Articles Posted in Public Benefits

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Three corporations, each of which owned a nursing home facility, requested a hearing with the Kansas Department on Aging, challenging new reimbursement rates for each facility, arguing that because the facilities underwent a change of ownership, the rates should be recalculated. The hearing officer rejected the corporations' arguments, finding that, by operation of law for Medicaid reimbursement purposes, there was no change of ownership. The Kansas Health Policy Authority upheld the ruling, and the district court affirmed. The Supreme Court affirmed, holding that the agency orders were valid, did not violate equal protection or due process, and were not vague. View "Village Villa v. Kan. Health Policy Auth." on Justia Law

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Appellant was a personal care attendant for a Medicaid beneficiary. Appellant was later charged with Medicaid fraud for submitting a false claim for his services. After a bench trial Appellant was convicted under Kan. Stat. Ann. 21-3846(a)(1) for defrauding the Medicaid program. The court of appeals reversed Appellant's conviction, holding that the complaint charged that Appellant submitted statements for services he did not provide while the evidence at trial established that Appellant actually did provide the services for which he submitted statements. The Supreme Court reversed the court of appeals and affirmed the district court, holding that sufficient evidence supported Appellant's conviction for Medicaid fraud. View "State v. McWilliams" on Justia Law