The Judge granted a physical therapist’s motion for involuntary dismissal in a case alleging Medicaid overpayments. The Judge determined that the Department of Community Health (DCH) failed to establish that the therapist diverged from the accepted standards of practice for the claims in question.
In this case, an optometrist failed to prove that the services underlying his Medicaid claims were medically necessary and within the accepted professional standards of practice. Although the optometrist did offer testimony in defense of his claims, he failed to provide corroborating documentation. As such, the Court affirmed the agency’s recoupment of the overpayments received
Recoupment of Medicaid overpayments affirmed for optometrist’s services Read More
Because the Court granted a food stamp recipient’s prehearing motion—which excluded from consideration the evidence collected through an alleged fraud operation’s transaction terminal—the investigator in this case had no independent knowledge or evidence regarding the purported food stamp fraud. As such, the agency’s proposed suspension of the recipient’s food stamps was reversed.
Judge grants motion to exclude evidence from food stamp fraud case Read More
This case concerned a due process complaint that was filed by a student’s mother under the Individuals with Disabilities Education Act (IDEA). Because the student had reached the age of majority when the complaint was filed, all parental rights under the IDEA had transferred to him. As such, the Court dismissed the case because the
Case dismissed because parental rights under IDEA transferred to 18-year-old student Read More
The Superior Court of Fulton County upheld an OSAH Judge’s decision to disqualify a food stamp participant from receiving benefits for 12 months. The participant was found to have engaged in a trafficking scheme that involved exchanging EBT benefits for cash. In reaching his decision, the OSAH Judge had overruled objections from the participant that
An applicant for Medicaid benefits was found eligible for benefits under the Specified Low-Income Beneficiary class of assistance (SLMB), which is a Q Track class of assistance. However, he appealed this determination, seeking more benefits. The Court concluded the applicant’s income was too high for him to receive any other Q Track benefits, and he
