District Court Ruling In Border Area, et al., v. Squier, et al.

July 25, 2013
The ruling concerns a request for preliminary injunction filed by eight behavioral health provider organizations in New Mexico to force the state to continue paying claims. They are part of a group of 15 organizations that have been subjected to a payhold, effective July 1, 2013, on all claims for Medicaid and non-Medicaid services. The New Mexico Human Services Department (HSD) enacted the payhold after a clinical claims and enterprise audit found billing errors requiring investigation by the state Attorney General's Office to determine if the errors represent fraud. The eight organizations had sued to . . .