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Tag Archives: Medicaid

State benefits from settlement with drug firms

Missouri will receive $1.2 million of a multistate settlement against pharmaceutical companies Abbott Laboratories and Fournier. The lawsuit filed by 23 states and the District of Columbia alleged that the companies had conspired to thwart generic competition of its medication ...

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Administrative: Medicaid – Reimbursement Rates – Emergency Amendments

Beverly Enterprises-Missouri Inc. v. Department of Social Services (MLW No. 60017/Case No. WD69040 – 27 pages) (Missouri Court of Appeals, Western District, per curiam) Where the Department of Social Services filed emergency amendments to its nursing home reimbursement regulation, the ...

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Medicaid: Recovery Claim – Medicaid Payments – Dependency Exception

In the Estate of Shirley Marie Smith (MLW No. 59964/Case No. ED93117 – 3 pages) (Missouri Court of Appeals, Eastern District, Ahrens, J.) Where the Missouri Department of Social Services sought to recover  Medicaid benefits from the estate of a ...

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State wins judgment; defense calls fraud decision a ‘Pyrrhic victory’

A St. Louis County court has awarded a $1.8 million judgment to the state of Missouri and Missouri HealthNet in a civil fraud lawsuit charging a licensed clinical social worker committed fraud. According to Case.net, the state already settled claims ...

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Nursing homes call Medicaid rate change an arbitrary act by DSS

A four-year fight over the implementation of the state budget made its way to the Missouri Supreme Court this week. A group of nursing homes urged the high court on Wednesday to declare that the Department of Social Services acted ...

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Pfizer agrees to $2.3B payment

Missouri gets $22M, breaking fraud recovery record

The state of Missouri will receive $22 million from Pfizer Inc. as part of a $2.3 billion nationwide Medicaid fraud settlement. The $22 million award marks a record-breaking year for the state in Medicaid fraud recovery. The Attorney General's Office said so far in 2009 it has collected more than $75 million in Medicaid fraud recovery.

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Pfizer to pay state $22M Medicaid fraud settlement

The state of Missouri will receive $22 million from Pfizer as part of a $2.3 billion nationwide Medicaid fraud settlement. The $22 million award marks a record-breaking year for the state in Medicaid fraud recovery. So far in 2009, the ...

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Settlement reached with state over workers’ comp liens

Missouri Medicaid recipients settled a case with the state alleging it improperly seized workers’ compensation settlements. A group of Missouri Medicaid recipients in August 2006 filed suit alleging the Department of Social Services improperly asserted liens and was recovering proceeds ...

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Pharmacy owner to pay $3.9M to settle Medicaid fraud case

A pharmacy owner will pay more than $3.9 million to settle a Medicaid fraud case against him, the attorney general’s office said Thursday. Noel R. Botsch owns Special Design Health Care, based in Cape Girardeau. The specialty business provides in-home ...

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