“Each participating State develops a plan containing reasonable standards . . . for determining eligibility for and the extent of medical assistance” within boundaries set by the Medicaid statute and the Secretary of Health and Human Services.” Wis. Dep’t of Health & Family Servs v. Blumer, 534 U.S. 473 (2002) (quoting Schweiker v. Gray Panthers, 453 U.S. 34, 36-37 (1981)); see also ABC Home Health Servs. v. Ga. Dep’t of Medical Assistance, 211 Ga. App. 461, 462 (1993). Although States must comply with federal law, each State has significant power to customize its Medicaid program within those parameters. Where federal law is silent, State law can generally fill the interstices so long as States do not violate federal statutes, regulations or rules. See Blumer, supra, at 496 (“we have not been reluctant to leave a range of permissible choices to the States, at least where the superintending federal agency has concluded that such latitude is consistent with the statute’s aims”). Nonetheless, the case law makes it clear that States often go beyond filling the gaps, ignoring federal law, in their efforts to expand collections.
Each State participating in the Medicaid program must develop a State Plan. 42 U.S.C. § 1396a. Among other requirements, the State plan must:
The Tennessee Justice Center and its legal partners brought a class action in the U.S.…
The Corporate Transparency Act, passed in 2021, was designed to combat illicit activity including tax…
The American Housing and Economic Mobility Act of 2021 (now "of 2024") may have taken…
Review Account Statements and Notify Law Enforcement of Suspicious Activity As a precautionary measure, remain…
On July 19, 2024, the IRS published final regulations regarding required minimum distributions (RMDs) from…
Section 1115 of the Medicaid statute allows sates to test new or existing ways to…