Sunshine Health Medicaid Lawsuit

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Sunshine Health Plan settles $9M+ fine for violating Medicaid …

(1 days ago) WebSunshine Health Plan paid the fine early. Florida’s largest Medicaid managed care plan paid a $9 million fine this week for failing to pay, or to timely pay, 121,227 claims from health care

https://floridapolitics.com/archives/517178-sunshine-health-plan-settles-9m-plus-fine-with-florida-for-violating-medicaid-contract/

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Florida’s largest Medicaid payment vendor must pay nearly $9.1

(1 days ago) WebSunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for …

https://www.wuft.org/fresh-take-florida/2022-04-08/floridas-largest-medicaid-payment-vendor-must-pay-nearly-9-1-million-after-missing-deadline-to-challenge-government-fine

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Complaints, Grievances and Appeals Florida Medicaid - Sunshine …

(6 days ago) WebPhone: 1-877-254-1055 (toll-free) Fax: 1-239-338-2642. [email protected]. If a fair hearing is requested in writing, …

https://www.sunshinehealth.com/members/cms/resources/complaints-appeals.html

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Florida fines Tampa Medicaid payment vendor nearly $9.1 million …

(2 days ago) WebGAINESVILLE – Florida fined its largest Medicaid payment vendor nearly $9.1 million over software problems that delayed payments for nearly three months for …

https://www.tampabay.com/news/health/2022/03/23/florida-fines-tampa-medicaid-payment-vendor-nearly-91-million-over-billing-glitches/

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Florida Medicaid hits Sunshine Health with $9M - Florida Politics

(1 days ago) WebFlorida Medicaid hits Sunshine Health with $9M sanction for not paying providers’ claims. The state is giving Sunshine 30 days to pay the fine. Florida’s largest …

https://floridapolitics.com/archives/510955-florida-medicaid-hits-sunshine-health-with-9m-sanction-for-not-paying-providers-claims/

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Florida fines Medicaid insurer Sunshine Health for claim denials

(7 days ago) Web0:21. Florida’s Agency for Health Care Administration, which is responsible for administering the state’s Medicaid program, has issued a fine of over $9 million to …

https://www.ocala.com/story/news/healthcare/2022/04/03/florida-fines-medicaid-insurer-sunshine-health-claim-denials/7216226001/

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Judge gives the go-ahead to Medicaid class-action lawsuit against

(9 days ago) WebA federal judge has cleared the way for a class-action lawsuit that alleges Florida did not properly inform people before dropping them from the Medicaid program …

https://health.wusf.usf.edu/health-news-florida/2024-04-30/judge-gives-medicaid-class-action-lawsuit-against-florida-the-go-ahead

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Centene hit with $9M fine in Florida Healthcare Dive

(5 days ago) WebDive Brief: Centene is facing a $9 million fine from Florida health regulators for incorrectly denying claims for more than 121,000 Medicaid members. Florida is …

https://www.healthcaredive.com/news/centene-fined-florida-9-million/621259/

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Medicaid enrollment in Florida continues to drop - Health News …

(6 days ago) WebThe issue also affects managed-care organizations that contract with the state to oversee care for most Medicaid beneficiaries. Centene Corp., which is a major …

https://health.wusf.usf.edu/health-news-florida/2023-11-16/medicaid-enrollment-in-florida-continues-to-drop-amid-redetermination-process

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Press Statement on Florida 12 Month Continuous Coverage for …

(5 days ago) WebThis is harmful and puts children’s health and educational outcomes at risk in both the short and the long term. “This comes on top of Medicaid unwinding where …

https://ccf.georgetown.edu/2024/02/02/press-statement-on-florida-12-month-continuous-coverage-for-children-lawsuit/

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Judge's ruling after revised lawsuit slows fight over Medicaid

(6 days ago) WebThe lawsuit is rooted in last spring’s end of a federal public health emergency that was declared in 2020 because of the COVID-19 pandemic. Medicaid is …

https://health.wusf.usf.edu/health-news-florida/2024-01-25/judges-ruling-after-revised-lawsuit-slows-fight-over-medicaid-redetermination

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Florida failed for nearly 3 months to pay tens of thousands of …

(8 days ago) WebPublished Feb. 14, 2022. GAINESVILLE – Florida failed for nearly three months to pay tens of thousands of health care claims for the state’s sickest and neediest children due to …

https://www.tampabay.com/news/health/2022/02/14/florida-failed-for-nearly-3-months-to-pay-tens-of-thousands-of-health-claims-for-children/

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Trial over Florida Medicaid class-action lawsuit delayed - MSN

(7 days ago) WebA trial over the lawsuit was supposed to start Monday, but the judge had a death in the family. Watch: Florida drops over 22K kids from health coverage, against new federal …

https://www.msn.com/en-us/health/other/trial-over-florida-medicaid-class-action-lawsuit-delayed/ar-BB1mjdoE

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What a federal lawsuit filed by Florida means for low-income - PBS

(6 days ago) WebThe end of pandemic-era protections has meant the end of Medicaid coverage for more than 17 million low-income Americans so far. Now, Florida is …

https://www.pbs.org/newshour/show/what-a-federal-lawsuit-filed-by-florida-means-for-low-income-childrens-health-care

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Florida Sues Medicaid Over Children’s Health Insurance Policy

