Free Newsletter
Judge strikes down New Hampshire’s Medicaid work requirements
A federal judge expanded the legal obstacles Monday to the Trump administration’s efforts to compel certain poor people to get jobs in exchange for Medicaid, ruling that New Hampshire cannot move ahead with such new requirements. The ruling marks the third state for which U.S. District Judge James Boasberg has held that federal health officials […]
State Medicaid bought erectile dysfunction drugs for sex offenders
New York state’s Medicaid program paid more than $60,000 for sexual and erectile dysfunction (ED) drugs and treatments for 47 sex offenders, according to an audit released Wednesday by state Comptroller Thomas P. DiNapoli. In total, Medicaid made more than $930,000 in payments for ED drugs and treatments for recipients, including sex offenders that are […]
NY enrolled dead in Medicaid
ALBANY — Flaws in New York’s health exchange resulted in 21 dead people being enrolled in Medicaid and 333 getting continuing government-funded health coverage after they died, according to audit results released Thursday. The state comptroller’s office reported that its auditors found overpayments of $3.4 million for the year starting Oct. 1, 2013, when the […]
Restitution vacated in Medicaid fraud case
A former Oneida County drug treatment center director will not have to pay the state $675,984 it claimed was owed in restitution for improperly billing Medicaid by having clients simultaneously enrolled in two programs. The Appellate Division, Fourth Department has ruled the state only supplied auditing documentation of its conclusion on the amount owed, but […]
Court of Appeals — Medicaid: Koch v. Sheehan
New York State Court of Appeals Medicaid Physician Suspension — Authorization Koch v. Sheehan No. 153 Judge Read Background: The lower court had annulled the Office of the Medicaid Inspector General’s determination to terminate the petitioner-physician’s participation in the Medicaid program on the basis of a Bureau of Professional Medical Conduct consent order, and directed […]
Michigan man defrauds NY Medicaid
A Michigan man who illegally billed Medicaid for physician’s services after obtaining enrollment as a Medicaid provider by using a fraudulently obtained New York medical license was sentenced Thursday in Allegany County. Fitzgerald A. Hudson, 53, of Dearborn, Mich., pleaded guilty to fourth-degree grand larceny and was sentenced to one year prison and ordered to […]
Fourth Department — Medicaid: Donvito v. Shah, et al.
Appellate Division, Fourth Department Medicaid Look-Back Period — Motivation for Medicaid Coverage Donvito v. Shah, et al. TP 12-02248 Transferred from Supreme Court, Onondaga County Background: The petitioner, an administrator of an estate, commenced an Article 78 proceeding challenging the determination that a seventh-month delay on the decedent’s eligibility for Medicaid coverage was proper[...]
NY: Insurers to cover women’s contraception choice
ALBANY — New York state on Monday warned health insurers they would lose state contracts if women on Medicaid are denied their choice of higher-cost, brand-name contraceptives unless cheaper, generic methods “fail first.” The move comes after The Associated Press reported Monday that some New York Medicaid patients were told they had to switch to […]
Fourth Department — Medicaid: Godfrey v. Shah
Appellate Division, Fourth Department Medicaid Request for Medical Device Godfrey v. Shah TP 11-01540 Transferred from Supreme Court, Erie County Background: The petitioner commenced an Article 78 proceeding challenging the determination that denied her request seeking approval to purchase a Bantam Stander device with options. The petitioner is a 7-year old Medicaid recipient with multiple [&helli[...]
Fourth Department — Medicaid: County of Niagara v. Daines
Appellate Division, Fourth Department Medicaid Overburden Expenditures — Reimbursement County of Niagara v. Daines CA 11-01219 Appealed from Supreme Court, Niagara County Background: The petitioner, a county that is also a social services district, commenced an Article 78 proceeding seeking to annul the denial of its claim for reimbursement for Medicaid expenditures known as “overburden [&hell[...]
Medicaid compliance big issue for New York
Protecting the state from Medicaid fraud, abuse or just plain mistakes is an important aspect of the work of the New York State Office of the Medicaid Inspector General (OMIG) since the state spends more for Medicaid than any other state in the country.
State wants Medicaid payment recovery
It’s no secret state and county governments are facing economic hardships and looking at whatever ways they can to save and raise money. But a new, undeveloped — as of yet — state law to expand the definition of estate to include life estates ...
Case Digests
- Fourth Department – Breach of contract: Hausrath Landscape Maintenance Inc. v. Caravan Facilities Management LLC
- Second Circuit – New York Child Victim’s Act: Kane v. Mount Pleasant CSD; Coe v. Eastport Union Free School
- NYS Advisory Committee on Judicial Ethics – Appointing law clerk: Opinion 22-149
- Fourth Department – Bill of particulars: Harris v. Rome Memorial Hospital, et al.
- NYS Advisory Committee on Judicial Ethics – Accusations against co-judge: Opinion 22-148
- Fourth Department – Medicaid: Washington Center for Rehabilitation and Nursing Home v. NYS Dept. of Health
- Fourth Department – Criminal possession of a firearm: People v. Wilson
- Fourth Department – Promoting prostitution: People v. Watts
- Second Circuit – Class certification: Arkansas Teachers Retirement System V. Goldman Sachs Group Inc.
- Fourth Department – Show-up identification: People v. Waggoner
- Fourth Department – Association: Victory Village Tenants Assoc. v. Evergreen Communities, et al.
- Second Circuit – In personam jurisdiction: Kaplan v. Bank Saderat PLC
Law News
- Greenlight Networks selects Buffalo-based attorney as general counsel
- Barclay Damon hires attorney Matt Smith
- Rochester man sues Geneseo police, alleging false arrest, assault
- The Daily Record’s Power List for Intellectual Property 2023
- NY ethics panel says judges can join NRA
- Harter Secrest & Emery LLP names partner-in-charge of Buffalo office
- Banned professor sues SUNY Fredonia leaders
- Hochul signs law requiring unemployment insurance information from employers
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