RALEIGH, N.C. (AP) — A Medicaid expansion deal in North Carolina received final legislative approval on Thursday, capping a decade of debate over whether the closely politically divided state should accept the federal government’s coverage for hundreds of thousands of ...

Tagged with: Medicaid

A settlement – subject to court approval – has been reached in Franklin v. Kinsley, formerly known as Hawkins v. Cohen.  The federal class action lawsuit was filed in 2017 by Charlotte Center for Legal Advocacy and the National Health ...

Tagged with: Medicaid

RALEIGH, N.C. (AP) — North Carolina Senate leader Phil Berger recently called an offer from state hospitals to expand Medicaid to hundreds of thousands of the working poor “not a serious proposal,” saying loosened regulations for medical construction projects didn’t ...

Tagged with: Medicaid

RALEIGH (AP) — The end of appeals by two insurance providers fighting how North Carolina’s health department decided who would run its new Medicaid managed-care initiative means legal challenges over the awarding of the contracts are now over. The Court ...

Tagged with: Medicaid

RALEIGH (AP) The former head of a North Carolina health care company has received a prison sentence in connection with a Medicaid fraud scheme. A news release from the U.S. Department of Justice said 47-year-old Shephard Spruill was sentenced to ...

Tagged with: Eastern District of North Carolina federal court Fraud Greenville Medicaid Medicaid Fraud U.S. District Court

RALEIGH (AP) North Carolina’s attorney general has announced a settlement with a dentist over fraudulent claims sent to the state Medicaid program. Attorney General Josh Stein said April 27 a settlement was reached with Dr. Carlos J. Privette under which he ...

Tagged with: dentist Fraud Medicaid

Even though a very ill petitioner had to fight through levels of administrative hearings before he could get judicial review, and even though the superior court then pointed out to respondent that the Medicaid statute plainly required respondent to apply ...

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Holding: The state has conceded that the defendant North Carolina Department of Health and Human Services has not given the plaintiff-medical practices adequate notice of DHHS’s denial of plaintiffs’ Medicaid reimbursement claims; nevertheless, plaintiffs have neither exhausted their administrative remedies ...

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Kobe v. Haley (Lawyers Weekly No. 006-001-17, 55 pp.) (Per Curiam) No. 15-1419; Appealed from U.S.D.C. at Columbia, S.C. (Margaret Seymour, S.J.) 4th Cir. Holding: Even though defendants have provided the equipment plaintiff Kobe needs during the pendency of this ...

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Mills v. North Carolina Department of Health & Human Services (Lawyers Weekly No. 011-422-16, 22 pp.) (Mark Davis, J.) Appealed from Haywood County Superior Court (Bradley Letts, J.) N.C. App. Holding: The state hearing officer did not explain with any ...

Tagged with: Medicaid