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STATE JUDGE RULES AGAINST HMOS ; COMPANIES TOLD TO RELEASE DATA ON MEDICAID FEES
[5 NORTHWEST CONNECTICUT/SPORTS FINAL Edition]
Hartford Courant - Hartford, Conn.
Author: HILARY WALDMAN; Courant Staff Writer
Date: Nov 30, 2006
Start Page: B.1
Section: CONNECTICUT
Text Word Count: 458
Abstract (Document Summary)

On Wednesday, Judge George Levine said that by virtually controlling the health care delivery for 311,000 children and their parents covered by the state's Husky Medicaid Plan, the HMOs are serving a government function.

The HMOs, Levine said, act in the place of the state Department of Social Services, which turned over administration of the Husky plan to them in 1995. As such, Levine said, they are subject to the state Freedom of Information Act, which requires public disclosure of most government records.

State Attorney General Richard Blumenthal said the ruling should carry even more weight in light of an audit released this week that found that test callers pretending to represent children covered Medicaid were unable to make appointments for new patients in four out of five cases. The main reason appeared to be a shortage of providers willing to accept Medicaid.

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