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An additional problematic aspect of the estate recovery of non-LTCR expenses that was brought up was the unequal treatment of people below 138% of the FPL under the ACA, who get expanded Medicaid and are subject to estate recovery if they are 55 or older, and people just above 138% of the FPL, who get highly subsidized, very-low-net-cost, on ...
PPACA clarified the changes to the FCA made by FERA. Under PPACA, overpayments under Medicare and Medicaid must be reported and returned within 60 days of discovery, or the date a corresponding hospital report is due. Failure to timely report and return an overpayment exposes a provider to liability under the FCA. Statutory Anti-Kickback Liability.
Between March 2020 and November 2022, Florida’s Medicaid program increased from 3.8 million enrollees to 5.5 million, according to the judge’s order establishing the lawsuit’s classes.
Medicaid estate recovery is intended to help make the program affordable for the government, but it can financially impact the beneficiaries of Medicaid recipients.
Two consumer advocacy groups filed a lawsuit in a Florida federal court Tuesday seeking to halt the state’s termination of residents’ Medicaid benefits. The suit is the first in the nation to ...
DHHS, through its Centers for Medicare and Medicaid Services (CMS) branch, began the program in 2005, using Recovery Audit Contractors to perform the actual work of reviewing, auditing, and identifying improper Medicare payments. At the inception of the program, it focused on Medicare payments in the states of California, New York, and Florida.
Florida leads the country in ACA enrollment, with 4.2 million residents signing up during the recent open enrollment period. The decrease in Medicaid coverage isn't the only reason for the rise in ...
The state of Florida had revoked her essential Medicaid coverage after she failed to provide them with information that would prove her eligibility for financial support. Don't miss