Fraud concerns in New York and Texas are sparking changes to health care programs: New York officials have suspended enrollment in an adult day care program, and lawmakers in Texas plan action on Medicaid fraud.
The New York Times: State Suspends Enrollment In Adult Care Plan Amid Fraud Concerns
State officials have suspended enrollment in New York's largest managed long-term care plan for frail elderly and disabled people, and investigators have begun examining the relationships between such plans, which are financed by Medicaid, and the social adult day care centers that send them new customers (Bernstein, 4/25).
The Texas Tribune: Legislators Seek Action On Medicaid Fraud Measures
After the discovery that the state was spending millions of dollars on fraudulent Medicaid dental and orthodontic care, state lawmakers held hearings ahead of the legislative session to identify what went wrong and how to prevent future fraud. And this session, lawmakers have filed a handful of bills to reform how Texas addresses Medicaid fraud. But the bills aren’t progressing as fast as some would like (Aaronson, 4/25).