SANTA FE – A health care company that tried to root out fraud in New Mexico’s Medicaid program has now been accused of committing Medicaid fraud itself.
Three lawsuits filed against OptumHealth Inc. this year accuse the company of malfeasance stemming from its state contract to oversee Medicaid payments to mental health providers between July 2009 and December 2013, The New Mexican reported. OptumHealth spokeswoman Lauren Mihajlov says the company rejects the allegations in all three lawsuits and “will defend ourselves vigorously.”
OptumHealth’s efforts led Gov. Susana Martinez’s administration in June 2013 to suspend payments to 15 providers treating low-income patients for mental illness or addiction.