In PR v. Division of Medical Assistance and Health Services (NJ. App. Div. 6/8/2023), the State was authorized to recover…
The collateral estoppel (issue preclusion) rule is part of the finality doctrine along with Res Judicata (claim preclusion). It general…
On June 5, 2023, the Centers for Medicare and Medicaid Services (CMS) amended 42 C.F.R. § 483.80 (infection control) and…
"In general, in order to maintain an action, a party “must establish standing to sue on the ground asserted, which…
In L.U. v. Division of Medical Assistance (N.J. Superior Court Docket A-2937-20, May 23, 2023), the Superior Court affirmed denial…
The following Georgia Medicaid cases were litigated outside the context of an administrative hearing, or were appealed beyond that point.…
An ALJ may order a prehearing conference to simplify the issues being presented. Conferences may be held in person or…
All applications for ABD Medicaid require that the applicant's basic eligibility be verified. See ABD Manual Section 2201-4. Applications for…
Right to a Hearing The right to a hearing is a property right and belongs to the applicant. See Bd.…
Taking over a case started by someone else is never my preference. It's far easier to do something correctly the…