Some Oklahoma parents turn kids over to the state after struggling to get mental health care for them

The sign outside of Youth Services of Tulsa. The non-profit agency runs an emergency youth shelter. DYLAN GOFORTH/THE FRONTIER

Lack of oversight, coordination hinder efforts to reform Arizona’s rise in maternal mortality

AZCIR Staff

‘Not knowing where to go’: Montana’s sparse landscape for alcohol detox

An emergency department sign in Missoula, Montana on Thursday, December 12, 2024. With very few treatment options available in Montana, hospital emergency departments are often the only place people can go when they are experiencing alcohol withdrawal. However, patients often end up leaving without the medication they need to manage withdrawal symptoms and they typically aren’t referred to inpatient or outpatient treatment programs. Credit: John Stember

Patients, advocates describe ‘pure chaos’ in state response to AHCCCS fraud

Posters of missing Indigenous people are displayed outside of Drumbeat Indian Arts in Phoenix on Sept. 28, 2023, where the advocacy group Stolen People, Stolen Benefits is based. ©Brendon Derr/AZCIR
Posters of missing Indigenous people are displayed outside of Drumbeat Indian Arts in Phoenix on Sept. 28, 2023, where the advocacy group Stolen People, Stolen Benefits is based. ©Brendon Derr/AZCIR

Arizona Center for Investigative Reporting (AZCIR) by Hannah Bassett and Maria Polletta, November 2, 2023: On May 16, as cameras flashed and tribal leaders looked on, Arizona’s governor and attorney general announced a statewide crackdown on behavioral health providers suspected of defrauding the state’s Medicaid program out of hundreds of millions of taxpayer dollars.

Officials revealed the Arizona Health Care Cost Containment System (AHCCCS) had suspended payments to more than 100 providers to tamp down widespread fraud. The state had developed extensive safeguards to help prevent new, unscrupulous operators from cropping up, they said, and had begun rolling out a comprehensive plan to assist and protect the vulnerable, largely Indigenous patients victimized by the scandal.

“It will be a fight, but one that my administration and I are fully committed to,” Gov. Katie Hobbs told reporters. “We will take the actions necessary to bring an end not just to the fraudulent activity, but also to the humanitarian crisis that it has created.”

In the five months since the announcement, the state has fallen short on both fronts, according to patients, advocates and behavioral health providers interviewed by AZCIR. They described last-minute notifications of relevant tribal authorities, a chaotic rollout of a dedicated crisis response line, insufficient vetting of providers meant to fill gaps in housing and treatment, and a lack of oversight that has allowed people affiliated with suspended facilities to quickly reopen new businesses.

The state’s failure to adequately anticipate the impact of widespread suspensions among behavioral health providers has put members of an already susceptible population at further risk of relapse, abuse, homelessness and even death as operators shut down, AZCIR has found. Advocates—and the providers left standing—are struggling to meet the increasingly urgent need for services among displaced tribal members and other victims, from transportation and housing to legitimate addiction treatment.

Read more from AZCIR here.