Get out of Afghanistan, pass meaningful healthcare and if it fails, move on.
Regulate financial industries. Jobs, Jobs, and Jobs.
Stop building unwanted bridges and schools in Afghanistan. We need them at home.
The terrorist are not warriors. They have no army to blow up. We give them creditability calling their gang an army.
The FBI and CIA can chase them. Use the law to prosecute them, jails to hold them and the electric chair to kill them.
Stop spending our precious resources outside of the country and spend it at home.
Don't become "Bushed!"
Stand by the progressives, discipline the blue dogs and bring bills to the floor. If they don't pass it is OUR job (not yours alone) to fix it.
Oh, most important to you. You're not only slipping in the polls, you are losing your base. I love ya, but sometimes action is better than wimpy results!!
Stop enjoying yourself soo.... much. We are living hard lives and are trying to get through tough times.
Where is the "OLD" Barack? Bring him back and if bills go up or down, we will at least have a great time trying.
Good Luck, I am still in your camp for now. I don't think I can afford to give any more money. At least not until things change.
UPDATE:
As it turns out my father realy was Arrested in California By United States Marshalls and Los Angeles Sheriffs Department, He is charged with a crime that took place in Arizona in 1987.
I just wish the Long Beach Police department and the Los Angeles County Sheriffs Office would have been honest at first when we called them, He was arrested under another name but
they did have his real name and I know this for a fact since he was listed in The Associated Press, and websites in Arizona and California as early as Thursday 8/20/09, But yet the authorities
did not even release this information to his Immediate Family, Go Figure.
Please help me find my Kidnapped Father
Richard Earl Rodgers was kidnapped by Two Men identifying themselves as Sheriffs Officers was taken at approximately 10:00 am Pacific Time Thursday Morning from an Apartment Complex In Long Beach California.
The pictures below were taken somewhere in Long Beach approximately Three Years ago.
My father is now confined to an Electric Wheel Chair. I cantacted the Los Angeles Divison of the Federal Bureau of Investigation at approximately 1:00 am today 8/25/09 asking for their assistance since the Long Beach Police Department after all day on the phone with them between myself and my two sisters we were finally able to get the Missing Persons Department to take a Report we were told by Long Beach however that they could not investigate until tomorrow or Wednesday. So I called first the FBI office in Atlanta Ga since the office in Columbus Georgia had an answering machine that directed me to Atlanta. The Lady agent in Atlanta was rude an arrogant and stated to me that The FBI could not do anything unless Long Beach California police department contacted them. So like I said I could not believe an organization of Law Enforcement that is Paid by Taxpayer Dollars from the American taxpayers would be so Arrogent and Uncaring, I researched on the web the FBI for Long Beach California and was directed to Los Angeles Division of the FBI.
The Female Agent at Los Angeles California was very caring and understanding when I explained my situation to her. Then she stopped me and told me to hold on a Second. You see My father had just called the Los Angeles FBI office 10 minutes earlier so that would have been Just Before 10:00pm Pacific Time last night since Georgia is on Eastern Time and stated the her that he had Escaped from his kidnappers and was in the Downtown Los Angeles California area. So if anyone sees a man in the Los Angeles California or Long Beach California matching the description and photo below please contact Missing Persons Division of The Long Beach Police Department, Detectives Johnson or Turner at 562-570-8810,562-570-1446 or562-570-7260, Your Local Police Department or 911.
My Fathers Description
He is a White Male 82 Years of age, Approximately 6' 2" Confined to a Wheel Chair, But he may be limping or struggling to walk if his wheel chair is not available. If he has his wheel chair it has a Green Bottom Area and he will have a Black backpack attached to it. He usually wears a Basecap with a Flag in the background and an Eagle in the foreground on the front of the Baseball cap. He has a Scar on his Nose from surgery.
Pictures Taken in Spring or Summer 2006
Torture is an international and US crime.
Does the United States want to be or look like the street thug, an international bully, or an international criminal to alienate allies, used for propaganda to recruit terrorists and increase terrorism?
Or
Does the Unites States stand for Justice, with the justification to go after international criminals where ever they hide, with the support of allies and the international community?
How do you deter an enemy who is willing to kill himself in order to kill you? You strike at something more important to him than his own life. Defining that will be easy for me. The next question is can America be as ruthless as our enemies?
The time has come to end the fruitless and unsustainable effort to search and destroy every cave in Afghanistan and bomb every campground in bordering Pakistan. It’s counterproductive anyway.
What will put the fear of America into terrorist masterminds and those who would follow their orders is simple and radical revenge. Masterminds have families: Cousins, brothers and fathers. Eliminate them. All at once, or one at a time, it works just as well. The ones who survive an initial “hunt” will go into hiding. Having some adult male relatives killed and the rest hiding out in caves will demoralize masterminds and their loved ones. You cannot work and support your women like that. You can’t make more baby masterminds that way. You cannot continue the blood line. The women and children will pressure them to stop their plotting and bombing.
People want to leave a familial legacy, and they can’t do that under those circumstances over the long term.
Should America do that? Yes. Do we have the “intestinal fortitude” and sustainable motivation? I don’t think so. But we should, and it shouldn’t take another terrorist attack to get us there.
For the last seven years the CIA has been kidnapping people from other nations and torturing them. Why not just go in there and quietly shoot them to death?
Frankly, by not killing women or children the way those terrorists routinely do, we can even claim the moral high ground.
We need to give credit where credit is deserved: NAME this economic crisis after the man most responsible for it's creation.
$10 trillion deficit is what we had at the end of the Bush administration. In eight years, Bush more than DOUBLED all the indebtedness America had accrued in more than 200 years.
This is more than a talking point, this is a necessary reminder that should be made every day, so that the notoriously SHORT memories of Americans shall be stimulated on a regular basis.
Senator Dodd went rogue and inserted some crazy stuff into the new law, so the President will need to be creative. Perhaps we are looking for HEROES to run our troubled banks. A lot of wealthy patriots have made great financial sacrifices to serve in the Obama Administration. Like-minded people who don’t want to go through the vetting process and insane pubic humiliation of being outed on every little tax related or other embarrassment can now serve their country without becoming federal employees but while still consenting to be paid wages not all that far above that.
