New Mexico Grand Jury Indicts Former Optum New Mexico Supervisor

The New Mexico Attorney General’s Medicaid Fraud Control Unit is preparing for a trial in early 2015 against a former supervisor with Optum New Mexico for falsifying grievances and appeals submitted from October 2010 to April 2011 by Medicaid beneficiaries and behavioral health provider organizations. On May 28, 2014, a New Mexico Grand Jury indicted the former supervisor for 10 cases in which records were altered. The state’s investigation was triggered by a complaint during 2011 by Optum New Mexico employees who claimed that the supervisor ordered them to destroy and falsify records of Medicaid clients who had . . .