Monday, January 07, 2008

Why are Endorsed Provider companies being audited when Value Options, contracted by DHHS to create authorizations, gave the green light to services?

TO: Cullen Browder
WRAL TV station: Raleigh/Durham/ Fayeteville: NC
P.O. Box 12000, Raleigh, N.C. 27605

January 7, 2007

Dear WRAL TV of Raleigh/Durham/ Fayetteville (wral.com):

I read with interest the 2005 piece on, 'Audit Questions Whether State Overpaid On Medicaid Claims" by your reporter Cullen Browder. I know that this is some time ago; however, the matter of auditing is here yet again and I thought you might be interested in some new information as associated w/ NC mental health reform.

Value Options, the company appointed by Carmen Hooker Odom, who OVERBID and obtained the opportunity to create authorizations for Medicaid clients, authorized millions of mental health provider authorizations----SOMETIMES EVEN WHEN THE PATIENT/ CLIENT WAS NOT A MEDICAID CLIENT.

Value Options thus has a contract w/ DHHS NC in order to create authorizations. If Value Options has the contract w/ DHHS in order to create authorizations, and if 'authorization' is what is utilized within the health care industry as the 'green light' for services, then why are Endorsed Provider companies being audited and demanded to pay back millions of dollars----for services which VALUE OPTIONS AUTHORIZED?

It would be great if you could cover such a story as NC mental health reform is quite a hot topic at this time.

Thanks very much for your coverage.

Marsha V. Hammond, PhD

2 Comments:

Blogger montie said...

I find this fascinating. In the face of the current lawsuit, it makes one tend to wonder how suited Value Options or the mental health system in NC are to be in charge of such an important aspect of healthcare.

6:12 PM  
Blogger NC Mental Health Truth said...

You're right on target. Where's NC Council and the outrage from providers?

12:37 PM  

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