I see nothing different Obama has said or done since 2004 and today -- perhaps Gregg's understanding of it morphed overnight between the time he was begging for the job and yesterday, when it came time to vote on the stimulus plan. Gregg seems to claim otherwise.
Obama should have known Gregg either hasn't the courage of his convictions or , far more likely, hasn't got any deeply held beliefs other than politics. We demand omniscience! How DARE the President not realize a man like Gregg would say anything to further his own personal ambitions?
There's something wrong with a vetting process that cannot discern that a politically savvy adult who somehow got himself repeatedly elected to the US Senate would claim to have turned his back on Petty Partisan Politics but actually lack the moral fortitude to stand by his decision.
Dr Linda Shelton, who has devoted her life to service of others and particularly to providing medical and mental health services to the poor will be completely destroyed in two weeks with a false conviction for Illinois Medicaid Fraud simply for trying to help people on Medicaid obtain mental health care. Please read the following and help any way possible. I thank anyone who will help me.
This is a story epitomizing government corruption and greed, retaliation against whistle blowers, and gross government incompetence brought on by decades of fraud, patronage, and nepotism in Illinois.
Judge Jorge Alonso ruled on my pending criminal case where I am charged with Medicaid fraud that “substitute billing is illegal”. This is where a doctor sends a bill to the insurance company for services performed by his employee such as the service of a nurse administering a vaccine or a psychologist administering a psychological test, or a cast technician applying a cast. In my case the Illinois Attorney General claims that if a doctor bills Medicaid for counseling (for drug addiction, post-traumatic-stress disorder after rape, obsessive-compulsive disorder, depression, dementia, etc.) if the counseling or psychological testing was done by an employee and not directly by the physician then it is a felony crime.
If substitute, also known as incident to, billing is illegal than ALL doctors in Illinois are guilty of a felony crime of fraud! God Help Us! Judge Alonso is so eager to railroad me and convict me that he is violating his oath of office to uphold the laws of the land and the constitution. Due process, guaranteed by the Bill of Rights REQUIRES that he follow the law. He is BLATANTLY violating the law, either maliciously or ignorantly due to his arrogance, incompetence, bias to run and support the alleged prosecutor AG Lisa Madigan, or his ego.
Physicians are NOT trained to do psychological testing for personality disorders or mental illness. Psychologists at the master’s and Ph.D level are trained to do so. These tests are invaluable in helping determine the right diagnosis and the right course of treatment. Judge Alonso has ruled that those on Medicaid are not eligible for this type of evaluation and treatment as a result of his illegal and unconstitutional ruling.
Many non-physicians are licensed in Illinois and all states to provide Psychiatric & Psychological Services:
1. nurses 225 ILCS 65,2. clinical psychologists 225 ILCS 15,3. licensed social workers 225 ILCS 20,4. licensed clinical professional counselor 225 ILCS 107,5. licensed marriage and family therapist 225 ILCS 55 and 68 ILAC 1283
Judge Alonso’s illegal ruling denies all of these people the RIGHT to practice their profession and denies the citizens of Illinois on Medicaid the Right under the Federal Medicaid Act to access to care equivalent to the care provided in the community.
Federal Judge Joan Lefkow ruled in August 2004, at the end of a 12 year civil rights class action suit that “Illinois Medicaid Policies and Procedures are in Violation of the Federal Medicaid Code because they Deny Access to Care” to children on Medicaid. This ruling is applicable to all Medicaid patients but the ruling only applies to children. It needs to be expanded to cover all Medicaid patients.
The Federal Medicaid Code, 42 U.S.C. 1396A(a)(30)(A), [regarding adults and children covered under Medicaid and the EPSDT program] REQUIRES any State Medicaid program funded by the federal government to provide care equivalent to that obtainable from private insurers in the community to Illinois Medicaid clients.
Therefore, Judge Alonso’s ruling is unconstitutional, unfair, illegal, and amounts to his ruling to overturn the Federal Medicaid Code as well as Illinois Statutes licensing non-physician providers of mental health services. As > 80 % of mental health services are provided by non-physicians this essentially shuts out mental health services to all but a few in Illinois who are poor.
The Federal Court and U.S. Attorney should intervene as this is illegal and also a violation of the Americans with Disabilities Act in terms of discrimination.
As to my case, I am charged with billing for mental health services never done and substitute billing for mental health services between June 2000 and April 2002 while “working” at Right Frame of Mind & Associates (RFOM). Over the last six months when I obtained access to the old business records for RFOM I discovered the fact is that the year before I started working for a group practice called RFOM, part-time providing chart review for quality, consultation about medical and psychiatric policies and procedures, and limited patient care, two woman, who were partners with the CEO and without the knowledge of the CEO, in 2000 fabricated hundreds of patient encounter forms (filled out by doctors or therapists as to what patient they saw, the diagnosis, and what service was provided), that are later translated into bills or invoices by the billing agent, for services they never did. These two women, Itadel Shalabi and Nareman Taha never met me as they were fired before I started working there in 2001.
I had major neurosurgery in July 2000 due to a congenital spinal problem that was crushing my spinal cord and leading progressively towards quadraplegia. I was incapacitated for six months and heavily sedated with narcotics and other drugs for much of that time. I had agreed in early 2000 at the request of the CEO to be one of a dozen or more part-time medical directors to oversee quality of care, screen for medical disorders mimicking psychiatric disorders, help train the counselors to write better notes (many were foreigners with good counseling skills but a little difficulty with English writing), advise the CEO on best medical practices and standard of care, and provide physician services to patients needing medications.
I or my staff while I was in hospital gave the CEO my Medicaid provider number and other necessary documents so that the company’s billing agent Louise Moore of Data Medical Works could sign me up with Medicaid as a provider for the group so that they could bill for my services when I began to work, if I recovered, in 2001.
Ms. Moore I never met at the time was a sweet lady who is ignorant of a lot of things. She held herself out to be a expert at medical billing and she signed a contract with the CEO in early 2000 to set the group up legally to bill Medicaid. Nothing she did was actually proper, but it was not her own fault. She failed to tell the CEO he would be paid more if he had his group certified as a community mental health center. She was totally ignorant of the concept of community mental health centers (or the drug addiction and alcohol treatment centers - another center with its own enabling State Statue).
