Nicholas Lynn

Nicholas Lynn

Duane Morris LLP

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What Amount of Deference, If Any, Is Accorded to CMS' Interpretation of the State Operations Manual?

On May 17, 2013, the United States Court of Appeals for the Fifth Circuit (Court) ruled on a Petition for Review of a Decision of the United States Department of Health and Human Services (DHHS) in the case styled, Elgin...more

8/21/2013 - Ambiguous CMS Food Safety Handbooks HHS Medicare Statutory Interpretation

Illinois Office of the Inspector General Self-Disclosure Protocol for Reporting Medicaid Overpayment

The Illinois Department of Healthcare and Family Services ("Department"), Office of Inspector General ("OIG"), has now issued an Informational Notice and Voluntary Provider Self-Disclosure Protocol ("Protocol") providing...more

4/8/2013 - Affordable Care Act Disclosure Requirements Health Insurance Healthcare Medicaid OIG Overpayment Provider Self-Disclosure Protocol

Long-Term Care and Medicaid Managed Care Initiatives in Illinois

Currently, Illinois has three Medicaid managed care programs: Primary Care Case Management; Voluntary Managed Care; and the Integrated Care Program. Illinois Medicaid reform requires 50 percent of Illinois' Medicaid clients...more

3/25/2013 - CMS Integrated Care Program Long-Term Care Medicaid Medicare Medicare-Medicaid Alignment Initiative

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