Articles and Blogs


HHS Rolls Out Medicaid Targeted Distribution, Clarifies Quarterly Reporting Deadline and Updates Other FAQs


Posted on June 26, 2020 in COVID-19 Daily Updates, Health Law News

Published by: Hall Render

This latest installment of our series on HHS Provider Relief Funding focuses on the new Medicaid Targeted Distribution, the postponement of the July 10 reporting deadline and new and updated FAQs. Since our last Bulletin posted June 12, found here, HHS has posted 45 new or modified FAQs, including 20 dated June 25. Many... READ MORE

Tags: , , ,

Latest Stimulus Bill Includes Over $100 Billion in Health Care Industry Relief: Providers Should Start Preparing Now


Posted on March 27, 2020 in Health Law News

Published by: Hall Render

On March 25, 2020, the Senate passed the Coronavirus Aid, Relief, and Economic Security Act (H.R. 748) (“CARES Act” or “Act”). The CARES Act contains numerous provisions aimed at the response to the Coronavirus or COVID-19 pandemic, including $100 billion in reimbursement to hospitals and other health care entities for COVID-19-related expenses and lost... READ MORE

Tags: , , , , , , ,

Hall Render’s The Week in Washington – February 3, 2020


Posted on February 3, 2020 in Federal Advocacy

Published by: Hall Render

Surprise Billing Continues to Be Hot as More Committees Weigh In The House Ways & Means Committee plans to release its surprise billing legislation this week in preparation for a markup on February 12. The Ways and Means proposal will rely on arbitration for resolving out of network claims and will have to be... READ MORE

Tags: , ,

Fifth Time’s the Charm? CCBHC Funding Temporarily Extended Again


Posted on December 9, 2019 in Federal Advocacy

Published by: Hall Render

For the fifth time, Certified Community Behavioral Health Clinics (“CCBHCs”) have received a short-term funding extension with Congress’ last-minute passage of a temporary government-wide spending bill. Funding for CCBHCs in this extension runs through December 20, 2019. This measure was signed into law late on November 21, just in the nick of time as... READ MORE

Tags: , , , , ,

Michigan Medicaid Implements New Enrollment and Billing Requirements for Clinical Nurse Specialists and Nurse Practitioners


Posted on June 6, 2019 in Health Law News

Published by: Hall Render

On May 1, 2019, the Michigan Medical Service Administration of the Michigan Department of Health & Human Services (“MDHHS”) issued Bulletin MSA 19-10 (the “Bulletin”), which set forth new enrollment and billing requirements for nurse practitioners (“NPs”) and clinical nurse specialists (“CNSs”) participating in the Michigan Medicaid program. Under the new guidelines, effective June... READ MORE

Tags: , , , , , ,

Hall Render’s This Week in Washington – April 12, 2019


Posted on April 12, 2019 in Federal Advocacy

Published by: Hall Render

Congressional Leaders Discuss Health Care Priorities Congress’ top leaders, Senate Majority Leader Mitch McConnell (R-KY) and House Speaker Nancy Pelosi (D-CA), announced they are not embracing “Medicare for All” as a priority at the American Hospital Association’s annual Washington conference. Both leaders reinforced that each chamber will pursue largely separate health care agendas in... READ MORE

Tags: , , , ,

Wisconsin Court Analyzes Relationship Between 340B and Wisconsin Medicaid Requirements in Important Overpayment Case


Posted on July 13, 2018 in Health Law News

Published by: Hall Render

On June 12, 2018, the Wisconsin Court of Appeals (“Court”) affirmed a decision by a Wisconsin circuit court and held that a family planning clinic with multiple locations in Wisconsin (“Provider”) was not required to repay the Wisconsin Department of Health Services (“DHS”) a total of $185,074.80 related to Medicaid fee-for-service claims submitted for... READ MORE

Tags: , , ,

Happy 50th Birthday Medicare and Medicaid: Midlife Crisis or the Golden Years?


Posted on July 30, 2015 in Health Law News

Published by: Hall Render

On July 30, 1965, President Lyndon B. Johnson signed into law what we now know as the Medicare and Medicaid programs.  They came into being after a long political gestation period that can be traced back to President Theodore Roosevelt’s proposals for a national health insurance system in 1912 and President Harry Truman’s 1948 bid... READ MORE


CMS proposes new “incident to” rule


Posted on July 10, 2015 in False Claims Act Defense

Written by: David B. Honig

“Incident to” billing is a significant False Claims Act risk for Medicare and Medicaid providers. A new proposed rule will change how physicians and physician practices are supposed to bill for services provided in their offices. CMS Proposal to Limit Incident to Billing This week CMS released the proposed Medicare Physician Fee Schedule Rule... READ MORE

Tags: , , , , , , ,

Medicaid Managed Care Rule Overhaul: First Proposed Revisions in Over a Decade


Posted on June 5, 2015 in Health Law News

Published by: Hall Render

Health care providers and practitioners in most states are well aware that most Medicaid and CHIP enrollees are members of managed care organizations (“MCOs”). As states have increasingly contracted with and relied on MCOs for their growing Medicaid and CHIP populations, including enrollees who need and use long-term care services, the Centers for Medicare... READ MORE

Tags: ,