Under the Community Mental Health Service Act mental health groups that become certified bill Medicaid under the Center’s name and not under the doctor’s name. They also contract with the Illinois prisons, and/or DCFS (Illinois Child Welfare) or other agencies to provide comprehensive mental health services. They must have at least one medical director, but the director is an administrator and doesn’t have to see patients. Ph.D. psychologists or doctors or licensed mental health providers can supervise non-physician mental health service providers and bills can be sent in to Medicaid under the center’s name for all these services.
Ms. Moore ignorantly thinking (falsely) that her contract allowed her to sign the names of Right Frame of Mind employees on to any form signed my name in August and December 2000, without my or the CEO’s knowledge or consent, on a power of attorney form, an alternate payee form, and a blue cross/blue shielf electronic partner trading agreement form, which are all required to allow her to translate the patient encounter form to an electronic invoice and send it over the wire to BC/BS for adjudication, who then sends it to Medicaid, who then pays abut 30-40 cents on the dollar to the Alternate Payee (in this case RFOM).
Ms. Moore had spoken to the Medicaid Provider Service Unit about how to register the non-physician providers to bill Medicaid. She was told that non-physicians cannot bill Medicaid, was NOT told that a better way to bill was as a community mental health center or how to sign the group up as a community mental health center, and told that all bills (invoices) had to have a doctor’s name as the provider.
Then Ms. Moore, without my or the CEO’s knowledge changed the provider name in preparing invoices from Itadel Shalabi’s and Nareman Taha’s fraudulent patient encounter forms to my name so she could bill under my Medicaid Provider Number. I don’t believe that Ms. Moore had ANY knowledge of the fraudulent nature of the Patient Encounter Forms made by these two women.
Therefore the ghost billing charge is a result of ID Theft, resulting from both fraud by these two women and a comedy of errors by incompetent people advising Ms. Moore in the Medicaid Provider Service Unit, as well as her own blundering ignorance. I am totally innocent having not participated in any way in generating these bills or in receiving or using the money paid for them by Medicaid.
Ms Moore unfortunately is also guilty of mass fraud in all the work she has done in the past decade or more. It is illegal for an insurance biller to bill Medicaid based on a contract where they are paid by the percentage of funds received form Medicaid by the provider. Ms. Moore charged around 8% of all billings. This is illegal and considered fraud as it ties the billers service, which has nothing to do with the medical care provided, with the doctor’s service. Therefore, if she billed for a $100,000 procedure by a heart surgeon she would be paid $8,000 for sending in one bill, while when a family doctor bills $100, she would be paid $8. Providers of services to doctors are NOT ALLOWED to tie their services to the income from the actual medical provider. She MUST BILL ONLY by the piece of work such as $8 per bill. However, she has not been indicted for Medicaid Fraud and has not been sued by RFOM for Fraud in holding herself out to be an expert on billing when she was not.
The second aspect of the charge is substitute billing. I signed a Power of Attorney Form and Alternate Payee Agreement in August 2001. I was informed by the CEO sometime in late 2001 or early 2002 that the group was told by Ms. Moore that the counselors’ and psychologists’ services had to be billed under a doctor’s name so that bills on patients I had seen, but for dates of service when they were seen by a non-physician were being billed under my name. I had assumed that the billing agent was competent and doing the billing properly. I had assumed that substitute billing for employees services in mental health care was as legal as billing Medicaid for my nurse giving a patient a vaccine. I had no idea at the time that anyone considered substitute billing illegal. I had no knowledge that Ms. Moore had actually sent in tens of thousands of dollars worth of bills under my name before August 1, 2001 based on documents she forged and the fraudulent patient encounter forms from the above two women. Therefore, I told the CEO that was fine. I was not involved in billing or administration of the group except to fill out patient encounter forms when I saw a patient. I had a good faith belief that all was well.
I had also had an agreement that being part-time the business would limit my patient panel to 200 patients as I did not feel that part-time doctors should supervise the care of any more patients than this number.
Since Judge Alonso has unconstitutionally and illegally ruled that substitute billing is illegal I will be found guilty and likely sentence to prison for 4-15 years, as well as forever lose my medical license and reputation, along with my livelihood, future, friends, health as medical care is inadequate in prison and I am disabled with several serious medical disorders, and will to live. I have informed the U.S. Attorney, FBI, at the time Senator Obama, Senator Durbin, and now Senator Burris along with a lot of Congressmen and other Sentators and State legislators. I am receiving no assistance to solve this problem and restore mental health care in Illinois to those on Medicaid.
In late 2001 Ms. Lovett, Ms. Collins and others from the Office of Inspector General Medicaid contacted the RFOM and claimed that they needed to review some charts as a “standard review of a new practice to help us comply with the rules”. We completely complied and Ms. Lovett came out in 2001. She told the CEO the charts were well done and she would give us a report in 90 days. The CEO was actually very happy about this review because he wanted to make sure that our group practiced with the highest quality and had the best quality charting in the business. They never gave us a report or any feedback and their only response was to initiate a felony prosecution which culminated in the indictment of selectively me (and not one other of the dozen or so medical directors doing the same job - perhaps because only the CEO and I were whistle blowers about Illinois Governement Corruption and mistreatment of children in foster care and on Medicaid by the State) and the CEO.
After a number of months with NO feedback and strange comments from the Illinois State Police Medicaid Fraud Unit (part of the Illinois Attorney General’s Office), where the CEO had gone to inform them that he was concerned abut the integrity of our medical records because he had fired Itadel Shalabi and Nareman Taha for other administrative misconduct and inappropriate behavior with patients and they stole a hundred or so medical records (eventually returning parts of them) I began my own investigation of the rules of Medicaid. The State Police have not arrested them yet.
