NY's Medicaid spending.

(A congressional panel voted to ask auditors to look at New York’s Medicaid program, which federal officials believe overcharged by $15 billion. (TU))
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NY’s Bureau of the Budget has a long history of using mental health and developmenmtal disability patients as a Medicaid payment mill.
The decades’ ‘ol mental health de-institutional movemnt was used by the budgeteers as a Medicaid tool.
Moving mental health patients out of state hospitals and into the community allowed the state budgeteers to bill the feds. for Medicaid reimbursement.
It was the money that mattered.
The Medicaid money flowed from the feds., but there was also no legal requirement to provide a certain level of services for the de-institutionized patients.