{
  "id": "175540",
  "title": "Records Regarding Connecticut Medicaid Programs, ABI Waiver, Amendments, and Federal Agency Oversight and Communications with Accenture and Manatt (2012–Present) (Department of Health and Human Services Office of Inspector General)",
  "agency": "Department of Health and Human Services Office of Inspector General",
  "jurisdiction": "United States of America",
  "submitted": "2024-10-29 17:24:20.138798+00:00",
  "updated": "",
  "status": "Awaiting Appeal",
  "requester": "David Medeiros",
  "sourceUrl": "https://www.muckrock.com/foi/united-states-of-america-10/records-regarding-connecticut-medicaid-programs-abi-waiver-amendments-and-federal-agency-oversight-and-communications-with-accenture-and-manatt-2012present-department-of-health-and-human-services-office-of-inspector-general-175540/",
  "requestText": "Subject: FOIA Request for Comprehensive Records Regarding Connecticut Medicaid Programs, ABI Waiver Amendments, and Federal Agency Oversight and Communications with Accenture and Manatt (2012–Present)\r\n\r\nTo:\r\n\r\nConnecticut Agencies:\r\n\r\nDepartment of Social Services (DSS)\r\nOffice of Policy and Management (OPM)\r\nOffice of the Attorney General\r\nOffice of Health Strategy (OHS)\r\nState Comptroller’s Office\r\nAuditors of Public Accounts (APA)\r\n\r\nFederal Agencies:\r\n\r\nCenters for Medicare & Medicaid Services (CMS)\r\nU.S. Department of Health and Human Services (HHS)\r\nOffice of Inspector General, U.S. Department of Health and Human Services (OIG, HHS)\r\nU.S. Government Accountability Office (GAO)\r\nCenters for Disease Control and Prevention (CDC)\r\nDepartment of Justice (DOJ) – Civil Rights Division\r\nDate: 10.29.2024\r\n\r\nFrom:\r\nDavid Medeiros\r\nABI Resources\r\nEmail: AabiWR@live.com\r\n\r\nRequest for Records Under the Freedom of Information Act (FOIA)\r\nDear FOIA Officers and Supervisory Officers,\r\n\r\nPursuant to the Connecticut Freedom of Information Act (Conn. Gen. Stat. § 1-200 et seq.) and the federal Freedom of Information Act (5 U.S.C. § 552), I respectfully request access to all records from January 1, 2012, to the present related to communications, funding, agreements, policy analysis, and compliance oversight involving Connecticut’s Medicaid programs, particularly focusing on the Acquired Brain Injury (ABI) Waiver Program. This request pertains to records involving the following entities:\r\n\r\nConnecticut Department of Social Services (DSS)\r\nAccenture and Manatt, Phelps & Phillips, LLP (Manatt), in their roles as consultants to DSS\r\n\r\nFederal agencies involved in Medicaid program oversight, including CMS, HHS, OIG, GAO, CDC, and DOJ’s Civil Rights Division\r\nThis request supports transparency, accountability, and oversight of Medicaid programs affecting vulnerable populations, particularly those involved in the ABI Waiver Program, managed care models, and accessibility initiatives.\r\n\r\nScope and Objectives of the Request\r\nThe objective of this request is to capture comprehensive records to allow for independent review, transparency, and the protection of vulnerable Medicaid populations in the following areas:\r\n\r\nMedicaid Program Amendments and Policy Modifications\r\nRecords of amendments to the ABI Waiver Program and other Medicaid waivers managed by Connecticut DSS in consultation with Accenture and Manatt, as reviewed by federal agencies (CMS, HHS).\r\n\r\nMedicaid Landscape Analysis and Managed Care Exploration\r\nDocumentation of data analysis, policy exploration, and evaluations related to managed care models, digital health, and accessibility for Medicaid recipients, conducted by Accenture and Manatt with DSS and reviewed by CMS or other federal entities.\r\n\r\nData Collection and Stakeholder Engagement\r\nInformation regarding data collection methodologies targeting Medicaid members, providers, and stakeholders, including strategies to ensure accessibility, equity, and compliance with federal and state protections.\r\n\r\nFederal Oversight, Accountability, and Compliance\r\nDocumentation from federal agencies related to funding compliance, regulatory oversight, or audits, evaluations, or investigations assessing DSS’s Medicaid program management, especially regarding the ABI Waiver and the involvement of Accenture and Manatt.\r\n\r\nDetailed Records Requested\r\nPlease provide copies of the following documents:\r\n\r\nContracts, Agreements, and Operational Frameworks\r\nConnecticut DSS: Contracts, MOUs, agreements, and scope of work documents between DSS and Accenture or Manatt.\r\nFederal Agencies (CMS, HHS, GAO, OIG): Federal approvals, reviews, or conditions placed on Connecticut’s Medicaid amendments or funding, particularly involving the ABI Waiver and managed care services.\r\n\r\nCommunications and Procedural Directives\r\nConnecticut DSS: Email and written communications between DSS officials and representatives of Accenture and Manatt, specifically concerning Medicaid program amendments, stakeholder engagement, and managed care exploration.\r\nFederal Agencies: Correspondence with DSS or contractors, as well as procedural directives involving Accenture or Manatt’s contributions to Medicaid policy or program operations.