Sunshine Health Medicaid Lawsuit
Listing Websites about Sunshine Health Medicaid Lawsuit
Florida fines Medicaid insurer Sunshine Health for claim denials
(7 days ago) People also askDid Sunshine Health Plan pay a $9 million fine early?Sunshine 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 providers.Sunshine Health Plan settles $9M+ fine for violating Medicaid contractfloridapolitics.comWhat happened to Sunshine Medicaid?Medicaid Assistant Deputy Secretary Brian Meyer on March 17 sent a letter to Sunshine President and CEO Nathan Landsbaum advising him of the $9,092,025 penalty and other corrective actions the state was taking against the health plan after failing to pay the providers. The state levied a $75 fine for each delinquent payment.Sunshine Health Plan settles $9M+ fine for violating Medicaid contractfloridapolitics.comHow long does Sunshine have to pay a Medicaid fine?The state is giving Sunshine 30 days to pay the fine. Florida’s largest Medicaid managed care vendor, which came under scrutiny for failing to pay claims for sick children over several months, is being fined a record $9 million by the Agency for Health Care Administration ( AHCA ).Florida Medicaid hits Sunshine Health with $9M sanction floridapolitics.comWhy did Sunshine State fail to pay health care claims?Sunshine State Health Plan Inc. said payment glitches related to the company’s merger with WellCare of Florida Inc. caused it to fail to pay health care claims for months for some of Florida's sickest and neediest children. (Times 2007)Florida failed for nearly 3 months to pay tens of thousands of health tampabay.comFeedbackFlorida Politicshttps://floridapolitics.com/archives/517178Sunshine Health Plan settles $9M+ fine for violating Medicaid …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
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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 Medicaid managed care vendor
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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 tens of thousands of health care
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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 Sunshine State Health Plan
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Deadline passes for Sunshine State Health Plan to challenge $9.1
(9 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 Health Care Administration, leaving the company with only the option to concede to pay. “Sunshine waives any dispute not raised within 21 days,” the government had warned …
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Complaints, Grievances and Appeals Florida Medicaid - Sunshine …
(6 days ago) WEBWrite us or call us within 60 days of our decision about the services. You can contact us at: Children’s Medical Services Health Plan. Grievance and Appeals. P.O. Box 459087. Fort Lauderdale, FL 33345-9087. Phone: 1-866-799-5321 (TTY 1-800-955-8770) Fax: 1-866-534-5972. Email: [email protected].
https://www.sunshinehealth.com/members/cms/resources/complaints-appeals.html
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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 freezing enrollment in Centene’s
https://www.healthcaredive.com/news/centene-fined-florida-9-million/621259/
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U.S. District judge clears Medicaid class action suit to proceed
(3 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 after a COVID-19 public health
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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 after a COVID-19 public health emergency ended. U.S. District Judge Marcia Morales Howard last week issued a 70-page order that rejected arguments by the state that the …
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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 Medicaid managed-care plan in Florida and other states, indicated last month in a federal Securities and Exchange Commission filing that it is watching the issue nationally.
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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 jointly funded by the federal and state governments, and Washington agreed to pick up more of the tab for the program as part of the emergency.
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Case managers sue Sunshine Health for unpaid overtime - Florida …
(1 days ago) WEBSunshine Health is wholly owned by Centene Management Co., which specializes in health care for the underinsured and uninsured. Centene has faced numerous lawsuits in several states involving
https://floridapolitics.com/archives/224952-case-managers-sue-sunshine/
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Grievances and Appeals Provider Resources Sunshine Health
(3 days ago) WEBMedicaid fair hearings may be requested through any of the following methods: Email [email protected]; Fax 1-239-338-2642; Phone 1-877-254-1055; Send a written request by mail to the following address: Agency for Health Care Administration Medicaid Hearing Unit P.O. Box 60127 Ft. Myers, FL 33906
https://www.sunshinehealth.com/providers/resources/grievance-process.html
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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 software
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Here's What Floridians on Medicaid Need to Know About …
(4 days ago) WEBSunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and
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Carr: Medicaid Fraud Division Obtains Recoveries in Excess of $85
(5 days ago) WEBATLANTA, GA – Attorney General Chris Carr today announced that the office’s Medicaid Fraud Division has obtained civil recoveries totaling more than $68 million since November 2016. Over this same time period, the Attorney General's Medicaid Fraud Division has prosecuted more than 60 people for Medicaid fraud and the abuse, neglect …
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Cityblock, Sunshine Health Partner to Deliver Care to Florida …
(5 days ago) WEBWhat You Should Know: – Cityblock, a value-based healthcare provider specializing in Medicaid, announced a new partnership with Sunshine Health, a Florida managed care plan.This collaboration
https://hitconsultant.net/2024/05/21/cityblock-sunshine-health-partnership/
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Valley woman Arielle Dix faces prison over Medicaid fraud scheme
(4 days ago) WEBMay 31, 2024. Arielle Dix, 37, was sentenced this week to three and a half years in state prison for her role in what authorities described as an "industrial scale" Medicaid fraud scheme that
https://www.bizjournals.com/phoenix/news/2024/05/31/valley-woman-sentenced-medicaid-fraud.html
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Southern District of New York U.S. Attorney Announces $10.1 …
(8 days ago) WEBDamian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York Regional Office of the U.S. Department of Health and Human Services, Office of Inspector General (“HHS-OIG”), announced today a settlement of a civil fraud lawsuit against RIVERSPRING …
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Social Media - Tennessee State Government - TN.gov
(2 days ago) WEBNASHVILLE – Tennessee Attorney General Jonathan Skrmetti and Mississippi Attorney General Lynn Fitch today announced a multi-state lawsuit challenging a new rule recently promulgated by the U.S. Department of Health and Human Services (HHS) that redefines the Affordable Care Act’s prohibition against discrimination on the basis of …
https://www.tn.gov/attorneygeneral/news/2024/5/30/pr24-46.html
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UnitedHealth argues against case alleging wrongful AI care denials …
(8 days ago) WEBUnitedHealth argues algorithm lawsuit should be dismissed because patients didn’t spend years appealing denials. By Bob Herman and Casey Ross May 22, 2024. Business of Health Care Reporter.
