CASE AT A GLANCE -
In 2018, Planned Parenthood South Atlantic (PPSAT) and one of its patients, Julie Edwards, sued the administrator of South Carolina’s Medicaid program to enforce the “free choice of Medicaid provider”...more
3/24/2025
/ Abortion ,
Civil Rights Act ,
Constitutional Challenges ,
Equal Protection ,
Federal Funding ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Medicaid ,
Medicaid Act ,
Patient Access ,
Planned Parenthood ,
Reproductive Healthcare Issues
Can a 40-year-old fraud and abuse law that compared to many others is relatively straightforward still get providers into trouble? Answer: You bet! In fact, in the first quarter of 2022 alone, the U.S. Attorney for the...more
4/19/2022
/ Best Practices ,
Civil Monetary Penalty ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
List of Excluded Individuals/Entities (LEIE) ,
Medicaid ,
Medical Reimbursement ,
Medicare ,
OIG ,
Settlement Agreements
January 27, 2022 marks the deadline for Connecticut health facilities to have policies and procedures in place to satisfy federal Center for Medicare and Medicaid Services (“CMS”) regulations mandating vaccines of their...more
1/31/2022
/ Biden v Missouri ,
Centers for Medicare & Medicaid Services (CMS) ,
Connecticut ,
Coronavirus/COVID-19 ,
Employer Liability Issues ,
Employer Mandates ,
Executive Orders ,
Health and Safety ,
Healthcare ,
Healthcare Facilities ,
Healthcare Workers ,
Infectious Diseases ,
Medicaid ,
Medicare ,
Vaccinations ,
Workplace Safety
Connecticut has recently notified pharmacies and prescribing providers that various quantity limits and refill criteria will revert back to pre-COVID 19 requirements come May 21, 2021. The reinstatement of pre-COVID 19...more
4/30/2021
/ Controlled Substances ,
Coronavirus/COVID-19 ,
Generic Drugs ,
Infectious Diseases ,
Medicaid ,
Medicare Part D ,
Pharmacies ,
Prescription Drugs ,
Public Health Emergency ,
Regulatory Standards ,
State and Local Government
What should new and old Connecticut telemedicine and telehealth providers know about billing for Connecticut Medicaid services now that Connecticut’s Governor Ned Lamont again has expanded the ability of providers to offer...more
The November 2019 issue of the Connecticut Medicaid Program’s Provider Quarterly Newsletter urges providers and their trading partners to routinely review and monitor “user roles” and levels of access that their...more