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A review by Pennsylvania's elected financial watchdog concluded there were shortcomings in a state agency's oversight of fees paid to pharmacy benefit managers in the Medicaid program, but the ...
Pennsylvania has been accused of improperly receiving $551 million in Medicaid funds to go toward its school-based services. The U.S. Office of the Inspector General said in a report released ...
Aug. 25—A Pembroke woman has been indicted on felony charges for allegedly stealing more than $16,000 from the Medicaid program by filing fraudulent claims. A Merrimack County Grand Jury ...
In 2016, the company settled with the US Department of Justice for $32.7 million over claims of Medicare fraud through medically unnecessary procedures from 2006 through 2013. [ 5 ] [ 6 ] The company also settled with the Department of Justice in 2019 for $6.25 million over a similar issue.
A part of the federal Medicaid statute known as the "anti-lien provision" preempted a North Carolina law. That state law had required Medicaid beneficiaries who received money from a tort judgment or settlement to give one-third of that money to the state to reimburse it for the free medical care it had provided to the person. Florida v ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
The Commonwealth Court dismissed the lawsuit in 2021, citing a state Supreme Court case from 1985 that upheld the Pennsylvania Abortion Control Act. The law dates to 1982 and bans abortion care ...
The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program. A Medicaid recipient must be deemed 'cost effective' by the HIPP program of their state. Ultimately, the program was made optional, and its use is minimal ...