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Providing behavioral health care services to New Mexicans is an important responsibility, and it’s critical that the funding used to provide these services be spent properly. This administration has kept its word to protect those most in need by not tolerating fraud, waste, or abuse of Medicaid funds.
That’s why it’s so concerning that an in-depth audit, commissioned by the Human Services Department of 15 behavioral health care agencies in New Mexico, revealed an estimated $36 million in improper payments: fake billing, potential shell companies and CEOs improperly getting rich off Medicaid funds.
This money was supposed to pay for treatment for low-income New Mexicans, but was instead misspent. In some cases, services were overbilled, and in others, funds were paid out for services that never should have been billed. Looking strictly at the most egregious payment errors, the audit indicates that New Mexicans in need of behavioral health care services were greatly shortchanged by the companies tasked with managing this funding.
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