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Two New Mexico Behavioral Health Nonprofits To Return $4.2 Million To Human Services Department

Circle Connections: Policy & Regulatory Updates Two nonprofits that provide behavioral health services have agreed to repay $4.2 million in improper billings and will have their Medicaid funding restored, the Human Services Department (HSD) announced November 4th. It's the first settlement of overbilling allegations since HSD cut off Medicaid funding to 15 nonprofits in late June, saying an audit had turned up $36 million in overpayments, mismanagement, and possible fraud. Santa Fe-based Presbyterian Medical Services will repay $4 million and Youth Development Inc. of Albuquerque will repay $240,000 for billing problems the department said occurred from . . .

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