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Health Care Providers › Medicaid › State Health Departments

Holland & Knight LLP

Preliminary Injunction Agreement Balances CDPAP Transition and Consumer Care

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Following Judge Frederic Block's March 31, 2025, issuance of a temporary restraining order (TRO) temporarily halting New York state's push to consolidate the Consumer Directed Personal Assistance Program (CDPAP) under a...more

Holland & Knight LLP

Judge Issues TRO Pausing Data Transfer Under New CDPAP Framework

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Nassau County Judge Jerome C. Murphy issued a temporary restraining order (TRO) on Jan. 27, 2025, preventing the New York State Department of Health (DOH) from moving forward with the consolidation of the Consumer Directed...more

Shipman & Goodwin LLP

U.S. Supreme Court To Decide Whether Medicaid Recipients Have Right To Choose Provider in Ongoing Court Battle To Restrict Funding...

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The U.S. Supreme Court agreed to hear South Carolina’s challenge to the Fourth Circuit’s decision blocking South Carolina’s Medicaid program from ending its provider agreement with Planned Parenthood. The dispute arises from...more

McCarter & English, LLP

New Jersey Regulatory Update Part II

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Part II of our New Jersey Regulatory Update further identifies proposed and adopted regulations that may impact healthcare providers, from additional financial transparency rules impacting facilities to rules attempting to...more

Harris Beach Murtha PLLC

Updated Medicaid Utilization Review Regulations from NYS Department of Health

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The New York Department of Health (DOH) adopted regulations effective on September 13, 2023, that revised Medicaid Utilization Review for Medicaid fee-for-service benefits. The regulations were initially published on April...more

Weintraub Tobin

California Medi-Cal Enrollment Appeals: An Uphill Battle but an Essential Tool

Weintraub Tobin on

In our practices, we are seeing an increasing number of denials or de facto denials of Medi-Cal provider enrollments. The consequences of a Medi-Cal enrollment denial can be quite serious. First, a provider may not receive...more

Cozen O'Connor

AG Healey Settles with Mental Health Provider Over Alleged False Claims

Cozen O'Connor on

Massachusetts AG Maura Healey and the DOJ reached a settlement with outpatient mental health company Pathways of Massachusetts, LLC (“Pathways”) and its former parent company Molina Healthcare, Inc. (“Molina”) to resolve...more

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