The CEO, I had learned over about a year was much more naive than I thought about running the business. I had assumed that he was qualified as an administrator and found out he was not. Finding out about the stolen charts and the lack of feedback from the OIG-Medicaid on this “routine review” concerned me. I was also concerned because in April 2002 the CEO told me that Ms. Collins at OIG-Medicaid had informed him to talk to Mr. Brown at Medicaid because there was a problem with the way our group was set up. Mr. Brown told the CEO that RFOM could not be a proper alternate payee under their rules and he apologized for misleading the CEO when the group was originally set up in 2000. He told the CEO that Medicaid could not continue to pay the group unless it was owned by the doctors. The group was the sole proprietorship of the CEO a master degreed psychologist. The CEO said OK, hired an attorney, and asked several of the doctors to be the officers of the group as it changed to corporate status. The corporation was set up so that the doctors would not actually profit from the corporation but were only paid by the hour for their work. The CEO was going to make a profit from managing the corporation. However, no profit was ever made as all the income went to overhead, particularly paying the counselors and doctors their salary and/or hourly rate. The CEO actually put in $100,000 of his own money to meet payroll before he closed the business as no viable financially. My total income from the group was about $5000 over all the time I worked there from 2001 to 2003. I always told the CEO to pay the other employees first and my work was only very limited and part-time.
Beginning in 2002, I researched the Federal and State Medicaid rules, policies, and laws so that I would be able to meet my fudiciary duty to participate in running the corporation at least from an advisory point of view. I discovered the following and this is why I told the CEO in mid 2002 and maintain this belief, that substitute billing is perfectly legal and actually REQUIRED by the Federal Medicaid Code as well as NOT PROHIBITED by Illiniois Statutes or Illinois Adminstrative Rules:
Federal and State Medicaid laws are extensive, complex, and immensely confusing. The State of Illinois is misusing them to indict doctors, psychologists, administrators of psychiatric and psychological practices for “Medicaid Fraud” when they are actually following federal law and providing needy services including counseling, drug treatment, suicide prevention, etc. Attorney General Lisa Madigan and Jim Ryan before her have targeted especially those groups run by whistle blowers, in order to falsely claim they are tough on fraud, to prevent Illinois from paying the bill for mental health services for the poor and needy on Medicaid, and reduce the bottom line.
A claim of “tough on fraud” will help AG Lisa Madigan win election as Governor. Failure to provide mental health care including drug addiction and alcoholism treatment leads to increased crime as drug addicts, alcoholics, and those that are so out of touch and mentally ill find alternatives to legitimate work to feed their habits or survive. Failure to provide adequate mental health care at the front end leads to much higher costs in the long run.
Code of Federal Regulations 42 CFR 414.34 states:“Payment for services and supplies incident to a physician’s service”“(b) Services of non[-]physicians that are incident to a physician’s service. Services of non physicians that are covered as incident to a physician’s service are paid as if the physician had personally furnished the service. “
United States Code42 U.S.C. § 1396d(a)(5)(A)requires reimbursement for “physicians’ services furnished by a physician.”
Code of Federal Regulations 42 C.F.R. § 440.50The HHS rule implementing the Medicaid Act defines “physician services” to include services provided:“(a) within the scope of practice of medicine or osteopathy as defined by State law; and(b) by or under the personal supervision of an individual licensed under State law to practice medicine or osteopathy.”
United States Code42 U.S.C. §1396a(a)(32)(C)Congress further authorized substitute billing under Medicaid for services furnished:“by, or incident to the services” of another physician
Federal Regulation66 Fed. Reg. 55268HHS makes clear in its preamble to this rule that it does not restrict the type of auxiliary personnel who may perform a given “incident to” service: “We deliberately used the term any individual so that the physician (or other practitioner), under his or her discretion and license, may use the service of anyone ranging from another physician to a medical assistant.”
Code of Federal Regulations42 CFR 411.15“Particular services exclude from coverage” specifically states that:“(m) (3) Exceptions. The following services are not excluded from coverage:…•(iii) Nurse practitioner and clinical nurse specialist services……•(v) Qualified psychologist services,”
FEDERAL PREEMPTION SUSTAINED BY FEDERAL 2ND CIRCUIT COURT OF APPEAL•A Federal suit for a psychiatrist against the New York Medicaid Program based on its refusal to approve Medicaid was agreed to for reimbursement for services provided by his employees under his supervision. Yapalater v. Bates, 494 F. Supp. 1349 (S.D.N.Y. 1980), aff’d, 644 F.2d 131 (2d Cir. 1981), cert. denied, 455 U.S. 908, 102 S. Ct. 1255 (1982).•The court determined that the federal Medicaid rule at 42 C.F.R. §440.50 defining “physician services” unquestionably included supervisees other than the physician, just as the same rule must apply here to vacate Plaintiffs’ indictments. Id. at 1363-64.
State Medicaid must Provide Services 42 U.S.C. 1396a(a)30(A)•Federal Code clearly mandates that State Medicaid plans must provide services to recipients of Medicaid and payment to their service providers equivalent to care and services provided to the general population by private insurers•Private insurance pays for psychiatric services provided by counselors and psychologists•RFOM CEO and other employees, besides the physicians were licensed counselors, nurses, psychological therapist, or social workers, per CEO
42 U.S.C. 1396a(a)30(A)“A State plan for medical assistance must –Provide such methods and procedures relating to the utilization of, and the payment for, care and services available under the plan . . . to assure that payments are … sufficient to enlist enough providers so that care and services are available under the plan … at least to the extent that such care and services are available to the general population in the geographic area“,
Ambiguous State Laws Must be Interpreted to Conform to Fed Law•The Federal 7th Circuit Court of Appeals has also construed ambiguous state regulations to conform to federal Medicaid requirements,•an approach worth revisiting here with respect to Sections 140.411 and 140.413 of the Illinois Administrative Code.•See Evanston Hosp. v. Hauck 1 F.3d 540 (7th Cir.1993), cert. denied, 510 U.S. 1091 (1994).
I (SHELTON) CONTINUES HER OWN INVESTIGATION OF BILLING PRACTICES – 2002-2005•Shelton discovers that Physician Medicaid Manual has inconsistencies, in one place stating bills for employees billed under doctor’s name, and in another place stating that no psychiatric services can be billed for non-physicians, yet in another place stating that non-physicians may provide psychiatric services and Medicaid may be billed. She also discovered the Illinois Community Mental Health Center Code.
