posted Apr 24, 2012, 10:31 AM by Zack Freeman
AG Brokers Settlement with Medicaid Services Provider...State Receives $622K in Agreement with En Su Casa Personal CareTuesday, May 31, 2011
(SANTA FE)---Attorney General Gary King's Medicaid Fraud & Elder Abuse Division announces an agreement with THI of New Mexico at En Su Casa, LLC, to reimburse the State and improve caregiver screening.
The MFEAD received complaints by the Aging and Long Term Services Department (ALTSD), claiming En Su Casa was (1) utilizing unqualified, untrained, and unscreened caregivers as a part of its Personal Care Option services program, (2) that the facility had not conducted required nationwide criminal history screenings, verified first aid/CPR training, and TB testing, and (3) that required monthly supervisory visits were not being done. In addition to an audit, MFEAD conducted an investigation into the falsification of certain TB testing documentation and found it to have been falsified.
En Su Casa denies the allegations in their entirety; however, since the MFEAD audit, En Su Casa has instituted new policies, conducted staff training, regularly audits for compliance with the PCO regulations, and believes it is currently in substantial compliance with regulations with respect to current staff. In the interest of avoiding litigation, and without conceding the validity of accuracy of the allegations, En Su Casa seeks to resolve and settle these matters upon the terms and conditions set forth in the settlement agreement.
En Su Casa shall pay the State of New Mexico a total amount of $622,709.20 that involve two separate cases.
[The full settlement agreement is attached]