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This page combines allegations of Medicaid financial waste and

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disability segregation. They require separate evidence tracks. Financial track:

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identify the audit, program, amount, payment period, eligibility rule,

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payee, correction, recovery, and final finding. Access track: document the

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person’s eligibility, requested HCBS, assessment, preference, wait time, interim

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services, institutional risk, reasonable modifications, and final decision. Then

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test the claimed connection between dollars and denied access

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with budgets, appropriations, waiver capacity, staffing, service authorizations, and

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timelines. An improper payment does not automatically prove fraud

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or cause a waitlist. A long wait or isolation can

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raise Olmstead questions, but does not alone establish unlawful

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segregation. A complaint, archive, or whistleblower account is not

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an investigation or finding. Build both records at david-medeiros.com/two-track-review.