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Tag Archives: Medicaid

Judge strikes down New Hampshire’s Medicaid work requirements

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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 ...

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State Medicaid bought erectile dysfunction drugs for sex offenders

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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 ...

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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 ...

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Restitution vacated in Medicaid fraud case

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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 ...

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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 ...

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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 ...

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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 ...

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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 ...

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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 ...

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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.

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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 ...

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