NC State Auditor Finds Cardinal Expenditures Unreasonable!!(Finally) #Wastedtaxdollars
The NC State Auditor Beth Wood released an audit report on Cardinal Innovations yesterday, May 17, 2017. Here are the key findings. For the full report click here.
Cardinal is a Local Management Entity/Managed Care Organization (LME/MCO) created by North Carolina General Statute 122C. Cardinal is responsible for managing, coordinating, facilitating and monitoring the provision of mental health, developmental disabilities, and substance abuse services in 20 counties across North Carolina. Cardinal is the largest of the state’s seven LME/MCOs, serving more than 850,000 members. Cardinal has contracted with DHHS to operate the managed behavioral healthcare services under the Medicaid waiver through a network of licensed practitioners and provider agencies.
• Cardinal spent money exploring strategic opportunities outside of its core mission
• $1.2 million in CEO salaries paid without proper authorization
• Cardinal’s unreasonable spending could erode public trust
• Cardinal should consult and collaborate with members of the General Assembly before taking any actions outside of its statutory boundaries
• The Office of State Human Resources should immediately begin reviewing and approving Cardinal CEO salary adjustments
• The Department of Health and Human Services should determine whether any Cardinal CEO salary expenditures should be disallowed and request reimbursement as appropriate
• Cardinal should implement procedures consistent with other LME/MCOs, state laws, and federal reimbursement policy to ensure its spending is appropriate for a local government entity
My favorite? Recoup CEO salaries. Maybe we should extrapolate.
Posted on May 18, 2017, in "Single State Agency", 1915 b/c Waiver, Accountability, Alleged Overpayment, Alliance, Behavioral health, Beth Wood, Cardinal Innovations, CenterPoint, EastPointe, ECBH, General Assembly, Health Care Providers and Services, Increase in Medicaid Spending, Knicole Emanuel, Legal Analysis, Legislation, Managed Care, MCO, Medicaid, Medicaid Advocate, Medicaid Attorney, Medicaid Audits, Medicaid Billing, Medicaid Budget, Medicaid Contracts, Medicaid Costs, Medicaid Funds, Medicaid Providers, Medicaid Reform, Medicaid Reimbursements, Medicaid Services, Medicaid Spending, Medicare and Medicaid Provider Audits, NC, NC DHHS, North Carolina, Office of State Auditor, Performance audit, Tax Dollars, Taxes, Taxpayers, Transparency, Trillium and tagged Behavioral health, Behavioral health Providers, Cardinal, Cardinal CEO salaries, Cardinal Innovations, Department of Health and Human Services, Division of Medical Assistance, General Assembly, Managed care, Managed Care Organizations, Medicaid, Medicaid and behavioral health, Medicaid program, Medicaid Providers, Medicaid Services, Medicaid Waiver, Mental health, Mental Health and Medicaid, Mental Illness, North Carolina, Performance audit, State Auditor, Tax Dollars. Bookmark the permalink. 7 Comments.