Illinois Administrative Code (IAC)89 IAC 140.12“Services Not Covered by Physician”DOES NOT MENTION psychiatric services by non-physicians
Illinois Administrative Code89 IAC 140.400(a)“Payment to Practitioners”“2) A practitioner may bill only for services he or she personally provides or which are provided under his or her direct supervision in his or her office by his or her staff.”
Illinois Administrative Code89 IAC 140.411“Covered Services by Physicians”“The Department shall pay physicians for the provision of services not otherwise excluded which are:. . .c) Provided by the physician or by a member of the physician’s staff under the physician’s direct supervision
Illinois Administrative Code89 IAC 140.413“Limitations on Physician Services”that “limitations” on physician’s services include that psychiatric services will be paid for if they are “. . . provided by a physician . . .” [It does not exclude non-physician services and it is a reasonable inference to conclude the definition of "physician" include the services of non-physician employees, under the doctor's supervision as defined in 89 IAC 140.400 & 411]
How does this negate previous definition of “physician services” which include incident services by his employees?
UNCONSTITUTIONAL STATE CLAIMState falsely claims use of word “physician” in 89 IAC 140.413 negates definition of“physician services”, which includes incident services by physician’s employees as defined in 89 IAC 140.400(a), 89 IAC 140.411
State falsely claims that federal law does not apply and statutory construction rules don’t applyJudge Alonso previously illegally ruled that the Federal Medicaid Code does not apply in this case despite the fact the Illinois Medicaid is a joint federal/state program partially funded by the Federal Medicaid Code!
IAC TOO VAGUE•Criminal Laws are invalid if too vague to understand (”void for vagueness doctrine”)•Illinois Administrative Code too vague in sections:89 IAC 140.12,89 IAC 140.400,89 IAC 140.411, and89 IAC 140.413Illinois Administrative Code•Why should 89 IAC 140.413 have more weight than 89 IAC 140.12?•Why should the definitions of physician services in and 140.411 not apply to the term “physician” in 89 IAC 140.413?
STATUTORY CONSTRUCTION RULES REQUIRE (Regarding interpretation of conflictin State Statutes)Specific Controls over General•89 IAC 140.400 & 89 IAC 140.411more specific “physician services” includes non-physician employee services•89 IAC 140.413 general word “physician” with no definition of what services this includes cannot by exclusion negate previous more specific definition of services provided by physician
Federal Law Rules42 CFR 414.34Services by Physician’s staff are billed as IF the Physician Performed the Services Himself
If State and Federal Law conflicts, Federal Law RulesDue to the Supremacy Clause of the United States Constitution
FEDERAL LAW REQUIRES PAYMENT FOR EPSDT SERVICES•The Federal Medicaid Code requires that State Medicaid programs pay for periodic mental health screening and treatment of any defects in mental health for children under 21:• 42 USC 1396d “Definitions For purposes of this chapter• (r) Early and periodic screening, diagnostic, and treatment services••The term ‘early and periodic screening, diagnostic, and treatment services’ means the following items and services:• (1) Screening services –• (A) which are provided –•(ii) at such other intervals, indicated as medically necessary, to determine the existence of certain physical and mental illnesses or conditions;• . . .•(5) Such other necessary health care, diagnostic services, treatment, and other measures described in subsection (a) of this section to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not such services are covered under the State plan.”
STATE LAW REQUIRES PAYMENT FOR EPSDT SERVICES•89 IAC 140.485 states:•“Healthy Kids Program•Program Description–The Healthy Kids Program is the Early and Periodic Screening Diagnostic and Treatment Program [EPSDT] mandated by the Social Security Act (see 42 U.S.C. 1396a(43), 1396d(4)(B)(Supp. 1987)). The goals of the program are to:•Improve the health status of Medicaid-eligible children ages birth through 20 years through the provision of preventive medical care and early diagnosis and treatment of conditions threatening the child’s health•…• Treatment. The Department shall pay for necessary medical care (see Section 140.2), diagnostic services [i.e. psychological testing], treatment or other measures medically necessary … to correct or ameliorate defects, physical or mental illnesses….”,•The Illinois Public Aid Code [AKA Medicaid Act], 305 ILCS 5/19(f) requires that EPSDT screening and mental health treatment be provided to children in the Medicaid program:•“5/19. Healthy Kids Program•(f) Covered Medical Services. The Illinois Department shall provide coverage for all necessary health care, diagnostic services, treatment and other measures to correct or ameliorate defects, physical and mental illnesses, and conditions whether discovered by screening services or not for all children eligible for Medical Assistance under Article V of this Code.”
Dr Shelton was a Medicaid Registered EPSTD Provider
Therefore ANY REASONABLE person would conclude that the law permits substitute billing for mental health services whether it be another physician covering for the doctor, or a non-physician supervised by the doctor or her colleagues. If you don’t agree than the void for vagueness doctrine should clearly negate and prevent any criminal charges for substitute billing.
God Help Me! I am innocent and destroyed. This is my reward for devoting my life to service particularly of the poor and needy. If you want to help, contact the Illinois Reform Committee and flood them with letters. Contact the U.S. Attorney and FBI and flood them with letters. Contact your legislators and Congressmen and flood them with letters. Come to the trial on February 17, 2009 which will last two weeks and fill the gallery so that the judge knows your opinion. Contact the press. Donate to my legal fund anything possible. I need tens of thousands of dollars. Shelton Legal Fund, C/O Albukerk & Associates, 3025 W. 26th St. 2nd Floor, Chicago, IL 60623. Thank you if you help.
The 'Qassam Kindergarten' Jihad
'Palestinians' Islamic Hamas, "loves" children, well, in their special 'death cult' type of way anyway.You already know how they love their own children... to die for propaganda, and make every effort in succeeding in it - unfortunately.But there are also other children under the "wings of Jihadi love" of Hamas, the Israeli children in schools, in kindergartens, they are "favorites", favorites in Hamas' targets that is, planning the time/place when/where they go to school, thank God for so many miracles where children weren't harmed.Call it 'Qassam kindergarten', 'Kindergarten Jihad', or plain 'Jihad on kids' the broader reality.
