Pennsylvania, New Jersey, and Delaware team up for a multistate lawsuit against the Trump administration regarding Medicaid work rules.
Waiver of Medicaid Work Requirements Last year, federal health officials indicated that certain individuals and groups are excluded from Medicaid work requirements. This includes pregnant women, new mothers, people with disabilities or medical conditions, parents or caregivers of children under 13, individuals seeking treatment for substance abuse, as well as American Indians and Alaska Natives. […]
Long Island man charged with harming infants in Medicaid fraud plan
Long Island Con Artist Defrauds Medicaid, Lives Luxuriously A con artist from Long Island, identified as Nduka Ruiz Ekpenyong, has been accused of pilfering $2.6 million through a Medicaid fraud scheme that adversely affected infants reliant on specialized formula. Authorities revealed the details of the scheme on Monday. The 36-year-old allegedly provided low-quality Pediasure to […]
Republican AG candidate claims Letitia James is overlooking Medicaid fraud
Republican Candidate Highlights Medicaid Fraud Issues Saritha Komatireddy, a candidate for New York’s attorney general, is centering her campaign around the issue of Medicaid fraud. She claims prosecutions have significantly declined since Letitia James took office. This topic has recently gained traction in Minnesota, where investigations revealed billions in suspected fraud pertaining to the public […]
Florence mother worries that Medicaid reductions will stop her son’s care
Florence Mother Voices Concerns Over Medicaid Cuts FLORENCE, Ky. — A mother from Florence, who is the full-time caregiver for her son, has expressed worries that upcoming Medicaid reimbursement cuts could severely hinder families like hers in finding essential health care providers. Starr Garcia cares for her 18-year-old son, Domingo Garcia Jr., who suffers from […]
Concerns about fraud emerge as Ohio Medicaid encounters $33B in funding cuts
Ohio Medicaid Concerns Grow Amid Funding Cuts Amanda Lynch, a mother advocating for her 24-year-old daughter who is deaf and blind and faces multiple disabilities, recently spoke against House Bill 795 before the Ohio House Medicaid Committee. This bill proposes stricter regulations for certain Medicaid providers and increases penalties for those committing Medicaid fraud. A […]
Enrollment in Medicaid and the ACA decreases by over 5 million, new report reveals
Medicaid and ACA Enrollment Decline Recent data reveals that the number of individuals enrolled in Medicaid and Affordable Care Act (ACA) plans has dropped by over 5 million in the last year, according to a new report from the advocacy group Protect Our Care. This decline can be attributed in part to legislative changes enacted […]
Why Is Medicaid Spending So Much on the Same Ambulance Trip?
In California, private ambulances that transport Medi-Cal patients receive just $339 for each emergency trip. In contrast, public ambulances providing the same service to similar patients collect $1,168, which is over three times the amount private ones get. There’s a proposal floating around to raise public reimbursement to $1,597, which means some vehicle owners could […]
Justice Department Files Lawsuit Against New York over Alleged Secret Agreement in $10 Billion Medicaid Program
Department of Justice Files Lawsuit Against New York Health Officials On Tuesday, the Department of Justice initiated legal action against New York state health officials and Public Partnership LLC, a company responsible for managing the state’s extensive home health program, alleging misconduct in the awarding and management of this program. The lawsuit identifies the New […]
Around 110,000 low-income adults in Connecticut may lose their Medicaid benefits.
Connecticut Faces Medicaid Coverage Crisis About 110,000 low-income adults in Connecticut are on the brink of losing their Medicaid coverage due to new federal work requirements set to take effect in January. This has officials concerned about a potential increase in uninsured patients who may turn to emergency departments for care. While the immediate focus […]
JD Vance is putting an end to the Medicaid benefits surge
Changes on the Horizon for California’s Medicaid Financing The Centers for Medicare and Medicaid Services (CMS) appears to be paving the way for significant changes to California’s Medicaid financing structure. Recently, CMS unveiled a proposal that seeks to standardize many Medicaid payment arrangements to reimbursement levels that align more closely with Medicare. This move is […]