Medicaid Secondary Payer
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.
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…
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.
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…
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…
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.
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…
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…
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…
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.