June 22, 2002
Maryland's Medicaid program violated federal rules when it refused to reimburse Johns Hopkins Hospital for two teen-agers' life-saving liver transplants after the state said the operations were not "appropriate," Maryland's highest court said yesterday. Federal Medicaid guidelines clearly state that only medical necessity - not whether a life-saving procedure is "appropriate" - is the standard that applies to patients under age 21, the Court of Appeals said in a unanimous ruling. The case, which stems from a pair of operations costing a total of $264,000, could affect a range of Medicaid-funded procedures for children that require preauthorization under Maryland regulations, such as other transplants and mental health services, lawyers said.
October 1, 2004
As pressure builds for governments to import medicine from Canada or take other measures to cut spending on prescriptions, Maryland is saving millions of dollars more than anticipated through an initiative to win rebates on drugs purchased domestically. Although the state initially estimated it would save $20 million a year by developing a "preferred-drug list" for Medicaid patients, the program has been so successful that it expects to save $31 million, said Nelson J. Sabatini, who retires today as state health secretary.
December 12, 2003
The Hawaii attorney general's office has launched an investigation to determine whether adoptive parents and Medicaid were double-billed for the hospital costs of women flown to the state from the Marshall Islands to give birth and then relinquish their newborn children. Christopher Young, the lawyer who directs the attorney general's Medicaid fraud unit, acknowledged that an investigation focusing on the billing practices of the agencies arranging the adoptions had begun. He said subpoenas had been issued to obtain records of adoptions involving recently arrived Marshallese women but declined to discuss details.
September 19, 1996
A Columbia pharmacist pleaded guilty yesterday to defrauding the state's Medicaid program by billing for prescriptions that were never filled, the attorney general's office said.Jim Su Pak, 35, who owns the Hickory Plaza Pharmacy on Hickory Ridge Road, was sentenced in District Court in Baltimore to a year of probation before judgment and was ordered to pay a $500 fine. He also was ordered to repay $361.76 to the Medicaid program, the money that was paid to him from the fraudulent billings.
October 5, 2014
Bradley Williams makes a good point about the problems with legalizing assisted suicide, one of them being that people assisting a suicide may have their own agenda ( "The perils of assisted suicide," Oct. 2). Mr. Williams gives as an example a recent Montana case in which a man is accused of encouraging a teenage girl to kill herself in order to prevent her from testifying against him in a rape trial. I am a doctor in Oregon, one of the few states in which physician-assisted suicide is legal.
February 27, 2014
Maryland must spend as much as $30.5 million more to provide Medicaid coverage to Marylanders because the state's glitch-riddled health exchange website can't tell whether they are still eligible. It's another problem exacerbated by the software that has been causing headaches since the exchange website launched on Oct. 1 for those trying to get into the expanded Medicaid program or buy private insurance with subsidies. This issue identified in a legislative report only applies to people already in Medicaid, the federal-state program for the poor.