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Medicaid

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March 11, 2022

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.

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April 15, 2021

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.

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July 2, 2020

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…

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July 8, 2019

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. 

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February 13, 2019

Top 10 Medicare Secondary Payer trends in 2019

MSP compliance is rapidly evolving – policy changes, stricter regulations, new legislation, and emerging case law are making compliance more complex and challenging than…

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August 14, 2018

Workers’ compensation medicare set-aside companion bill filed in House of Representatives

On July 26, 2018, Representative David Reichert (R-WA) and Representative Mike Thompson (D-CA) introduced H.R. 6619- Medicare Secondary Payer and Workers’ Compensation…

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March 28, 2018

CMS’ Medicare Beneficiary Identifier initiative and its Medicare Secondary Payer impact

Starting in April, CMS will begin replacing all Medicare cards with a new unique 11-byte Medicare Beneficiary Identifier (MBI) number.

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March 21, 2018

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…

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February 12, 2018

Budget Act of 2018 limits Medicaid third-party recovery rights

President Trump signed a budget deal early February 9th following a brief government shutdown. While most of the headlines focused on the deal’s impact on military…

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January 29, 2018

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…

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September 26, 2017

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.

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