorado’s Medicaid Commission? A closer look at the panel shaping future policy

By Cory Gaines | Commentary, Colorado Accountability Project Meet the Medicaid Commission and their newly-hired advisor. Medicaid is a big line item in the state’s budget. It’s gotten so big, and eaten up so much of our state’s money, that our legislature has gathered up a commission. SB26-187 (linked first below) creates a (quoting from the bill summary): “… commission on Medicaid (commission) to develop recommendations regarding implementation of new federal Medicaid policy changes that go into effect in 2026, 2027, and 2028 and to support Coloradans impacted by those policy changes.” This commission will meet a few times and prepare a report to be used by the legislature in the 2027 session. Quoting from the bill’s fiscal note: “Between May 13, 2026, and December...
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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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Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program
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The Denver Gazette, Approved, Local

Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program

By: Matt Kyle | The Denver Gazette Two Jefferson County men have been indicted on a slew of charges alleging they fraudulently obtained $12 million from Medicaid. James Andrew Heath, 33 and Jared Parker Heath, 37, were indicted on June 12 in Denver District Court. They are accused of defrauding Colorado’s Medicaid optical program by falsely billing Medicaid for glasses and other materials through their business QuickSpex LLC, according to a news release from Attorney General Phil Weiser. READ THE FULL ARTICLE AT THE DENVER GAZETTE
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Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare
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kdvr.com, Approved, Local

Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare

By Adam Rosen | KDVR DENVER (KDVR) — A Colorado man faces 12 charges relating to a Medicaid fraud scheme concerning an Arapahoe County adult daycare center, according to a pair of releases. Attorney General Phil Weiser and Peter McNeilly, the U.S. Attorney for the District of Colorado, announced that Mohamed Elias Omer faces 12 counts of offering and paying illegal remuneration, or illegal kickbacks, to convince Medicaid beneficiaries to attend Nadina Adult Daycare Center LLC. READ THE FULL ARTICLE AT KDVR
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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 non-citizen households used welfare at a far higher rate than the U.S.-born.
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Rocky Mountain Voice, State, Top Stories

Colorado non-citizen households used welfare at a far higher rate than the U.S.-born.

By Shaina Cole | Contributing Writer, Rocky Mountain Voice Half of Colorado households headed by a non-citizen, regardless of legal status, either used a traditional welfare program or qualified for federal tax credits aimed at low-wage workers. That is the finding of a new national report the Center for Immigration Studies released June 11. It is built on five years of Census Bureau survey data, pooled to get state samples large enough to be meaningful. The numbers come at a moment when Colorado is still absorbing the fiscal fallout from its own immigrant health coverage program, one that was projected to cost $27 million and enrolled more than eight times as many people as the legislature anticipated. And they arrive just weeks after Colorado began implementing federal food-sta...
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Colorado’s main suer runs on Trump
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Rocky Mountain Voice, Commentary, State, Top Stories

Colorado’s main suer runs on Trump

By Tom Anthony | Guest Commentary, Rocky Mountain Voice According to Tucker Carlson interviewee Joe Kent, erstwhile Director of Counterterrorism, it was Netanyahu that induced the US to attack Iran. Of course Trump is taking the blame and that goes with being President, as executive decisions have their consequences. High gas prices aren't popular with too many people (we're excepting the ones who own oil wells) and so being anti-Trump has gotten somewhat easier on both sides of the aisle. My dad was a doctor and started out a Republican (although, as a Catholic, he did support Kennedy and, we'll have to include, partnered with Roy Romer in a ski resort venture). After me hearing years of ranting about "socialized medicine" he capitulated to the Democrats later in life to the poi...
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Children’s Hospital Restores Gender Care Services but Doctors Decline to Provide Treatment
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The Colorado Sun, Approved, State

Children’s Hospital Restores Gender Care Services but Doctors Decline to Provide Treatment

By Jennifer Brown | The Colorado Sun Children’s Hospital Colorado was forced to resume gender-affirming care through a court order, but the doctors who work there won’t do it. Children’s Hospital Colorado said Monday that it was resuming gender-affirming care for transgender youth after it was forced to do so by a court order, but that none of its doctors are willing to actually provide the care.  The announcement means the hospital is complying with the court order and yet, transgender kids and teens will not get care from the doctors who work at Children’s TRUE Center for Gender Diversity, a clinic that provides prescriptions for hormone therapy and puberty blockers. The Aurora hospital does not perform gender-affirming surgeries for patients under 18 and never has...
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