https://www.statnews.com/2024/05/22/unitedhealth-class-action-lawsuit-algorithm-motion-to-dismiss/
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Lawsuit alleges whistleblower fired for reporting health care fraud
(2 days ago) WEBLawsuit alleges a whistleblower was fired for reporting health care fraud. By: Donovan Varney Posted on: Wednesday, May 29, 2024 < < Back to ATHENS, Ohio (WOUB) — A Kentucky man is suing his
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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, please contact provider services toll-free at 1-844-477-8313. You can also use the below electronic submission or write us at:
https://www.sunshinehealth.com/providers/resources/file-a-complaint.html
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Find a Healthcare Provider - Ambetter Health
(3 days ago) WEBSearch without logging in. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a …
https://guide.ambetterhealth.com/
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For Markus Johnson, Prison and Mental Illness Equaled a Death …
(7 days ago) WEBIt was 1:19 p.m. on Sept. 6, 2019, in the Danville Correctional Center, a medium-security prison a few hours south of Chicago. Mr. Johnson, 21 and serving a short sentence for gun possession, was
https://www.nytimes.com/2024/05/05/us/politics/prison-mental-health-care.html
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Penn State trustees’ private meetings raise transparency concerns
(3 days ago) WEBSTATE COLLEGE — Penn State’s Board of Trustees deliberated Beaver Stadium renovation plans in private meetings, a potentially inappropriate discussion under the state’s open meetings law. Alumni-elected trustee Anthony Lubrano said the conduct is part of a broader practice by university leadership of subverting Pennsylvania’s …
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Steward sued by Brighton Marine over health care contract
(6 days ago) WEBThe news: Brighton Marine Inc. filed a lawsuit earlier this month alleging that Steward was interfering with its efforts to drop the bankrupt hospital company as its main subcontractor on a health
https://www.bostonglobe.com/2024/05/30/business/steward-bankruptcy-lawsuits/
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3 power conferences join ACC in asking Florida court to keep the …
(Just Now) WEBThe filing was a response to Florida Attorney General Ashley Moody’s complaint last month in which she accused the ACC of breaking Florida’s public records law by not providing a copy of the
https://www.washingtontimes.com/news/2024/may/30/3-power-conferences-join-acc-in-asking-florida-cou/
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Discrimination and negligence at Seattle Children’s hospital led to
(9 days ago) WEBThe family of Sahana Ramesh filed a lawsuit in Washington’s King County Superior Court against Seattle Children’s hospital, Children’s University Medical Group and several unnamed healthcare
https://www.cnn.com/2024/05/24/us/sahana-ramesh-lawsuit-seattle-reaj/index.html
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A lawsuit claims a Palm Beach County health - Health News Florida
(Just Now) WEBA recent lawsuit alleges Palm Beach Health Network shared "highly sensitive personal information" with Facebook’s parent company, Meta, according to the South Florida Sun Sentinel.. The health network is accused of sharing code from its website with the company, allowing Facebook to target patients with personalized ads based on the …
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NCAA, states reach agreement in lawsuit to permanently allow …
(6 days ago) WEBFILE - NCAA headquarters in Indianapolis is shown March 12, 2020. The NCAA and a coalition of states suing the organization announced a proposed settlement of a lawsuit Thursday, May 30, 2024
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Florida Medicaid & Health Insurance Sunshine Health
(1 days ago) WEBDiscover job opportunities with Sunshine Health Works. We urge all providers to utilize the prior authorization form alongside the dedicated fax line for DME/HHC Inpatient Discharge requests. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter.
https://www.sunshinehealth.com/
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Rachel Somerstein's 'Invisible Birth' chronicles the history of C
(8 days ago) WEBApproximately one in every three births in the U.S. occurs as the result of a C-section. When journalist and professor Rachel Somerstein had an emergency C-section with her first child, the
https://www.npr.org/2024/05/28/nx-s1-4977627/rachel-somerstein-invisible-labor-c-section
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Ascension Hospitals Reel From Cyberattack, Causing Patient Care …
(1 days ago) WEBAscension, one of the nation’s largest medical systems with 140 hospitals in 19 states, has yet to recover from a large-scale cyberattack earlier this month. Lauren Justice for The New York
https://www.nytimes.com/2024/05/23/health/cyberattack-ascension-hospitals-patient-data.html
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Lawsuit claims COYO was told product wasn't suitable for dairy …
(6 days ago) WEBA Queensland "dairy-free" ice cream and yoghurt company was told its product wasn't suitable to be marketed as "dairy-free" years prior to the anaphylaxis death of a woman in the UK, court
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