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Inadequate Virginia Medicaid Defenses against Fraud, Waste and Abuse in Autism Therapy
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Bacon's Rebellion
So, Medicaid in Virginia apparently has no visibility into the fraud, waste, and abuse orchestrated at scale that has been detailed extensively in two national publications.
Both the Wall Street Journal and the New York Times, starting in March, extensively chronicled fraud, waste, and abuse in the applied behavior analysis (ABA) industry.
FraudVirginia Medicaid has no visibility into corporate fraud unless and until the Medicaid Fraud Control Unit (MFCU) and the federal government become engaged.
We will look now at the defenses that Virginia Medicaid has put in place against fraud, waste, and abuse by individual practitioners.
Bottom LineThe General Assembly should not wait until the next legislative session to get JLARC looking at legislative and budget solutions to fraud, waste, and abuse.