Keeping up with rules and regulations surrounding the Medicaid system can be difficult and confusing for health care providers. Close scrutiny from the State and an ever-changing regulatory environment mean the ins and outs of accepting Medicaid patients can be daunting, especially as more and more patients are relying on Medicaid coverage for their medical care. Add in the Managed Care Organizations (MCOs) and Recovery Audit Contractors (RACs), and health care providers can easily be overwhelmed by the administrative process.
At Williams Mullen, our health care attorneys have a thorough understanding of the system and the state’s Department of Health and Human Services. We have defended Medicaid recipients and large and small health care providers. We can represent your business in Medicaid recoupment actions, appealing denied certifications, and enjoining prepayment review statuses or terminations of Medicaid contracts, whether a termination by Departments Division of Medical Assistance (DMA) or an MCO’s refusal to contract with the provider.
Our attorneys have experience in appeals and injunctions through the Department of Health and Human Services (DHHS) and the Office of Administrative Hearings, as well as judicial reviews by the Superior Court and beyond.