While troubling, final approval of fraudulent applications represents a lesser element of the problem regarding non-citizen enrollment. The greater concern is initial approval:To say that this is troubling does not even begin to describe it. This does not seem to be intentional -- but think of the Nigerian spammers all doing this at once, and then supplying Medicaid information to Medicaid fraud doctors in the U.S.
- Applicants attempting to register for Medicaid as non-citizens by using Healthcare.gov will have their identification checked in real-time by the SAVE (Systematic Alien Verification for Entitlements) database. But if SAVE verification fails, the applicant is not prevented from enrolling in Medicaid/CHIP.
- In fact, the opposite occurs: the applicant is likely enrolled in Medicaid immediately.
- The applicant is then given a 90-day period to clear up the identification problem.
- This “enroll first, confirm later” regulation, combined with the ACA’s easing of verification requirements, allows anyone, from a computer anywhere in the world, to successfully auto-enroll for 90 days of Medicaid by entering fraudulent information about being a certain category of legal alien living in the United States.
- There is no guarantee that state governments will take action to cancel these enrollments at the end of each application’s 90-day period if identification is never provided. The cancellation of unverified enrollments is left to each state’s available manpower and political will.
Tuesday, November 12, 2013
A Major Security Hole in the Medicaid Enrollment Part of HealthCare.gov
David Steinberg at PJMedia points to a serious security flaw that allows persons not even resident in the U.S. to apply for Medicaid and get it for at least 90 days: