April 28, 2006
"$1 Billion in Medicaid Expenses Questioned by the State Auditor"

The State Auditor released an audit of DSHS Medicaid spending yesterday and it is a damning indictment of Mrs. Gregoire's1 administration:

A state audit has questioned nearly $1 billion that Washington's Medicaid program spent last year -- including $75 million that may have to be repaid to the federal government because it was used for unauthorized medical services for undocumented aliens.
The EFF has posted the complete report. Sadly, none of this is new:
"We found no improvements in the ... controls from previous years," the audit said. "Washington state is providing service to thousands of ineligible clients using federal Medicaid money. The majority of these clients were admitted into the program due to unaddressed significant weaknesses in the department's controls. This is causing the nation's taxpayers to subsidize Washington state's non-compliance."
I guess my headline two weeks ago was spot on: "Mrs. Gregoire promotes entitlements for illegal immigrants"

1 Her Spanish-language home page includes links to "Social and Health Services" and to "Register to Vote".

Posted by Stefan Sharkansky at April 28, 2006 09:26 AM | Email This
Comments
1. Republican fruit growers, restaruant owners, factory owners, meat packers, etc. import illegal aliens and the taxpayer picks up the tab for cheap labor's medical problems.

What a shock!

How could this happen?

Republicans are addicted to cheap foreign labor here and abroad. Their hate-mongering of Mexican Americans will not help them avoid the truth Bush Jr. now admits.

You need the Mexicans, just like you need the cheap Chinese labor you get from the Chinese Communist Party.

America despises your perversion. America is not happy with you.

You don't have much longer.


Death is patient.

Posted by: death on April 28, 2006 09:37 AM
2. I’ve always said, no state department needs an enema more than DSHS. In fact, given the gross negligence and even deaths attributed to their mismanagement, I would even make them a higher priority than King County elections.

Posted by: ronin on April 28, 2006 09:48 AM
3. Death,
Which party is pandering to the illegal aliens for votes, as well as trying to change the rules to allow felons to vote to grow their voting base.
Democrats have had control of the governorship & legislature for as long as I can remember, it's their mess & corruption. There's no hating mexicans. There is a distinction between legal immigration and breaking the law and demanding to be rewarded for it.

Posted by: Olympia Republican on April 28, 2006 09:49 AM
4. Gee Whiz, 20 years of uninterrupted Democratic Rule at the State and County level and it's the Republicans fault? What proposals have the Dead Democrats made to curtail this abuse of cheap foreign labor? Have they sought to stop the inflow of illegal labor into the State of Washington? What was that Democratic proposal to help law enforcement identify those who are here illegally? Where is that Democratic bill in the House and Senate to stop providing benefits to illegal aliens at taxpayer expense?

It's amazing that death has been able to identify that all fruit Growers and restaurant owners are Republicans. Death obviously doesn't get around to the International District for lunch much. Rainier Valley must be full of closet Republican restaurant owners, Capital Hill as well.

Maybe it's time death takes a holiday.
Careful death, the hall monitor will send you to the office if you are late for class again.

Posted by: DNC DEAD? on April 28, 2006 09:59 AM
5. Year after year, democrat Brian Sonntag provides us with a roadmap to fiscal sanity. Year after year, his own party, which controls every facet of this state's government, ignores him.

I can't speak for 'death,' but that institutional democrat misfeasence just slays me.

Posted by: Hinton on April 28, 2006 10:16 AM
6. Death - and you eat the cheap fruit and go to the restaruants. And you try and deride Republicans for using illegal labor. You also deride Demoncrats as not being capable of growning fruit or operating a restaruant.

Full of logic, or is that venom? It is also a little, what is that H word again?

Posted by: Fred on April 28, 2006 10:30 AM
7. http://www.aicpa.org/download/info/020802_sarb_timeline.pdf
1 Too bad SOx, Sarbanes Oxley, does not apply to
a State of Washington
b Sound Transit
c King County
d City of Seattle
2 The CEO and CFO personally sign the financial reports and are subject to criminal penalities
3 The really sad part is DSHS was notified of this in prior years and chose NOT to strengthen their system of internal control
4 If the Feds determine we (Washington) are in noncompliance both State Medicaid Director Doug Porter and Gregoire should go to jail and not Club Fed where they can play shuffel board and work on their handicap

Posted by: Green Lake Mark on April 28, 2006 10:37 AM
8. Green Lake;

Right on the mark! No pun intended. SOX is just another program that keeps business from operating in a cost effective manner and EXCLUDES
the very government that wrote the legislation.

