the ahlborn supremacy has a new identity recent victories in Medicaid tp. L recovery the subro Grapevine
Presenters Steve Prazuch, Vice President, Corporate Development & General Counsel ACS Recovery Services, Schaumburg, IL (847) 839 -7750 James Bruner, Director of Legal Community Relations ACS Recovery Services, Tallahassee, FL (850) 201 -1142
I. Objectives of this Session Understanding Medicaid Subrogation guidelines Supreme Court Interpretation Understanding the strategies to distinguish Ahlborn
II. Medicaid Subrogation: Third Party Liability distinctions (including federal antilien provisions and state laws) FEDERAL LAWS 42 USC 1396 a (a) (25) (A) “Seek reimbursement” 42 USC 1396 a (a) (25) (B) “Enact state laws” 42 USA 1396 k (a) (1) (A) “Recipients assign rights to the State for payment” 42 USC 1396 p (a) (1) “No lien upon recipients property” STATE LAWS Medicaid State Plan State’s Medicaid Third Party Liability Statute (e. g. 409. 910 F. S. ) State’s Collateral Source Rule (e. g. 768. 76 F. S. )
III. The Ahlborn Decision of the U. S. Supreme Court and the fallout around the country and reaction from CMS Ahlborn formula reduces liens by upwards of 95% Arkansas DHS v. Ahlborn 547 U. S. 268 (2006) PRO: Andrews v. Haygood 655 S. E. 2 d 440 (NC 2008) Smith v. AHCA 24 So 3 d 590 (FL 2009) Russell v. AHCA 23 So 3 d 1266 (FL 2010) CON: Bolanos v. Superior Court 87 Cal. Reptr 3 d 255 (CA 2008) Lugo v. Beth Israel Med. Ctr. 819 NYS 2 d 892 (NY 2006) Tristani v. Richmond 609 F. Supp 2 d 423 (PA 2009)
IV. Florida fights back distinguishing its statute and Medicaid TPL from the usual equitable distribution of commercial subrogee’s interests
V. Florida victories give the supremacy of the Ahlborn decision a new identity Plaintiff bar’s response and possible strategies Scharba v. Braden 2010 WL 138121 (M. D. FL 2010) Mc. Kinney v. PHA 2010 WL 3364400 (E. D. PA 2010) Armstrong v. Cansler 2010 WL 2629740 (W. D. NC 2010) Robbins Case Texas (unreported)
Q & A and Conclusions
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