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Qassam Kindergarten[Dec 2007]http://www.solomonia.com/blog/archive/2007/12/qassam-kindergarten/index.shtml
May 15, 2007 ...Major Injuries In Sderot Rocket Barrage. Children Wounded As Rockets Score Direct Hits On School and Home. http://www.mererhetoric.com/archives/11273760.html
The reality of Sderot, the city where I liveBy Noam Bedein January 22, 2008Barrage of rockets hits Sderot as kids go to school ... ...http://web.israelinsider.com/views/12586.htm
Kassam alert- kindergarten http://sderotmedia.comhttp://www.youtube.com/watch?v=mFss6p5sTPE
SderotMedia - 'Kindergarten'http://www.google.com/search?hl=en&rlz=1T4HPID_enCR310US204&q=site%3Asderotmedia.com+kindergarten
Qassam hits kindergarten; 2 children lightly wounded - [Jul 28, 2006] ... News: Rocket lands next to kindergarten in town south of Ashkelon; 2 children hurt, 8 suffer shock. Earlier a number of rockets hit central ...http://www.ynetnews.com/articles/0,7340,L-3282603,00.html
Qassam lands near Sderot kindergarten Rocket hits neighborhood in southern town, causes damage to private house located near kindergarten; several people suffer from shock, one woman loses consciousness. Military sources say IDF policy in Gaza may change [Published: 05.07.07] http://www.ynetnews.com/articles/0,7340,L-3396608,00.html
12 Sderot Children Hospitalized for Shock After Kassam Attacks ...Sep 3, 2007http://www.israelnationalnews.com/News/News.aspx/123570
Two IDF soldiers, civilian lightly hurt as Gaza mortars hit Negev Three rockets struck the Eshkol region, two of them landing in open fields and the third between two kindergartens. [01/02/2009] http://www.haaretz.co.il/hasen/spages/1060562.html
Rocket hits Ashdod kindergarten - "Thankfully, no children were in the kindergarten, and no one was badly hurt... [Jan 11, 2009 8:08 | Updated Jan 12, 2009 2:37] http://www.jpost.com/servlet/Satellite?pagename=JPost/JPArticle/ShowFull&cid=1231424913241
Pat Dollard | Hamas Violates Humanitarian Cease Fire, Shells Kindergarten ... hit a house next to a school in the Israeli southern city of Sderot, ... Children would also drill evacuating their class rooms...http://patdollard.com/2009/01/hamas-violates-humanitarian-cease-fire-shells-kindergarten/
[January 6, 2009] a Hamas leader warned that the Islamists would kill Jewish children anywhere in the world http://www.timesonline.co.uk/tol/news/world/middle_east/article5454204.ece?Submitted=true
STRATEGIC QASSAM vs. DIPLOMATIC BLITZ Harari, now an analyst at the Herzliya Center, warned that if a Qassam rocket hits a crowded synagogue or kindergarten it will trigger a massive IDF ...http://www.isracast.com/article.aspx?ID=769
The "brave" masked "freedom fighters" Islamic butchers
The Israeli innocent Victims
Disgraceful 'Jihad Appeaser' Jimmy Carter LIES openly on CNN's Larry King and no one refutes him? Sat. (Feb. 7, 2009) night, Jimmy Carter said: ’Israel, it could have responded to the rocket attacks without firing on churches (excuse me, what churches in Islamic Gaza is he talking about???) and on Mosques’.
A short while after that Larry confronted the worst-ex-president “You said earlier that Israel fired on mosques and on schools, what was Israel supposed to do as they responded to where the FIRING CAME FROM”?
Jimmy, "I don’t known I wasn’t there, I only know that the UN said that Israel fired on them and there were only civilians there".
Hey, Jimmy, so what if we show you now the updated version by the UN where they retracted their false accusation on Israel will you have the guts and say the truth about humane Israel that Israel was (as always is) humane on targeting only Islamic terrorists but Palestinian (”legitimate voted govt in Gaza - Hamas”.) Muslims commit crimes against humanity - target civilians?
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UN: IDF did not shell UNRWA school Feb. 4, 2009. A clerical error led the UN to falsely accuse Israel... http://www.jpost.com/servlet/Satellite?cid=1233304687916&pagename=JPost%2FJPArticle%2FPrinter UN retracts claim strike hit Gaza school …The United Nations has retracted a claim that an Israeli strike which killed more than 40 people in northern Gaza city of Jabaliya last month hit a school … http://www.republicanoperative.com/forums/international-politics/17399-un-retracts-claim-strike-hit-gaza-school.html
What good does it do now, UN's apology and retracting from fake 'war crimes charges' after UN's criminal tarnishing Innocent Israel damage is already done?
UN retracts claim over Gaza school attackFeb 4, 2009 http://www.rte.ie/news/2009/0204/gaza.html
UN retracts claim deadly Israeli strike hit Gaza school - ABC News ...Feb 5, 2009 ... The United Nations has retracted a claim that an Israeli strike which killed more than 40 people in northern Gaza city of Jabaliya last ... http://www.abc.net.au/news/stories/2009/02/05/2482698.htm
UN retracts claim deadly Israeli strike hit Gaza school Feb 4, 2009 ... The News International - Get breaking news, latest top stories, business, sports and entertainment news. See the news happening as the ... http://www.thenews.com.pk/updates.asp?id=67566
UN retracts claim deadly Israeli strike hit Gaza school All ...Feb 4, 2009 ... remember all those viral emails that you have received - here are all of them. http://allviralemails.com/2009/02/04/un-retracts-claim-deadly-israeli-strike-hit-gaza-school
Abbas, Al Aqsa Martyrs Brigade, American Muslims, Arab lobby, Arabs, CAIR, Cast Lead, Council of American Islamic Relations, counter terrorism, Fatah, FBI, Gaza, GWOT, Hamas, HLS, human shields, IAF, IDF, Islam, Islamic Jihad, Islamic Lobby, Islamofascism, Jews, Jihad, Muslim, Muslims, oil, oil lobby, Palestine, Palestinians, Qassam, rockets attack, Suicide bombing, terrorism, US, war on terror, Zionism, UN, War crimes - lies, Zionists
(Can I say 'circa' if it's in the future?)
