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Health Care / Health Reform Connect®

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FSSA Revises Timely Filing Limit for Fee-For-Service Claims to 180 Days

Posted by: Amy M. Levander and Laura A. Brown on June 28, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On June 19, 2018, the Family and Social Services Administration’s (“FSSA”) Indiana Health Coverage Programs (“IHCP”) released provider bulletin BT201829 regarding revising the timely filing limit for Medicaid fee-for-service claims.   Beginning January 1, 2019, Medicaid fee-for-service claims...


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Court Finds Restrictive Covenant Unenforceable Against Hospital-Based CRNAs

Posted by: Robert A. Anderson and Amy J. Adolay on June 28, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

A recent Indiana case involving a non-compete in the healthcare field is worth review. In Great Lakes Anesthesia, P.C. v. O’Bryan, the Indiana Court of Appeals held that a restrictive covenant between an independent anesthesia group and two of its hospital-based CRNAs was unenforceable once the...


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FSSA Extends and Updates Indiana's Hospital Assessment Fee Program

Posted by: Laura A. Brown and Thomas N. Hutchinson on June 28, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On May 17, 2018, the Family and Social Services Administration (“FSSA”) published a final rule, LSA Document #17-552 (“Final Rule”), to update and extend Indiana’s Hospital Assessment Fee (“HAF”) program.[1]  The Final Rule amends 405 IAC 1-8-5 and 405 IAC 1-10.5-7 to extend the HAF program...


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The Joint Commission to Require Immediate Notification for Loss of Deemed Status

Posted by: Robert A. Anderson and Brandon W. Shirley on June 20, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The Joint Commission recently announced a new element of performance to Accreditation Participation Requirement APR.01.03.01 (“Element of Performance”). The Element of Performance requires immediate notification to The Joint Commission when the Centers for Medicare and Medicaid Services (“CMS”)...


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Indiana Medicaid Proposes Overhaul of Program Integrity Rules

Posted by: Brandon W. Shirley and Amy M. Levander on June 20, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On June 13, 2018, the Indiana Office of Medicaid Policy and Planning (“OMPP”) published a notice of intent (“NOI”) to adopt an administrative rule (“LSA #18-251”) that overhauls existing program integrity, Medicaid provider appeals, and Medicaid enrollment rules and requirements. The NOI states...


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Recent OIG Opinion Permits Free Samples to Patients

Posted by: Thomas N. Hutchinson and Meghan M. Linvill McNab on June 20, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On April 30, 2018, the Department of Health and Human Services, Office of Inspector General (“OIG”), issued an Advisory Opinion regarding an Arrangement whereby a Company that distributes and sells medical device and pharmaceutical products provides a limited number of sample ostomy products to...


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Illinois Medicaid Proposes Changes to Certain Psychiatric & Behavioral Health Payments

Posted by: Stacy Walton Long and Andrew C. Walker on June 13, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

In a May 25, 2018 notice, the Department of Healthcare and Family Services (the “Department”) announced a proposed change in the methods and standards by which the Department will reimburse providers for psychiatric and behavioral health services.[1] The proposed changes, effective for dates of...


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