Louisiana DOH audit raises suspicion


An audit covering the Louisiana Department of Health was released last week by Legislative Auditor Daryl Purpera.

The report unveiled that there is a lack of compliance of the Louisiana Department of Health behavioral health providers, and managed care organizations with certain provisions under the Louisiana Revised Statute 40:2162.

In the report released last week, it’s explained “that an individual National Provider Identification number be assigned to each claim as the attending service provider for psychosocial rehabilitation and community psychiatric support and treatment services provided on or after January 1, 2019.”

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The audit also showed that 114,963, which is 40.2 percent, of the 286,307 Medicaid claims that were submitted and paid for psychosocial rehabilitation “DID NOT include the National Provider Identification number of the individual who provided the service.”

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The illegally paid claims make up 40.4 percent, which equals to $10,504,923, of the $26,023,323 that were paid for PSR and CPST services over the period between January 1st, 2019 and March 31st, 2019.

The accountability requirement was introduced by Senator Jay Luneau (D), and it unanimously passed through both chambers, but Louisiana Republicans are arguing that Gov. John Bel Edwards’ (D) administration and the Louisiana Department of Health have ignored not only the law but the Louisiana Legislature as well.

Louisiana Republicans released a statement, criticizing that this is “costing taxpayers millions every month and would end up costing the state ABOUT $40 MILLION by the end of the year.”

Furthermore, they informed that Louisiana’s Superintendent of Education is calling for $15 million for early childhood education, and that the state legislature is calling for more than $39 million in school funding. However, Governor Edwards and the Department of Health are “breaking the law and on-pace to give away $40 million of taxpayer money.”

“The people of Louisiana deserve better,” argue the Louisiana GOP because “the same companies taking taxpayer money through these illegal claims are bending over backwards to funnel campaign money to Governor John Bel Edwards.”

Daniel Molina was the Opinion Editor of his high school’s newspaper, and he was also Editor-in-Chief of Miami Dade College’s Urbana literary and arts magazine wherein he also won the 2013 FCSAA Best Fiction Story in the State of Florida Award. He’s currently pursuing his Bachelor’s in English Literature. Hobbies in his free time include reading, writing and watching films and basketball.