Democrats won't be controlling the Senate after 2010.
They rushed like lemmings to declare they'd never accept Blago's appointee.
A little time and forethought should have enabled them to reason that in order to create the illusion of innocence Blagojevich would be likely to find someone eminently qualified, of stellar reputation and far removed from the (alleged) illegal activities.
That would only be in his own best interests. And if there is one thing we have learned about Blago, it is that his own best interests are his first and last consideration in decision-making.
Senate Democrats have now pitted themselves against the Chicago Democratic Machine. Despite that Dick Durbin has lost touch with reality and thrown in with them, this is a battle Senate Democrats cannot and will not win. In this, there is no winning, only degrees of losing.
Should he be denied, Burris can run against any Illinois Democrat, including Durbin, and win.
As for that silly mausoleum? All politicians are narcissists. He's just 'concrete' about it.
Remember Republican Senator Ted Stevens who actually looked jurors in the eyes and told them he didn't notice people stuffing hundreds of thousands of dollars into his pockets. I dare say Bill Gates would notice if you stuffed a few hundred thousand dollars into his pockets. Ted Stevens,... now THAT'S a big ego!
It is also necessary to remember that this is the same US Senate that gave a seven-time convicted federal felon -- Ted Stevens -- a two-minute standing ovation, and two hours of praise-filled testimonials. And they are claiming to be observing their PRINCIPLES???
Republican and Democratic Senators must think we are stupid, stupid, stupid.
Imagine what would happen if the immediate and long-term success, and even viability, of the Republican Party depended on Barack Obama failing to pull America back into PROSPERITY. Oh, wait, we don't have to IMAGINE that because it happens to be the current condition.
While refusing to offer any better ideas, Republicans stand in adamant opposition to everything the President-Elect suggests, even without knowing any details. I have to admit, he's been somewhat vague.
History suggests that America's realization of a sense of success by spring of 2012 will mean the GOP will be broadly out of power for one to two generations.
Every month that another 600,000 Americans lose their jobs is the direct result of Republicans acting on what they see is their own best political interests. While one of their many changing SLOGANS last year was "America First", in truth it is plain that they hold the Republican Party's interests above those of America and our people.
Every day that our children continue to suffer from a declining educational system in which mediocrity is celebrated; every day that more taxpayers lose high wage jobs only to go on welfare food stamps and unemployment; every day that more and more Americans are forced to sign up to work at the country's largest employer WalMart whose own accidentally leaked internally study said 43% of their full-time employees are on welfare and food stamps; every day that we lose what little remains of our manufacturing base so that when we next need to really go to war like in WW2 we won't have car factories to swiftly convert to making fighter jets and tanks so we'll have to order them from CHINA which the most likely enemy in a real war; remember that Republicans see that as MERELY another day closer to the time when they regain power over the White House, Senate and House -- which if not for the horrendous disaster they have created over the last eight years might not be so terrifying.
America stopped keeping up with the demands for maintenance of our infrastructure with the Reagan administration. We were told that things like that "the free market" would take care of things like that, but tell that now to New Orleans and their crumbling levees, or Minnesota with their collapsed interstate bridge, or Kentucky with their billion gallons of toxic sludge that spilled out of a mine containment area.
America's best defense against precisely the current financial system collapse, the Glass-Steagall Act of 1933, enacted not coincidentally in the wake of the financial collapse of 1929, was REPEALED on the demands of deregulating Republicans -- with help from Bill Clinton in 1999. That law alone prevented financial institutions from becoming "too big to fail". That is, it kept each of the insurance, banking and real estate conglomerates within their own area. They could still become behemoths, but it's when they get into all three of those industries and start making up new ones that are totally unregulated like 'derivatives' that the failure of one company can bring down the American economy, even the world economic system.
The only thing the President-Elect can do to get us out of this disaster is to go back the way we came in, by resurrecting modern-day Glass-Steagall style regulations and stimulating the middle class segment of the system while taking back the giveaway tax cuts from the wealthiest 1% that over the last eight years gave money to people who already had more money than they knew how to spend. They squirreled it away someplace, or bought yachts built in Greece. Republicans love to claim that tax breaks for the ultra-wealthy leads to the creation of small businesses. In reality, it's Steve Jobs and Bill Gates when they had nothing who created small businesses that became leading world companies. Billionaires DON'T start small businesses, they BUY huge corporations then fire 50,000 or 100,000 employees to increase productivity and thus profits for themselves and large bonuses for the three to five top executives of each company. Oh, and they CUT wages of the few employees they do have to keep on.
That doesn't grow anything but unemployment and declining wages. Less taxpayers and more people surviving on public assistance.
If we don't stand up to these self-serving Republicans very few of us will have jobs in 2012, and they will be at WalMart. There won't be any real taxpayers to support the public assistance people need to get back into good paying jobs.
I'll get to the CRAZY DEMOCRATS on another post. I'll give you a hint that after 2012 Democrats will no longer be in control of the Senate.
Domestic Violence laws are in desperate need of change on how abusers are prosecuted across the nation. Tougher laws need to be implemented and taken out of the States hands and be prosecuted on the Federal Level. Thus, making it tougher for the perpetrators of violence to plead down to lessor charges and the safety of all women and their children will be protected. Within this reform, child visitation and child custody will be change, as well, how protection orders are obtained and enforced. There are more women disappearing at the hands of their abuser’s and murdered. Abusive father’s gaining custody of their children with the carelessness of the courts blind eyes and not protecting the interests and safety of children, for fear of violating parental rights. Protection orders not being enforced and many violations are ignored because the lack of “proof”. This has to change.
Women’s Legal Resource Foundation will lobby for the Regan Martin Domestic Violence Reform Act commencing immediately. Please join Women’s Legal Resource in our crusade to change Domestic Violence Laws.
For more information please feel free to email all inquiries to: randi@womenslegalresource.com
Thank you for your support.