If State government refuses to comply with the findings from the Medicaid Audit. Perhaps the Feds should start witholding future payments until the standards are met.

Posted by: Smokie on April 28, 2006 10:58 AM
9. Stop the presses! The EFF issues a report critical of the Gregoire administration!

In other news, it rains here once in a while.

Posted by: ivan on April 28, 2006 11:03 AM
10. ivan - I'm glad you think wasting $10s of millions is terrible as well. Obviously you agree with it or you would have countered the evidence rather than attack the messenger.

Posted by: Fred on April 28, 2006 11:06 AM
11. As far as the queen is concerned, the more illegals, the better. It's a major source of illegal votes for her.

Posted by: BananaLand on April 28, 2006 11:11 AM
12. Stop the presses! The SAO issues a report critical of the DSHS Medicare administration!

In other news, EFF highlights some of the ctiricism in the SAO report.

Hey Ivan, it's sunny over here.

Posted by: SouthernRoots on April 28, 2006 11:17 AM
13. criticism, not ctiricism. Oh well.

Posted by: SouthernRoots on April 28, 2006 11:23 AM
14. I already sent Gregoire a nasty-gram about this. Grrrr! The worst of it is that there is no change to the bad stuff they found last time! In the private sector, you cannot operate this way! Where is the outrage from Gregoire??

Posted by: Michele on April 28, 2006 11:23 AM
15. Ivan,
Some of the "medical" expenses covered were sex change operations, breast augmentation, hangnail and acne treatments, pregnancy..ie: non emergency expenses that my tax dollars pay for yet I'd be unable to afford for myself if I wanted to do any of those procedures.
This in not about "immigration" at all, all these benefits / expenses that "illegal" aliens feel entitled to receive, they now demand. Yet they do not want to assimilate into this country and become american while retaining their heritage.
The want everything bilingual..the latest form of this insanity I heard this morning was a spanish version of The Star Spangled Banner..I kid you not! Being an illegal alien isn't a good life for the illegal alien, nor for America and gives Mexico no incentive to make life better there so it's citizens don't have to flee here. The solution isn't to grant amnesty, it's never worked before. There is another round of protests scheduled to disrupt major cites on monday..May Day and carrying mexican flags won't help their cause and will likely cause even more of a backlash. Funny, don't see Americans fleeing in droves to any other country and then demading special rights and acommodations.

Posted by: Olympia Republican on April 28, 2006 11:27 AM
16. I imagine Queen Christine will lay low and be very, very quiet for a while, considering this audit comes on the heels of the report announcing our new deficit, which came on the heels of announcing our new surplus! It has to really sting.

Posted by: katomar on April 28, 2006 11:29 AM
17. The Dems continue to have their collective heads up their arses. To them, it really is all just monopoly money. What a shame they weren't parented in more responsible ways. Maybe they would have something that resembles a clue on occasion.

Posted by: Danny on April 28, 2006 11:38 AM
18. It is my understanding DSHS is prohibited from asking applicants whether or not they are, in fact, legal residents ... apparently because it would be discriminatory (ie, Mexicans look different than Canadians).

I know this was the case some years ago, and I doubt it's changed since then. If it still is the case, we should not be surprised by this report in any way.

And though it was pointed out earlier, this is a report from the state auditor, Ivan. Got a snarky comment for that?

Posted by: jimg on April 28, 2006 11:39 AM
19. I think a major 2006 & 2008 election issue is going to be appropiate responses to the repeat audit findings. The Office of Financial Management now publishes an audit resolution report HERE.

Posted by: A Watchdog on April 28, 2006 11:45 AM
20. My question for the illegals and the May Day rally is simple. If you're not working or shopping that day to show the rest of us what a "positive impact" you have, will you also refrain from sending your children to the local public schools where thousands of dollars are spent in ESL classes....and how about not calling 911 or going to the emergency room for the flu because it doesn't cost you anything?

Posted by: suzihomemaker on April 28, 2006 11:46 AM
21. Watchdog, in the 2005 report, I was surprised how often "The Department disagrees with this finding." appeared. More work needs to be done.

Posted by: SouthernRoots on April 28, 2006 11:53 AM
22. In reading the 2005 audit report, I was dumbfounded at the number of infractions cited. In the real world, anyone in charge of such poor oversight would be out on their arses.

Posted by: katomar on April 28, 2006 12:11 PM
23. I love your footnote. Apparently in Shark's world, if you are the type of person who would read the Spanish language website, then you obviously couldn't in any way qualify to either vote or legitimately qualify for Social and Health services.

