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Showing 3 posts from April 2015.

HHS Releases Revised National Practitioner Data Bank Guidebook

On April 6, 2015, the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration, released the new, updated National Practitioner Data Bank (NPDB) Guidebook (Guidebook), a manual to provide guidance on the requirements established by the laws governing the NPDB.  This is the first update of this valuable tool to understanding NPDB related responsibilities and requirements in over 10 years.  It will be particularly important for Medical Staffs and other peer review bodies to be familiar with the new Guidebook. Read More ›

Supreme Court Says Providers Can’t Sue States to Force Increase in Medicaid Pay

HLB Medicaid Expert, Lloyd Bookman shares his outlook on the outcome of the Court's decision. Read More ›

On March 31, 2015, the U.S. Supreme Court removed a significant tool in the arsenal of providers to sue states to challenge insufficient Medicaid payment rates.

The Court’s decision in Armstrong v. Exceptional Child Center, Inc., __ U.S. __, 2015 WL 1419231 (2015) (Armstrong) could shut the doors of the courts to providers and beneficiaries seeking to ensure that Medicaid rates are adequate to meet Congress’ mandate that rates ensure access to quality care.  Specifically, the Court held that providers and recipients could not sue states in federal court under the equal access provision of the federal Medicaid Act. Read More ›

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