By: Randi RosenWomen’s Legal Resource
An astounding 2,300 Americans are reported missing every day, including both adults and children. But only a tiny fraction of those are stereotypical abductions or kidnappings by a stranger.
For example, the federal government counted 840,279 missing persons cases in 2001. All but about 50,000 were juveniles, classified as anyone younger than 18. In an article by David Krajicek on Tru TV reports, Slightly more than half—about 25,500—of the missing are men. About four out of 10 missing adults are white, three of 10 black and two of 10 Latino.
Among missing adults, about one-sixth have psychiatric problems. Young men, people with drug or alcohol addictions and elderly citizens suffering from dementia make up other significant subgroups of missing adults.
About half of the roughly 800,000 missing juvenile cases in 2001 involved runaways, and another 200,000 were classified as family abductions related to domestic or custody disputes.
Only about 100 missing-child reports each year fit the profile of a stereotypical abduction by a stranger or vague acquaintance.
Two-thirds of those victims are ages 12 to 17, and among those eight out of 10 are white females, according to a Justice Department study. Nearly 90 percent of the abductors are men, and they sexually assault their victims in half of the cases.
So where does this leave family members and friends of missing persons? Where do they go? Sure, there are support groups within local church organizations, social services and victims of crime organizations, but is that enough? What happens to those who can’t speak out about their loss? What happens to those who are hurt so much so, to get out of bed is a task in itself. The grief no one can imagine but the person feeling it. With missing persons, there is never closure, no finality until that person is found and often a lifetime goes by without a sound. Sitting by the phone dreading the day it rings with news but in your heart,you know they are not alive. How do you remember their face? How do you remember their voice, their dreams?
When I started Women’s Legal Resource, I focused on domestic violence, divorce and custody issues. Women go through much more at the hand of their abusers without being in court. More and more women each day are missing at the hands of their abusers. Women are no longer just beaten down, they are murdered and never to be found again. I met a woman by the name of Delilah. Delilah shared with me a story of a little girl who died in a car crash and was set to testify against the man who molested her. Becca McEvoy who endured a year of rape and sodomy at the hands of her step father, Bob Ingle, a police officer. This man was going to get away with this crime because now since in a court of law, you are entitled to face your accuser and since Becca McEvoy is no longer alive, no crime? Crawford vs Washington . The law is not black and white, nor is justice balanced.
I followed Delilah to her site Peace4 The Missing. I was in awe. I joined with no expectation but to be a resource of support, instead found a community of people helping one another in a very special way. Delilah and Maggie’s Rose are Co-founders of Peace4 The Missing, who found each other while on a blog for Stacy Peterson and who both held the same compassion to see Stacy’s safe return home. As I became more involved with Peace4 The Missing, I felt cared for, nothing like I have ever felt in a online-community before. This felt different, I felt safe and never did I feel preyed upon by nosy newbies butting in trying to force their opinion of how I should feel, like most other online communities do.
These ladies have created a network of love, support, hugs, buddies all with a will to let you know you are okay and that it’s okay to feel not okay. With little baby steps, new members speak of their pain, loss and fears and are always embraced with love, kindness and respect. Each member has a unique story to tell and are not always willing to tell it. With the more time you spend on Peace4 The Missing, the more you want to tell your story to be understood or to just let it out once a for all with hope to reach out to another member who is pain and needs a hug.
For example, it was Christmas time and for most people, not a very happy time of the year. I know for myself personally, I wish they would let Christmas fly by without notice. Delilah and Maggie’s Rose created the buddie system and each member was paired up with a member for the holiday. I found that to be a warm act of kindness. I was notified of my buddy and I sent emails of support and hugs. However, I was not a great buddy as I was sick more than present, but none the less I checked in to let them know I was there for them without feeling burdened or wanting to hide under the covers until Spring.
Peace4 The Missing has over 240 members and counting and has over 34 different and unique groups. If you have family member who is missing, you can post your photos, get advice on how to search for a missing person and other very valuable information you need in every state. If you are a victim of an unsolved homicide and need support, you will find it here and all with unconditional love. I am proud to be a member of this community, I have gained new friends who mean a great deal to me and I have a better understanding of what it’s like to feel the loss of someone missing something I never experienced before.
You can start your own blog, post events and conferences about Missing Persons and be rest assured the administrator will be there to protect you at all times. Be forewarned, this is not a community where you will be invisiable, you will picked to participate, either on the newsletter, or remembering someone’s birthday, this community helps you come out of your shell and to become pro-active and embraces you to be part of a very special family.
“A President must be able to do more than one thing at a time,” said then-candidate and now President-Elect Barack Obama, a few months ago when McCain was trying to weasel out of the big debate.
Evidently, President-Elect Obama CAN do far more than one thing at a time. He and his family are MOVING three times in three weeks! This, the weekend of 4 January 2009, he moves from his Chicago home to DC’s Hay-Adams Hotel. On the 15th, they move to Blair House, then on the 20th, they move into the White House. Yes he can! For most of us, the dreaded process of a single relocation is more stressful than death and taxes. But Superman is tripling-down on it.
At the same time, the President-Elect Obama is interviewing and hiring a government, from cabinet members, agency administrators, secretaries and ambassadors. He’s working feverishly on the economic crisis, the transition and inauguration, as well as homeland security and two wars. Throw in taxes, healthcare, unemployment, social security, Medicare and the crisis of the Big 3 automakers, plus Iran, Cuba, Russia, China, the Palestinians and Israel, plus all those special interest groups here at home, such as the disabled, veterans, senior citizens and gays, and you’ve got an enormous inbox.
After those daily national security briefings in which the President-Elect Obama is beginning to learn just how badly Bush has screwed things up for us around the world, it’s a wonder the President-Elect Obama can sleep at night. He needs all the rest he can get.
Enjoy your vacation, sir, you need all the recharging your batteries can get.
There are only two reasonable choices.
To evoke the vision of the world economy rising from the ashes of the torched-earth strategy of the Bush-Cheney-Rove administration, BHO should open the Bible to the gospel account of Jesus’ rising from death. Not only will it give us hope, but it will reinforce our knowledge of BHO’s Christianity, helping put aside the invocation guy.
