Topic
Medicaid
1,069 published works
Healthcare Perspectives
Beware! New Jersey Medicaid Is Aggressively Auditing Inpatient Claims That Have Been Pre- Authorized By MCOs
By Alissa Pinck, James A. Robertson, Paul L. Croce
New Jersey is increasingly auditing and seeking to recover payments for inpatient hospital claims that were preauthorized by Medicaid Managed Care Organizations (MCOs), raising important questions about the State’s authority…
Regulatory Oversight
Texas Reaches $45M Settlement With Gilead to Resolve Medicaid Kickback Allegations Over Patient-Support Programs
By Troutman Pepper Locke State Attorneys General Team
The state of Texas secured a $45 million settlement from Gilead Sciences Inc. over allegations that its patient-support programs improperly encouraged prescriptions for drugs covered by Medicaid. This case highlights…
Hauptman & Haumptman Blog
Medicaid and Overlooked Assets – Part 1
As I have explained in this blog many times, Medicaid is a needs based benefit. The application process involves an intense scrutiny of the assets of an applicant and his/her spouse,…
Hauptman & Haumptman Blog
Assisted Living Facilities – Transitioning to Medicaid (Part 3)
In my blog post last week, I explained instances where the transition from private pay to Medicaid in an assisted living facility (ALF) may not go as smoothly as one…
Mintz Levin Cohn Ferris Glovsky and Popeo
Pharmacies Have Opportunity to Shape Medicare and Medicaid Contracting Rules
By Mintz Levin Cohn Ferris Glovsky and Popeo
Theresa Carnegie was quoted in a Law.com article discussing the Centers for Medicare & Medicaid Services' request for information as it develops rules governing pharmacy participation in Medicare Part D…
Jotwell
The One Big Beautiful Bill Act: Passing Anomaly or Health System Death Blow?
Gabriel Scheffler, Affordable Care Act Retrenchment, 102 Ind. L. J.___ (forthcoming, 2026), available at SSRN (July 15, 2026).Even as the horrors of the Trump Administration mount to benumbing proportions, I’d wager…
Hauptman & Haumptman Blog
Assisted Living Facilities – Transitioning to Medicaid (Part 2)
In my blog post last week, I started to tell you about the recent calls to our office from families who thought they had established a clear path to Medicaid…
Zalma on Insurance
Announcement About False Claims Act Settlement Results in Damages Suit
By Barry Zalma
Employee Report of Fraud Results in Damages Suit After Qui Tam Suit Settled No Statutory Hearing Right Arose Because No Dental Commission Complaint, License Suspension, Revocation, Or Sanction Occurred. Post…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
Indiana Post-Acute Update: Indiana Enacts Significant Medicaid Reforms Affecting Long-Term Care and HCBS Providers
By Hall Render
Indiana has enacted House Enrolled Act 1277 (“HEA 1277”), a Medicaid reform law that significantly changes the state’s PathWays for Aging program and other long-term services and supports. While many…
Medicaid & Medicare: A Legal Blog
Another Win with a TRO Lifting a Medicaid Suspension!
I want to celebrate a recent win and provide a warning. When a state agency suspends a healthcare provider’s Medicaid payments, the consequences can be swift and devastating — especially…