Broken Whistle
Critics call Wisconsin’s Medicaid fraud crackdown ‘bullying’
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The state claims tens of millions in fraud in the Medicaid program, but some home care and family planning providers say their expenses are legitimate.
Wisconsin Watch Media Partners Center (https://partners.wisconsinwatch.org/tag/medicaid/)
The state claims tens of millions in fraud in the Medicaid program, but some home care and family planning providers say their expenses are legitimate.
In a Medicaid audit closely watched by state clinics, as well as their political allies and opponents, Inspector General Alan White reduced the amount his office is seeking in repayment for birth control by 93 percent and acknowledged the state’s own instructions had “created confusion” for some clinics.
People in Wisconsin and Minnesota living just barely above the poverty line are about to see their health care fortunes change — in opposite directions.
Attorneys for families of residents say that facilities’ failure to report serious injuries or deaths related to abuse or neglect is not uncommon. Far more often, they say, the state health department only learns about a case of alleged neglect or abuse after a family member files a complaint. Advocates for health care providers stress that incidents of neglect and abuse are extremely rare, and can come to regulators’ attention in a variety of ways.
In January, the Wisconsin Department of Health Services began publishing state inspection reports of nursing homes, assisted living facilities and other health care providers on its website. Records are available from July 2012 onward.