Search for: "Ex Parte State Ex Rel. CM" Results 1 - 20 of 39
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29 Sep 2023, 1:56 am by Mary Anne Peck
Under the Affordable Care Act , states are required to complete administrative or “ex parte” Medicaid renewals by verifying an enrollee’s ongoing eligibility through existing sources, like state wage databases. [read post]
2 Jun 2023, 2:50 am by Kurt R. Karst
Best Price Stacking We previously blogged about the 4th Circuit Court of Appeals decision in United States Ex Rel. [read post]
10 Oct 2022, 5:01 am by Robert Liles
Civil Investigative Demands were legislatively authorized as part of the 1986 amendments to the False Claims Act.[5] At that time, their use an investigative tool was quite limited due to the administrative burden of having one approved for issuance. [read post]
12 May 2022, 6:59 am by Robert Liles
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) are actively providing audit support, technical assistance, and investigative coordination to the states’ fraud-fighting efforts. [read post]
17 Dec 2021, 11:46 am by husovec
The supervision should focus on quality of systems and their input (datasets or models used), their error rates, and scrutiny of impact (§ 138).The supervision of such systems has to be ex-ante and ex-post. [read post]
30 Nov 2020, 7:24 am by Lisa Larrimore Ouellette
These agencies can use both traditional ex ante grants as well as ex post or “pull” policies like prizes to support the Biden administration’s R&D goals.Third, modulating government reimbursement amounts through insurers can also be used as an ex post innovation incentive. [read post]
4 May 2020, 12:56 pm by Lisa Larrimore Ouellette
Under the Clinical Laboratory Improvement Amendments, the Centers for Medicare & Medicaid Services (CMS) regulates all non-research human laboratory testing, and thus might be thought to play a significant part here. [read post]
19 Apr 2019, 9:43 am by Ben Vernia
That case is captioned United States ex rel. [read post]
27 Dec 2018, 2:00 pm by Robert Liles
In light of this mandate, CMS published its Proposed Rule entitled “Medicare and Medicaid Programs; Regulatory [read post]