Topic
Medicaid
1,070 published works
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…
Medicaid & Medicare: A Legal Blog
When the Audit Letter Becomes a Threat: What Providers Need to Know About MCO, RAC, and UPIC Audits That Escalate to Government Investigations
It usually starts with a letter. A managed care organization (MCO), a Recovery Audit Contractor (RAC), or a Unified Program Integrity Contractor (UPIC) notifies your practice that it has completed…
California Appellate Report
People v. Espinosa (Cal. Ct. App. – Aug. 31, 2026)
By Shaun Martin
Here's a line you don't see that often:"Defendant was 75 years old when he committed his crimes in September 2009. . . ."You wouldn't think that'd be a murder or…
Iowa Healthcare Law Blog
Brick Gentry P.C. Health Law August Update
This monthly update highlights key regulatory developments, enforcement trends, andcompliance issues affecting health care providers across the continuum – from solo practices to hospitals and large physician groups. Each section…
Wills, Trusts & Estates Prof Blog
Integrating Long-Term Care Insurance and Medicaid-Compliant Annuities into Modern Estate Planning
By Teddy Groce
Long-term care (LTC) costs represent one of the most destabilizing risks to otherwise well-constructed estate plans. In many regions of the United States, annual nursing facility costs exceed $100,000, and…
Inside the False Claims Act
Medicaid Fraud Enforcement in 2026: High-Risk Areas for Home Care, Behavioral Health and Skilled Nursing Providers
By Kelly Hibbert, Lindsey Fetzer, Sara Lawson, Ellen Pasquale
As described in a previous blog post, the 2026 DOJ Health Care Fraud Takedown reflects an increased enforcement focus on Medicaid. Because Medicaid dollars are both federal and state in…
The Healthcare Investor
Prescribed Pediatric Care at Scale, With Jeff Soffen
https://player.captivate.fm/episode/3fecf1ad-0da1-4df9-bc31-ef131b1fd6bc Three million children in the U.S. could benefit from Prescribed Pediatric Extended Care (PPEC), but most families don't know it exists. Jeffrey Soffen, CEO of Spark Pediatrics, the largest PPEC…
Rivkin Rounds
NY Medicaid Revalidation and Enrollment Moratorium: Immediate Planning Considerations for Providers
New York Medicaid providers should prepare now for significant changes in provider enrollment oversight. The New York State Department of Health (DOH), following direction from the Centers for Medicare &…
Rivkin Rounds
With Its Medicaid Program Under Federal Scrutiny, NY Adopts Measures to Boost Anti-Fraud Efforts
By Jeff Kaiser
With the New York Medicaid Program facing scrutiny by the U.S. Department of Health and Human Services (HHS) for a perceived lack of oversight and compliance integrity involving certain types…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
CMS Final Rule and OIG and DOJ Referrals Signal Heightened Focus on Pediatric Gender-Affirming Care
By Hall Render
Last week saw two major federal policy actions related to the provision of gender-affirming care to minors. On August 11, 2026, CMS issued a final rule entitled “Prohibition on Federal…