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.

President Joe Biden's administration has blocked former Gov. Scott Walker's plan to require some childless adults to work to maintain Medicaid benefits.

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.

Republican lawmakers say a new study bolsters their position against Wisconsin accepting an expansion of the federal Medicaid program.

Wisconsin has submitted a request to become the first state in the country to drug test applicants for Medicaid.

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. ...

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.

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.

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.

Medicaid federal policy guidance documents are available on the Medicaid.gov website.

A drug wholesaler has agreed to pay Wisconsin nearly $14 million to settle allegations of Medicaid fraud.

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.

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.

11-2464 Planned Parenthood of Indiana, Inc., v. Commissioner of the Indiana State Department of Health

11-2809 Abraham Lincoln Memorial Hospital v. Sebelius

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).

2009AP2795 Gister v. American Family Mut. Ins. Co.

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.

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.

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 ...

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 ...