Racist.

Posted by: Willis on April 28, 2006 12:34 PM
24. Willis, I'm very certain that Stefan is NOT racist. That's just a little label you haul out to shut down discussion.
However, liberals who disparage Condoleeza Rice and Michael Steele with insulting racial comments just MIGHT be.

Posted by: Michele on April 28, 2006 12:41 PM
25. Stefan,

You pointed out that Gov. Gregoire's home page has voter registration information in Spanish. You point this out in the context of an article on alleged use of public resources by "undocumented aliens". What is it about the site that bothers you? Is it a bad idea to communicate with spanish speakers in spanish? If so, was it also innappropriate for Pres. Bush to speak in spanish at campaign events? Is it also inappropriate for Rep. Nixon's website to have the same link to voter registration forms in spanish, chinese, cambodian, korean, russian, laotian, and vietnamese that gov. Gregoire's site has?

You say "Her Spanish-language home page includes links to "Social and Health Services" and to "Register to Vote", but you neglect to mention that those same links are included in all six of the languages used on her website. There is also a link to 'Access Washington.' Is that a bad thing?

Posted by: Eric on April 28, 2006 12:53 PM
26. "In other news, it rains here once in a while." and iban is an imbecile.......

Posted by: alphabet soup on April 28, 2006 01:05 PM
27. One of the first signs of decay of a civilization is more than one language. Don't you think someone should be able to speak and read at least a little bit of the English language for the privilege of voting as a citizen of the United States of America (I am liking USA spelled out a lot more than I used to because of the past 10 years).

Posted by: swatter on April 28, 2006 01:07 PM
28. As you are required to speak english to become a naturalized citizen why is a foreign language web site (pamphlets, etc.) needed for voting information?

Posted by: Fred on April 28, 2006 01:12 PM
29. You're all racists, where are the translations for those of us who only speak Urdu and Swahili? This country is full of white supremacists and I'm going to stay here and work until I get my social security check. My country has no social programs. I hate you imperialist pigs!

Posted by: dan on April 28, 2006 01:15 PM
30. "One of the first signs of decay of a civilization is more than one language".

We're not just a country anymore? We're a whole civilisation? Cool!

No wonder the Austro-Hungarian and Ottoman empires fell apart after WWI, they spoke too many languages.

Posted by: Eric on April 28, 2006 01:19 PM
31. You're right Eric. WWI had nothng to do with it!

Posted by: Fred on April 28, 2006 01:30 PM
32. The DSHS is the deepest money pit in this state's government. But this is a Liberal Welfare state. Gregoire wants to tack on to that massive waste of taxpayers funds, a healthcare for all citizens of this state proposal. How much will this bill cost?

Vote in November, and you can change the direction of this state for good! Or er shall I say attempt to, with DEANRON administration counting the votes that is.

Posted by: GS on April 28, 2006 02:28 PM
33. I've had enough of these wasteful government programs like medicare with their ridiculous two or three per cent overhead. I want efficient private-secor healthcare with twenty per cent overhead costs.

Posted by: Eric on April 28, 2006 02:36 PM
34. Eric - what are your information sources for your statement? I'd like to look into it, but don't have the time to do the search myself.

A government program with only 2-3 percent overhead?

Posted by: SouthernRoots on April 28, 2006 03:10 PM
35. The punchline of this audit is there's nothing in place to fix it other then a Democratically controlled legislature.

Posted by: swassociates on April 28, 2006 03:17 PM
36. "Is it a bad idea to communicate with spanish speakers in spanish?"

You bet.

In respect to official functions of government, every transaction that can be conducted in English should be conducted in English.

Furthermore, it is a waste of taxpayer resources to print documents like voter ballots in any foreign language. You must be functionally literate in English in order to become a citizen, and you are supposed to be a citizen in order to vote (although dhimmicrats don't seem to recognize this point very well!), so printing the ballot in any other language represents needless pandering.

If you can't read it (and can't find anyone to read it for you) then you don't deserve to vote!

Posted by: alphabet soup on April 28, 2006 03:36 PM
37. I guess we now know why the state anticipates a budget deficit......They've been busted!...Now that we have the Feds attention...maybe they could visit the King County elections department and have a little chat with Dean/Ron...

King County Journal: Mediciad Spending Questioned in Audit. By Curt Woodward Associated Press
"Olympia - Washington state's Medicaid program made nearly $1 billion in questionable payments last year, and may have to refund millions of dollars for improperly paying illegal immigrants' medical bills, a state audti said Thursday."

