So there's this guy named Luke Rosiak that has been going around Columbus in an attempt to demonize the somali community. It's propaganda to incite xenophobic attacks.
So this guy Luke Rosiak has created a documentary, if you can even call it that. His little documentary focuses on "Medicaid Fraud" he basically goes around the city and targets these home health are businesses that are primarily owned and operated by somalis. He's basically trying to do the same thing nick Shirley was doing in MN. He is currently making his rounds on various right wing podcasts and Fox News as well. His claim is that the Somali community is ripping off the taxpayers by being able to work for their family members as aides/companions. His claim is that Medicaid waivers are allowing this.
Many people are buying into this and by many I mean those that hate immigrants. It's pure propaganda and I'll tell you why.
Yes, family members can get paid to take care of their loved ones but not simply as "butlers" as Luke states. These individuals have actually disabilities. Medicaid waiver programs are primarily under department of Developmental disabilities, department of aging which works with the Ohio department of Medicaid.
The Medicaid waiver programs are called
- Passport (for disabled elderly people above 59 years old),
- Individual options waiver/Level one waiver/self Waiver, which is for those with developmental disabilities like down syndrome, autism.
-Ohio home care waiver which is for people are extremely disabled, like bed ridden. People who are paralyzed usually fall.under this.
-MyCare waiver is usually for people who have bothe Medicaid and Medicare and also have disability. So many veterans can get into this waiver if they get the proper assistance.
Luke Rosiak deliberately leaves out vital information .multiple providers must approve these services before the "Darn Somalis can do their fraud." The state has nurses go and do assessments for these patients. The nurses/case managers assess the patient's needs. The waiver program (whichever one) then contacts the patients doctor. The doctor must fill out a form that verified the patients condition. A physician or an NP that has gone to school will not risk lying for someone, not only is that friggin stupid but it's extremely unethical and they gain nothing from it. They forward everything about the patients condition to the waiver program assessors. Then once the waiver program approves the patient/candidate, they forward everything over to the Ohio department of Medicaid via the department of jobs and family services. They review everything from the waiver program assessors and they do their due diligence as well. They also verify the patient's financial situation to ensure they are qualified for Medicaid.
After all that is done, they approve the patient for these services. These services can be Skilled services like Nursing, PT, OT, ST. It can be Personal care and homemaking which is help with grooming and cooking and cleaning. It can be things like meals on wheels or home modifications like setting up ramps and stair lifts etc.
Once the patient is approved, they get assigned a case manager who is most likely a nurse. This nurse visits the patient regularly per Ohio and Federal rules. These case managers then contact these home healthcare agencies, once they find the perfect one, they issue service authorizations so that these home health companies can bill for the services THEY ARE AUTHORIZED.
The documentary was pure propaganda and was clearly trying to incite xenophobia. They need distractions due to rising gas and grocery costs. They need to blame somalis but they know nothing about how shit works in the state.
Luke has even gone so far to blame Mike deWine for these issues. This prick is going to appear in front of the Senate on national TV. He will continue to incite indirect xenophobia towards the somali community in the city. This will result in the orange idiot to do something crazy like what he did with daycare programs nationwide.
We will also start to see more attacks on the Somali community in Columbus and online.
They keep calling them Medicaid millionaires and claim that these folks are stealing from the system even though they are not the ones authorizing services and hours.
All of this information is public data. Luke Rosiak said that the data from DOGE which was made public showed a building with 94 home health companies billed $66 million. What he won't tell you is that this was money already allocated for Medicaid and that these agencies have no say on the hours or who gets approved. The state decides this shit.