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Department of Human Services: Payments for Self-Administered Opioid Treatment Medication
Office of the Legislative Auditor, State of Minnesota
State of Minnesota: The Office of the Legislative Auditor (OLA) conducted a special review of payments the Department of Human Services (DHS) made to the White Earth Nation and the Leech Lake Band of Ojibwe for clients in their opioid addiction treatment programs to self-administer medications at home.
Because the payments were not authorized, occurred over several years, and total over $29 million, OLA had a responsibility to determine why DHS made the payments and why the department did not stop them sooner.
This billing guide is designed to assist Tribal health care facilities and providers to deliver health care services to eligible clients, and to bill the Medicaid agency for delivering those services. This publication takes effect January 1, 2020, and supersedes earlier guides to this program.
January 1, 2020
Minnesota DHS overpaid tribes by $25.3 million for substance abuse treatment
The Minnesota Department of Human Services overpaid tribal governments $25.3 million for treatments covered under Medicaid, according to internal memos obtained by the Pioneer Press.
DHS officials learned this spring that they overpaid the Leech Lake Band of Ojibwe and the White Earth Nation for therapy used to treat substance abuse disorder, the memos state. The agency reimbursed the tribes for in-person visits with health care providers when the patients actually were self-administering the medication at home.
“Because DHS and the State were the architects of the billing structure that is being recalled, and specific Tribal employees that designed the billing for the Tribe have since resigned amid the audits the Tribe authorized in 2018 and 2019, the situation calls for shared responsibility,” said Tibbetts, White Earth Vice Chairman.
August 1, 2019
Homelessness divided a small Western Washington town. And then the fighting started.
Bonney Lake and Buckley WA are two small towns in Pierce County WA. Struggling with the impact of homelessness and drug addiction in a transient population, residents took the problem into their own hands. The results ended up in violence and discredited the entire effort.
September 2, 2019
Are we making progress or stuck in neutral with the opioid crisis?
The Shaw Family Farm rests just steps away from the location of the proposed Jamestown S'Klallam MAT clinic. The farm, started in 1931 continues as a working farm to this day, raising Angus cattle and apples.
Will this small family farm be a casualty of the proposed project across the pasture from where their herd peacefully grazes?
December 5, 2019
Longest running homeless camp in Seattle meets its fate
Seattle's longest running homeless camp known as The Jungle 2.0 is being removed. (Oct. 2019)
“This is a convenient place because the little local methadone clinic Evergreen is why we are at this particular location,” says Paige Conca, a heroin addict who has lived at the camp for two years and gets treated at the clinic.
$1 million of new state money was allocated in July 2019 to WSDOT for homeless camp removal. Bart Treece of WSDOT says a portion of that money is being used in this camp clean up, which is expected to take several days to complete.
White Paper stating Save Our Sequim's position concerning the errors in proceeding with this project. It is our opinion that the project fails scrutiny in the following regards, not an exhaustive list:
Phased project not permissible
Classification as a "Medical Clinic" inaccurate
Need for facility not established
Poor location choice
Impact of facility not properly evaluated
For these reasons and more, the facility should at the very least be evaluated under a conditional use (C-2) process.
October 10, 2019
A ‘Housing First’ Solution Could Actually Stimulate Homelessness
HUD needs to remember that one size does not fit all. A rent voucher might well be the best solution for an otherwise self-supporting family that has suffered a temporary setback, such as an illness or lost job. But what drives most families into shelters are deeper-seated issues, such as a lack of education and employment skills, mental illness, substance abuse, and domestic violence.
Housing First is an approach launched under President George W. Bush and dramatically expanded into a one-size-fits-all policy under President Obama. It provides those experiencing homelessness with subsidized housing with no expectations. Under this approach, nonprofits requiring their clients to abide by accountability measures, such as pursuing sobriety or attending regular job training classes, are barred from receiving state and federal grants. While many consider Housing First to be a revolutionary success, actual outcomes show that gains are short-lived at best.