Medicaid

8/30/2023 - 1 min read

Verisk Casualty Solutions attends 77th Annual WCI Conference in Orlando, Florida!

Last week Verisk Casualty Solutions proudly attended the 77th Annual Workers' Compensation Educational Conference and 34th Safety & Health Conference in Orlando, FL!

6/27/2023 - 22 min read

Understanding CMS’s Section 111 NGHP Unsolicited Response File “opt-in” process (starts July 2023) – Q&A resource (updated)

12/22/2022 - 14 min read

Is the other “M” on your radar? 5 things to know about Medicaid and how we can help!

It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.

3/11/2022 - 1 min read

Medicare Secondary Payer recovery debts can now be paid using automated clearing house transactions

CMS has released a notice advising that MSP recovery debts may now be paid using ACH transactions.

4/15/2021 - 5 min read

Post-Settlement Administration: What’s next after getting an MSA?

When a claim settles, many claimants find themselves with a large sum of money that they are required to manage on their own.

7/2/2020 - 21 min read

Eleventh Circuit rules that Florida Medicaid may seek recovery of its past payments from those portions of the settlement agreement representing past and future medical care

In a new Florida Medicaid decision, the U.S. Circuit Court of Appeals for the Eleventh Circuit, in Gallardo v. Dudek, 2020 ruled Florida Medicaid may seek recovery of payments made for a beneficiary’s treatment from the amounts of a settlement agreement representing both past and future medical care.

7/8/2019 - 8 min read

Medicaid expansion makes recovery efforts more urgent

Within broad federal requirements, states and territories have significant flexibility in program design and administration, resulting in 56 unique Medicaid programs.

3/21/2018 - 5 min read

Texas court: Medicare Advantage Plans can sue for private cause of action under the Medicare Secondary Payer statute

This ruling by the federal district court for the Southern District of Texas places it in line with a growing number of decisions from other jurisdictions finding that MAPs enjoy private cause of action rights under the MSP.

1/29/2018 - 7 min read

Now hear this: Medicaid Secondary Payer recovery on the rise

Historically, state Medicaid agencies have been rather flat-footed in making efforts to identify and recoup erroneous payments from non-group health entities. In recent months, however, a number of state Medicaid agencies have more vigorously asserted their recovery rights.

9/26/2017 - 4 min read

Expansion of Medicaid Secondary Payer poses new compliance challenges

After numerous delays, it appears inevitable that the expansion of Medicaid Secondary Payer rights will begin on October 1, 2017.