New Mexico judge: State likely violated rights of care provider in Medicaid billings inquiry


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SANTA FE, New Mexico — A New Mexico judge has ruled that a hearing must be held because state officials likely violated the rights of a behavioral health nonprofit whose Medicaid billings were questioned.

The Albuquerque Journal ( ) reports that District Judge Francis Mathew said he thinks the Human Services Department violated the due process rights of Easter Seals El Mirador.

Department spokesman Matt Kennecott said the agency will comply with the order for a hearing on its allegations.

Easter Seals was one of 15 nonprofits statewide affected by a 2013 shake-up of New Mexico's system for individuals with mental health and substance abuse problems.

The department ordered the crackdown and froze the providers' Medicaid funding after an audit allegedly showed overbilling and possible fraud.

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