A federal judge has ruled that a now-shuttered Wisconsin substance abuse center and its CEO owe the state and federal government more than $2 million in a Medicaid fraud case.
Read More »Tag Archives: Medicaid
Biden administration blocks Medicaid work requirements
President Joe Biden's administration has blocked former Gov. Scott Walker's plan to require some childless adults to work to maintain Medicaid benefits.
Read More »Republicans stand by rejection of federal Medicaid money
The Wisconsin Legislature's Republican-controlled budget committee voted Tuesday to stand by its decision to reject Gov. Tony Evers' plan to accept federal money for Medicaid, turning down more than $1 billion from the federal government and $324 million wort of state savings.
Read More »Republicans say new study bolsters argument against Medicaid
Republican lawmakers say a new study bolsters their position against Wisconsin accepting an expansion of the federal Medicaid program.
Read More »State submits request to drug test Medicaid applicants
Wisconsin has submitted a request to become the first state in the country to drug test applicants for Medicaid.
Read More »Walker welfare changes get approval by Wisconsin lawmakers (UPDATE)
SCOTT BAUER Associated Press MADISON, Wis. (AP) — Changes to Wisconsin’s welfare programs proposed by Gov. Scott Walker that won approval by the Legislature’s budget-writing committee on Thursday include: — Requiring able-bodied childless adults in the state’s main Medicaid program BadgerCare, as well as parents on food stamps, to be working or receiving job training for 80 hours per month. ...
Read More »Judge: Agency overreached in asking nurses to repay Medicaid
A judge has ruled that Wisconsin health officials went too far trying to recoup Medicaid payments from dozens of independent nurses who care for severely disabled patients in their homes.
Read More »Increasing the use of ACA overpayment rule in DOJ enforcement actions
The U.S. Department of Justice recently scored victories in two False Claims Act cases involving providers’ alleged failure to return overpayments as mandated by the Patient Protection and Affordable Care Act of 2010.
Read More »State to get part of $38M settlement from nursing home chain (UPDATE)
A nursing home chain has agreed to pay $38 million to resolve allegations that it billed Medicare and Medicaid for substandard care at nearly three dozen facilities around the country, the Justice Department announced Friday.
Read More »BEV BUTULA: Medicaid made easy
Medicaid federal policy guidance documents are available on the Medicaid.gov website.
Read More »Drug wholesaler pays state $14M in fraud settlement
A drug wholesaler has agreed to pay Wisconsin nearly $14 million to settle allegations of Medicaid fraud.
Read More »State to claim marital property for Medicaid debts
Provisions buried in the new Wisconsin budget dramatically expanded the state's ability to claim dead couples' joint property, such as Green Bay Packers tickets or the family farm, to recoup Medicaid expenses - even if the assets are protected in trusts.
Read More »Medicaid preemption ruling nixes one-size-fits-all state liens
Several states will have to revisit their Medicaid reimbursement rules after the U.S. Supreme Court struck down a North Carolina law that set an automatic reimbursement rate for third-party tort awards as preempted by the Medicaid Act.
Read More »Public Health – Medicaid — abortion
11-2464 Planned Parenthood of Indiana, Inc., v. Commissioner of the Indiana State Department of Health
Read More »Public Health – Medicare — Medicaid
11-2809 Abraham Lincoln Memorial Hospital v. Sebelius
Read More »THE DARK SIDE: Medicaid case fails test for jury
Last month, the Wisconsin Supreme Court held that the state is entitled to a jury trial when suing a private actor for Medicaid fraud under the Deceptive Trade Practices Act (State v. Abbott Laboratories, 2012 WI 62).
Public Health – Medicaid — liens against settlement
2009AP2795 Gister v. American Family Mut. Ins. Co.
Read More »Court to consider health care law’s Medicaid mandate
As part of a broad examination of the federal health care law, the U.S. Supreme Court has agreed to consider whether Congress impermissibly conditioned states’ federal Medicaid funding on the adoption of expanded eligibility and coverage thresholds.
Read More »US Supreme Court ponders individual right to sue over state Medicaid rule
The U.S. Supreme Court kicked off its October 2011 Term with oral arguments in a case that considers whether private plaintiffs can sue to enjoin a state from deviating from federal Medicaid program requirements.
Read More »Van Hollen announces $4.2M BadgerCare settlement
MADISON, Wis. (AP) — The state of Wisconsin says it has reached a $4.2 million settlement with three drug makers which the state alleged had defrauded the Medicaid and BadgerCare Plus programs. The Milwaukee Journal Sentinel reports Attorney General J.B. Van Hollen on Monday announced the deal with Merck & Co., Schering Corp. and Warrick Pharmaceuticals Corp. Under the terms ...
Read More »2009AP1954 Heinrich v. Wisconsin Department of Health Services
Public Health Medicaid Linda Heinrich appeals an order affirming a decision of an administrative law judge (ALJ) for the Division of Hearings and Appeals that denied her request to have Milwaukee County’s Family Care Managed Care Organization (“Managed Care Organization”) purchase a power stair lift and install it in her home. We affirm. Not recommended for publication in the official ...
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