Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Standards Established and Methods Used to Assure High Quality Care [12 VAC 30 ‑ 60]
Action Electronic Visit Verification
Stage Proposed
Comment Period Ended on 3/21/2020
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3/20/20  1:06 pm
Commenter: Zaichenko Family

if you really cared about finding fraud

As a recipient, I would like to receive Explanations of Benefits, (EOB’s). If Medicaid fraud is a concern to DMAS, a good checks and balance system would include EOB’s so recipients can see what they are being billed for and what is being covered. An article that ran on the front page of The Virginian Pilot on 11/9/2019 reported that a local OB-GYN was being investigated by the Feds for health care fraud for performing surgeries on female patients without their consent. Many of his patients had Medicaid therefore did not ever receive an EOB. One particular patient tried for years to have children and eventually sought fertility treatment. Through the fertility specialist visit, she learned that her doctor had tied her tubes without her consent, nor even her knowledge. I wonder if all of the women that he performed unnecessary and life-altering surgeries on had received EOB’s, if he would have been caught sooner  

DMAS let that doctor harm many women.  

This isn't about fraud.  This is about giving money to EVV technology companies.  

This is hurting disabled people. 

CommentID: 79997