(4 days ago) WebGanny Belloni. The state of Florida filed a lawsuit pushing back against a move from the Biden administration to prohibit states from disenrolling beneficiaries from …

https://news.bloomberglaw.com/health-law-and-business/florida-sues-medicaid-over-childrens-health-insurance-policy

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Provider Complaints Sunshine Health

(2 days ago) WebFor claims related issues, Sunshine Health allows providers ninety (90) days from the date of the final determination of the primary payer to file a complaint. To file a complaint, …

https://www.sunshinehealth.com/providers/resources/file-a-complaint.html

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Feds urge judge to dismiss Florida’s challenge to guidelines for

(2 days ago) WebThe program provides low-cost health insurance to children whose families make too much money to qualify for Medicaid. In Florida, that has meant families have …

https://www.sun-sentinel.com/2024/05/15/feds-urge-judge-to-dismiss-floridas-challenge-to-guidelines-for-childrens-insurance-program/

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WebAdditionally, Alexandre and Satine overbilled Medicaid in excess of $2 million in other services they did not provide. The 45th Statewide Investigating Grand Jury …

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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Grievance and Appeals Forms Ambetter from Sunshine Health

(5 days ago) WebThe procedures for filing a Complaint/Grievance or Appeal are outlined in the Ambetter member’s Evidence of Coverage. Additionally, information regarding the …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/grievance-appeals.html

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Feds takes aim at Florida children’s insurance lawsuit

(4 days ago) WebThe program provides low-cost health insurance to children whose families make too much money to qualify for Medicaid. In Florida, that has meant families have …

https://www.bizjournals.com/tampabay/news/2024/05/15/florida-children-s-insurance-lawsuit.html

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WebThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Legal battle over health costs could change workplace benefits

(Just Now) WebAn emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers.. …

https://www.axios.com/2024/05/13/health-care-costs-employers-insurance

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Florida sues feds over ban on removing children's health insurance

(4 days ago) WebHealth advocates are criticizing the lawsuit, saying it could lead to gaps in coverage for kids. At issue is a Biden administration rule that took effect Jan. 1 requiring …

https://health.wusf.usf.edu/health-news-florida/2024-02-06/florida-sues-feds-over-ban-on-removing-childrens-health-insurance-enrollees

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Arizona facing third wrongful death lawsuit related to Medicaid …

(Just Now) WebThe lawsuit, filed by Russell's parents, is the third known wrongful death suit to be filed against the state this year connected with massive Medicaid fraud schemes …

https://www.indystar.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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Cancelled Steward contract leads to lawsuit from military …

(7 days ago) WebBrighton Marine Inc., a provider of military and veterans healthcare, has sued Steward Health Care, alleging its patients should be allowed to shift away from Steward …

https://www.bostonherald.com/2024/05/19/canceled-steward-contract-leads-to-lawsuit-from-military-healthcare-provider/

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Parents of disabled children sue Indiana over Medicaid changes

(5 days ago) WebThe lawsuit says parents of children with such disabilities often prefer to care directly for their child to suit their individual needs. The mothers named in the suit care …

https://apnews.com/article/indiana-medicaid-children-family-attendant-care-lawsuit-1ac88225feea4691a0779abc4e01a2de

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Doctors ask Advocate Health Care to support physicians in Gaza

(2 days ago) WebDr. Yasser Said speaks while Dr. Thaer Ahmad and Dr. Tammy Abughnaim listen at a news conference May 17, 2024. The doctors call on their employer, Advocate …

https://www.chicagotribune.com/2024/05/17/doctors-ask-advocate-health-care-to-support-physicians-in-gaza-and-those-who-support-them/

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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WebWe will never communicate with you, your staff and your practice via personal email domains such as aol.com, gmail.com, icloud.com, outlook.com, yahoo.com, etc. A …

https://www.sunshinehealth.com/

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First-of-its-kind resident lawsuit targets state health department's

(9 days ago) WebA group of nursing home residents in Maryland has filed the first known lawsuit seeking to compel a state to meet requirements that it inspect all of its skilled …

https://www.mcknights.com/news/first-of-its-kind-resident-lawsuit-targets-state-health-departments-late-nursing-home-inspections/

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Sunshine Adult Health Care Senior Center

(Just Now) WebWe operate an adult day care facility that’s specifically designed to offer the therapeutic, diagnostic, preventative and rehabilitation dementia care services that vulnerable people …

https://www.sunshineadhcc.com/

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Sunshine Brochure.updated v2 1 - Sunshine Adult Health Care …

(Just Now) WebSunshine Brochure.updated v2 1. Loving Care. Our staff is comprised of licensed and experienced professionals. 16 North Washington Avenue Bergenfield, NJ 07621. 201 …

https://www.sunshineadhcc.com/SunshineBrochure.pdf

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A cyberattack forces a big US health system to divert ambulances …

(7 days ago) WebA cyberattack on the Ascension health system operating in 19 states across the U.S. forced some of its 140 hospitals to divert ambulances, caused patients to …

https://apnews.com/article/cyberattack-hospital-system-ambulances-diverted-ascension-728ab2a0e5afaf7c344e46a5ce5ca42c

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Judge rules Oregon's health care M&A law doesn't violate the

(7 days ago) WebA federal judge has thrown out the Oregon Association of Hospitals’ lawsuit challenging the state’s new program to review health care mergers and acquisitions.. …

https://www.bizjournals.com/portland/news/2024/05/17/hospital-association-lawsuit-m-a-oversight-health.html

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