\r\nMetadata and Communication Logs: Metadata (sender, recipient, date, subject) and communication logs documenting DSS, CMS, HHS, or GAO interactions with Accenture or Manatt.\r\n\r\nMeetings and Strategy Documentation\r\nConnecticut DSS: Agendas, minutes, attendance records, and presentations from strategic planning sessions involving DSS, Accenture, and Manatt.\r\nFederal Agencies: Records from any forums, workshops, or review meetings with DSS regarding Connecticut’s Medicaid amendments, ABI Waiver program updates, or evaluations of managed care models.\r\n\r\nAnalysis, Recommendations, and Raw Data\r\n\r\nConnecticut DSS and Federal Agencies (CMS, GAO): All data, draft versions, and final recommendations produced by Accenture and Manatt, including raw data, methodology documentation, and preliminary findings related to Medicaid program evaluations.\r\nCDC Data on ABI/TBI: Any ABI or TBI-related data provided to DSS, Accenture, or Manatt, which may impact Medicaid ABI Waiver amendments.\r\n\r\nMedicaid Provider and Consumer Access and Contact Records\r\nConnecticut DSS: Documentation on Medicaid provider registry updates, provider affiliations, approval dates, and criteria used to select providers for feedback or analysis.\r\nFederal Oversight: GAO or OIG records on Medicaid provider networks and consumer engagement requirements, particularly in relation to accessibility for individuals with disabilities.\r\n\r\nAccessibility and Data Collection Accommodations\r\nConnecticut DSS and Federal Agencies: Documentation of accommodations ensuring accessibility for individuals with disabilities, including language assistance, assistive technology, and accommodations in data collection and stakeholder engagement processes.\r\nFOIA Compliance and Whistleblower Reports\r\n\r\nConnecticut DSS and Federal Oversight (OIG, DOJ Civil Rights): Records related to previous FOIA requests, exemptions, information withheld, and any legal citations applied, as well as whistleblower complaints or investigations into DSS, Accenture, or Manatt regarding Medicaid program oversight, ethical conduct, or data manipulation.\r\n\r\n\r\nExpedited processing is requested based on the following compelling factors:\r\n\r\nSignificant Public Interest in Government Transparency: Medicaid programs are taxpayer-funded and affect a large segment of the public. Ensuring that DSS’s activities and collaborations with consulting firms like Accenture and Manatt align with federal and state standards is of great public interest. Expedited processing will allow public scrutiny and foster informed dialogue on the management and ethical administration of Medicaid services. The requested information will help assess whether any waste, fraud, or abuse has occurred within DSS’s partnerships. Prompt access to these records is essential to identify any potential misconduct and prevent ongoing misuse of taxpayer dollars, particularly within critical programs affecting vulnerable populations.\r\n\r\nTime-Sensitive Advocacy Needs: This information is critical for advocacy efforts that inform stakeholders, ensure consumer protection, and foster transparency. Any delay could impede the ability of stakeholders, including advocacy groups and affected individuals, to respond adequately to Medicaid policy changes.\r\n\r\nJustification for Fee Waiver\r\nThis information will serve the public interest by supporting oversight, transparency, and protection for Medicaid recipients, particularly Connecticut’s ABI Waiver participants. The release of these records will contribute to the ethical and accountable administration of taxpayer-funded programs. Accordingly, I request a waiver of fees for processing this request.\r\n\r\nDelivery and Accessibility Requirements\r\nTo accommodate disability-related needs, please provide all records in digital format via email and avoid using external portals. If records cannot be provided within statutory timeframes, or if any information is withheld, please notify me promptly with legal justifications at AabiWR@live.com\r\n\r\nThank you for your attention and assistance in providing these records to facilitate public understanding and oversight of Connecticut Medicaid services.\r\n\r\nSincerely,\r\nDavid Medeiros\r\nABI Resources",
  "communicationCount": 0,
  "fileCount": 0,
  "communications": [],
  "completeness": "The request export is preserved, but no exact request-ID-linked response thread artifact was safely attributable in the accessible source set.",
  "sourceVerification": "Preserved local export keyed to an exact MuckRock request ID",
  "canonicalUrl": "https://www.david-medeiros.com/muckrock-requests/175540/",
  "topicLinks": [
    {
      "href": "/muckrock-requests/",
      "label": "MuckRock request archive"
    },
    {
      "href": "/timeline/",
      "label": "Forensic timeline"
    },
    {
      "href": "/livewire/",
      "label": "Medicaid and oversight reporting"
    },
    {
      "href": "/rights-map/",
      "label": "Civil-rights and disability map"
    },
    {
      "href": "/truth/",
      "label": "Evidence archive"
    }
  ]
}