HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. Telligen performs annual assessments on Medicaid recipients for the Iowa DHSS.

Medicaid 117

Medicaid Medicaid Ransomware HIPAA 117

HIT Consultant

OCTOBER 6, 2022

What You Should Know: – Emcara Health and Aetna Better Health , which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions. Partnership Details.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

The Health Law Firm Blog

SEPTEMBER 20, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare IT News - Telehealth

NOVEMBER 19, 2021

Report authors sorted what they saw as necessary policy changes into four categories: Ensuring universal, affordable and equitable health coverage , including by closing the Medicaid coverage gap, lowering immigration-related barriers to coverage and reducing out-of-pocket costs and deductibles for marketplace insurance.

Telemedicine 155

Telemedicine Licensing Doctors Health Outcomes 155

The Health Law Firm Blog

AUGUST 24, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

The Health Law Firm Blog

JULY 11, 2022

Board Certified by The Florida Bar in Health Law Do you have a medical, pharmacist, counselor, or nursing license in more than one state? Do you have a license in more than one profession? By George F. Indest III, J.D., Have you been notified that an investigation has been opened against your professional [.].

Licensing 52

Licensing Nurses Medicaid Medicaid 52

The Health Law Firm Blog

JULY 19, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. Dentist Ordered to Pay $8.5M Dentist Ordered to Pay $8.5M

Fraud 52

Fraud Licensing Medicaid Medicaid 52

The Health Law Firm Blog

JUNE 27, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

MedTrainer

MARCH 30, 2024

Built-in Automation Keep the enrollment process moving forward with automated reminders for providers to send documents, notification of recredentialing deadlines, and license expiration. Choose software with dynamic graphs that show application age, average time to complete applications, and number of closed applications per credentialer.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

The Health Law Firm Blog

MAY 16, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Verisys

FEBRUARY 8, 2024

Upon moving to another compact state, a nurse holding a compact license must apply for a new license in their new primary state of residence within 60 days of relocating. NLC Relocation Rule Explanation NLC Relocation FAQ Arizona: The Arizona Board of Nursing has issued a reminder for nursing licenses expiring in 2024.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

HIT Consultant

JUNE 17, 2022

What You Should Know: – One of California’s longest-serving and most-experienced Medi-Cal partners, Health Net (a Centene plan), and virtual care and in-home health services provider MedArrive is collaborating to bring the most vulnerable, at-risk Medicaid members in-home access to COVID-19 vaccinations.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Medicaid Medicaid 52

Verisys

MARCH 12, 2024

License renewals are due February 29, 2024. Licenses can still be renewed after that date, however, they will be subject to late fees. IL PA License Renewal (page 6) Maryland : The Maryland Board of Pharmacy has adopted new regulations establishing the requirements and responsibilities of Validated Pharmacy Technicians.

Regulatory Compliance 52

Regulatory Compliance Compliance Medicaid Medicaid 52

Provider Trust

APRIL 18, 2024

Since that time, the organization has uniquely led the way in providing innovative solutions that uphold data integrity for ongoing exclusion monitoring, timely license and credential verification, and healthcare vendor data collection. To learn more, visit providertrust.com.

Compliance 52

Compliance Licensing Fraud Medicaid 52

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

The Health Law Firm Blog

MAY 12, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her [.]

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to the 1115 Waiver, which funds the Medicaid Hospital Global Budget for financially distressed safety net hospitals transitioning from volume-based reimbursement models to value-based models, the HMH Bill would also establish the Healthcare Safety Net Transformation Program (“HSNT Program”).

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

The Health Law Firm

DECEMBER 23, 2019

Board Certified by The Florida Bar in Health Law Healthcare professionals: Have you ever had discipline on your professional license during your career? Have you ever been assessed a repayment or fine by Medicare or Medicaid Programs or had your participation in that program terminated or suspended? Indest III, J.D.,

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Verisys

MARCH 8, 2024

Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Secure your success by choosing Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Verisys

MAY 11, 2023

Publication of Notice – Operation Nightingale Oregon : The Oregon Medical Board has proposed a new rule to add “license denials” as a class of cases exempt from the 90-day timeline requirements. This new rule would allow a longer timeline due to board meeting schedules and the complexity of license denial cases.

Licensing 52

Licensing Nurses Medicaid Medicaid 52

MedTrainer

DECEMBER 4, 2023

The Kentucky Cabinet for Health and Family Services (CHFS), Department for Medicaid Services administers the state’s Medicaid program, ensuring access to essential health care services for eligible low-income individuals and families in Kentucky. The residency training lcense supports medical practice during residency.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

The Health Law Firm Blog

FEBRUARY 15, 2022

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her.

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

The Health Law Firm Blog

DECEMBER 3, 2023

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law I am often contacted by clients who are health professionals or own businesses in the health care industry who have been approached by government agents or investigators regarding possible complaints or charges. In many cases, the individuals involved [.]

Licensing 40

Licensing Governance Health Care Lawyers Medicaid 40

MedTrainer

NOVEMBER 27, 2023

The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio. This department focuses on ensuring access to quality healthcare services while managing the state’s Medicaid budget and policies.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

APRIL 11, 2024

Noncompliance: Providers must maintain specific licenses and certifications to provide patient care services. These include a national provider identification number , state licensure, drug enforcement agency license , and state pharmacy license. Check out 10 attributes to look for in a credentialing specialist.

Licensing 52

Licensing Medicaid Medicaid Medicare 52

HIT Consultant

MARCH 6, 2024

What You Should Know: – Ochsner Digital Medicine , a leader in remote patient management, has partnered with Humana Healthy Horizons, Louisiana’s Medicaid plan, to offer digital health programs for members diagnosed with hypertension and type 2 diabetes.

Medicaid 52

Medicaid Medicaid Licensing Health Outcomes 52

Verisys

FEBRUARY 9, 2024

Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Pharmacy Law Blog

MAY 14, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

Pharmacy Law Blog

MAY 7, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

MedTrainer

NOVEMBER 27, 2023

The Division of Health Benefits administers the state’s Medicaid program, which provides essential healthcare coverage to eligible individuals and families. Providers must be licensed in North Carolina, except under certain conditions, and must ensure that services align with their scope of practice. Medicaid expansion under H.B.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The Department of Community Health (DCH) serves as the lead agency for Medicaid and PeachCare for Kids® , and also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division and State Office of Rural Health. The Medical Assistance Plans Division oversees Georgia’s Medicaid and PeachCare for Kids® programs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Compliancy Group

APRIL 25, 2024

Violations of regulations regarding Medicare fraud, waste, and abuse can result in fines, license revocation, and other legal ramifications. Moreover, a noncompliant organization can be added to the OIG exclusion list – organizations excluded from Medicare, Medicaid, and other federal programs.

Fraud 52

Fraud Medicare Medicare Compliance 52

Verisys

OCTOBER 23, 2023

Alabama : License renewals for pharmacy technicians, pharmacy interns, and facilities are open as of 9/15/2023. The board urges that nurses who were practicing under an EMSA license should apply for licensure by endorsement to continue to practice in California. Here is our monthly regulatory update.

Licensing 52

Licensing Nurses Compliance Medicaid 52

Provider Trust

SEPTEMBER 12, 2022

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program. No payments will be for medical care, services and supplies furnished, prescribed, or ordered by an excluded party.

Medicaid 52

Medicaid Medicaid Fraud Licensing 52