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top of that you get the whole family and extended family; the state government, its
contractor [the MCO, such as Medstar Family Choice], MSFCs parent organization [Medstar]
physicians of MSFCs choosing [even where the enrollee is allowed to pick from a list, that
really isnt choice and furthermore what news articles and complaints by doctors in other states,
show is that, even the so called, list of choices, in practical effect, many of the providers are not
available]. Then MSFC has employees in Wisconsin that are part of the medical care process.
But these employees cannot even pronounce medical terminology, let alone, understand it.
When problems come, I cannot move on to another physician; because my physician is DHMH,
itself. Things are similar to Veterans Administration health care. In the VA System, patients do
get choices of doctors, but these doctors are controlled by the administration and furthermore, the
patient has to deal with all the additional people, that are not part of the standard AMA Code of
Ethics, private physician, delivery method. The AMA Code of Ethics, with particularity; warns
that the physician who has the treatment relationship with the patient, is to be the supervisor of
all the higher powers and institutions; but with the Medicaid MCO MSFC, several nurses, such
as Carol Attia and Lesley Wallace, from a remote site; order the doctors and the patients, around.
A non-exhaustive list of the other order givers are The Secretary of DHMH, whose profession
may be that of a lobbyist and the CEO of Medstar who has some Masters of Arts degree from
somewhere. In the eyes of doctors; a joke. None of these people can be regulated by The Board
of Physicians, because they are not physicians.
In my case DHMH has not only sided with the wrongdoing of its agents; DHMH and several
other Maryland agencies have, directly done some of the wrongful acts. The letter from DHMH
is, in itself, a wrongful act by DHMH. Very clearly, the bulk of my problems were identified to
be that of Medicaid. I requested that Senator Cardins Office ask DHMH to contact me. DHMH
never contacted me. DHMH suggests that way to solve the problems, one of its beneficiaries is
having with DHMHs contractor MSFC is for the Medicaid beneficiary, which is a class of
poorly educated and very sick individuals, to fight out the issues in a closed room with several of
the contractors medical directors and lawyers.
The controlling laws are those related to Medicaid and Medicaid Managed Care, both from
federal law and COMAR. Many of these laws and rules are stated in MSFCs own Enrollee
Handbook and Provider Manual; most notably rights and responsibilities. There is also the
Medicaid definition of abuse. These kind of things are controlling, not action with The Board
of Physicians or the HIPPA Laws.
DHMH seems to be distressed about the existence of The First and Fourth Amendments. I invite
DHMH to visit the YouTube channel under my last name. I dont have any written or oral
commentary, and there is a select set of recordings. Those labeled MRI show the origins of the
medical condition. Those labeled MCO Doctor show, both; the MCOs doctors being dishonest
but also the PCP, admitting to the dire state of my medical condition and the need for immediate
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appropriate medical care [but that it is out of his hands if MSFC and its specialists are sabotaging
the needed medical care]. Those labeled MCO Office show the extra family, that I have to
deal with. The non-physicians of MSFC that I have to go through. Things sound exactly as with
housing or employment discrimination [a lot of polite nonsense, with the effect that of being
deprived of rights. One of the MCOs agents even says that she has never heard of the Enrollee
Handbook]. The one labeled MCO Doctor Government Nexus shows that Medicaid MCO
medical care is different from the regular doctor-patient relationship medical care. The ones
labeled MISC show actions of several state units.
I had never stated that I wanted DHMH to give its version of facts for my letters. I requested
that DHMH talk to me. Then I could present the facts to DHMH, verbally. Now that DHMH
has given a written response, I respectfully request that DHMH submit a revised reply, one based
on DHMH operating the non fee-for-service Medicaid and not a response based on DHMH
regulating physicians.
Respectfully Submitted,
Joseph R. Crussiah
August 12, 2016
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