The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) has issued a favorable Advisory Opinion for a non-profit foundation receiving donations from an affiliated company. The company in this case offers family-based therapy for children with a redacted “Disorder” (presumably autism), where the goal of the therapy sessions is to train
September 2025
A History of CDPAP Enforcement at the NYS AG’s Office
By Jeff Kaiser on
New York’s Consumer Directed Personal Assistance Program (CDPAP) has long been the subject of enforcement at the New York State Attorney General’s Office (AG). Many of those enforcement actions involve caregivers who billed Medicaid for CDPAP services never provided but sometimes also implicate agencies that are responsible for processing caregiver payments and protecting against fraud.…
FTC Abandons Non-Compete Ban but Signals Continued Scrutiny
By Norton Travis & Atara Kahn on
Posted in Employer/Employee, Legislation and Public Policy
The Federal Trade Commission (FTC) has formally abandoned its effort to implement a nationwide prohibition on employer non-compete agreements, marking the end of one of the most closely watched regulatory battles in recent years. While the sweeping ban will not take effect, the agency has made clear that restrictive covenant practices remain firmly on its…
How to Handle Payer Record Request and Subsequent Demand for Alleged Overpayments
By Rivkin Rounds Staff on
Posted in Medicare and Medicaid, Private Insurers
On Thursday, September 18, in the next installment of Rivkin Radler’s Health Law Executive Briefings, Chris Kutner and Ashley Algazi will present “How to Handle Payer Record Request and Subsequent Demand for Alleged Overpayments.”
The presentation will provide a comprehensive review of the issues and best practices for responding to, and defending against, payer audits.
NY Insurer Fined $250,000 for Mental Health “Ghost Network”
By Emily Manning & Eric Fader on
The New York Attorney General’s office recently announced an agreement with MVP Health Care under which the insurer will pay $250,000 in penalties, fees, and costs to the state for maintaining an inaccurate mental health provider directory. The settlement is the first arising out of an investigation of so-called “ghost networks” by Attorney General Letitia…