Audit faults $1 billion in Medicaid spending

BY BRAD SHANNON

THE OLYMPIAN

"State auditors have issued another annual audit critical of the $6.2-billion-a-year state-run Medicaid program, saying they had questions about nearly $1 billion of the spending. The most politically sensitive expense was $28 million for the medical care of illegal immigrants."


Audit’s findings could hit hard
Health expenses might cost state

JOSEPH TURNER; The News Tribune
Published: April 28th, 2006 01:00 AM


"Washington might have to return as much as $32 million to the federal government because the state improperly paid for medical expenses of patients who can’t prove they are U.S. citizens or because their medical needs were not an emergency, according to state Auditor Brian Sonntag.
Findings in the audit are likely to fuel the national debate over immigration. Advocates of stricter immigration laws complain that illegal immigrants use services paid for by U.S. citizens.


Posted by: Deborah on April 28, 2006 07:00 PM
38. I predicted this; hopefully this will add some fuel to the fire about the immigration debate - because the politicians are being idiotic about this - except for a few such as Tom Tancredo, JD Hayworth and Jon Kyl (sp?). Do any lawmakers care about preserving the integrity of this country ? A majority of the people do - there is an obvious disconnect and it's time to take action and chastise those who are selling out America !

Posted by: KS on April 28, 2006 07:11 PM
39. This is just par for the course. This has been going on for years and it seems there is no end in sight!

Posted by: SP Fan on April 28, 2006 09:33 PM
40. "This is just par for the course. This has been going on for years and it seems there is no end in sight!"

Actually, it could be that the new Federal Proof of Citizenship requirement for Medicaid is going to put a stop to this. This could be the beginning of the end of rewarding the illegal immigrants in this country....

One can only pray!

Posted by: Deborah on April 28, 2006 09:54 PM
41.
So let's see, your President says you need to import millions of foreign (illegal) "guest" workers, but you don't want them to vote or have any rights of benefits.

So, Republicans want people to work for no money, have no rights and no benefits.

Okay, again, why am I supposed to be surprised?

Hypocrites and Fascists.


Death mocks you.


Posted by: death on April 29, 2006 04:59 AM
42. Death

Get a job

Posted by: swassociates on April 29, 2006 07:47 AM
43. death is such a drag.....

Posted by: alphabet soup on April 29, 2006 08:03 AM
44. Death, you really need to get a life.

If the President's plan created a manageable "guest worker" program AND IF the current people coming here ILLEGALLY would actually follow the program AND IF we actually enforced the program, THEN the "guest worker" would be coming here LEGALLY.

Coming here ILLEGALLY should not grant instant CITIZENSHIP. Even coming here LEGALLY does not grant instant CITIZENSHIP. There is a defined path to EARNING the rights of CITIZENSHIP. Millions have followed that path are enjoy the full benefits of the opportunities that CITIZENSHIP grants.

This audit of DSHS shows that there is a lot of waste in the way OUR government spends OUR money. The lack of following procedures and the law leads to this waste. Unchecked, it leads to the Democrats demanding more tax dollars.

Democrats are showing that they need to tax the PEOPLE to Death in order to "save" them. They collect the taxes and then go on uncontrolled spending binges and cry that they need more taxes. Pretty soon, most of the people only receive their sustenance from the government and the government runs out of things to tax, the system crumbles and dies.

As the government takes more and more control over providing the people with what the government deems necessary, the people's liberty dies just a little more.

Bigger government = socialist = totalitarian = death.

Bigger government mocks us.

(Republicans these days aren't doing to good with smaller government, but the growth of government will ALWAYS occur faster under Democratic "leadership")

Death, you need to get a life.

Posted by: SouthernRoots on April 29, 2006 08:10 AM
45. Don't forget Monday - May 1st - call it Pinko de Mayo in recognition that the large marches of illegal aliens are being funded and propped up by the leftwing Marxists groups.

In an attempt to make lemonade out of lemons, I'll pose this question; How does one go about celebrating Pinko de Mayo ?

Posted by: KS on April 29, 2006 02:26 PM
46. Celebrating Pinko de Mayo - How about voter registration drives for illegal aliens! The slogan could be - "Mock the Vote"

Posted by: PW on May 1, 2006 01:01 PM
47. KS: "How does one go about celebrating Pinko de Mayo?"
How about TP'ing the Lenin statue in Fremont??

Posted by: Misty on May 3, 2006 12:41 AM
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