Open Letter to Ohio Attorney General for Medicaid Records
Dear Attorney General Yost,
Please accept this communication as a formal courtesy notification that our organization is actively investigating systemic compliance anomalies, administrative cost-shifting, and provider revalidation gaps within the Ohio Department of Medicaid (ODM) and the Home and Community-Based Services (HCBS) waiver infrastructure. Be advised that as of today, we have initiated a formal Freedom of Information Act (FOIA) request directly with the federal Centers for Medicare & Medicaid Services (CMS) seeking all raw datasets, federal oversight communications, state revalidation plans, and final findings related to the CMS Focused Program Integrity Review for the State of Ohio. The scope of our federal inquiry directly intersects with the ongoing scrutiny surrounding Ohio's Medicaid waiver programs, including the current U.S. House Oversight Committee investigation into systemic billing integrity vulnerabilities. We are targeting the exact data exchange, risk modeling, and communication loops shared between CMS, the Ohio Department of Medicaid, and your office’s Medicaid Fraud Control Unit (MFCU). As a matter of state law, we remind your office of its statutory obligations under the Ohio Public Records Act (ORPA), R.C. § 149.43. This letter serves as a formal request to preserve all internal agency communications, notes, audit trails, and data repositories concerning state-level whistleblower tips, provider red-flag travel anomalies, and cross-agency policy directives regarding waiver eligibility determinations. We anticipate full, unredacted alignment between the federal disclosures we receive via CMS and the state-level public records requests currently pending with Ohio agencies. Any artificial friction, constructive denial, or unreasonable delay in producing corresponding state records will be documented to establish a violation of R.C. § 149.43. We look forward to the state’s timely compliance with its transparency mandates. Sincerely,
IndianaMedicaidHelp.org
[email protected]
