Jessica Sonpal

Aug 7, 2023 | mondaq.com | Lourdes Martinez |Gregory Smith |Jessica Sonpal |John Tilton

Home health agencies and nursing homes face increasing False Claims Act (FCA) risks as the government continues to focus its enforcement efforts on senior care providers. According to one estimate, home health providers paid more than $422 million between 2012 and 2021 to settle a variety of FCA allegations.

May 3, 2023 | natlawreview.com | Jessica Sonpal

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “Final Rule”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities. Except as otherwise noted, the requirements of the Final Rule are effective January 1, 2024.

May 2, 2023 | jdsupra.com | Sheela Ranganathan |Jessica Sonpal

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “Final Rule”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities. Except as otherwise noted, the requirements of the Final Rule are effective January 1, 2024.

May 2, 2023 | lexblog.com | Jessica Sonpal |Sheela Ranganathan

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “Final Rule”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities. Except as otherwise noted, the requirements of the Final Rule are effective January 1, 2024.

Feb 6, 2023 | jdsupra.com | Carmen Jule |Jessica Sonpal

On January 31, 2023, the New York State Office of the Medicaid Inspector General (OMIG) released three guidance documents to assist Medicaid providers in meeting the requirements of recently adopted regulations governing (i) the implementation and maintenance of an effective compliance program for certain providers; (ii) Medicaid managed care fraud, waste and abuse prevention programs; and (iii) OMIG’s Self-Disclosure Program for overpayments.