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Can Medicaid Really Ask Providers For A Refund?

November 4, 2011 How many of you saw this headline—State Seeks Payments for Some Medi-Cal Benefits Now Excluded—on October 19 in CaliforniaHealthline? If you are a service provider organization, a state seeking the return of previous Medicaid payments because the rules have changed should be both attention grabbing and a little frightening. Can Medicaid really ask providers for what amounts to a refund retroactive to new rules? The situation driving this request arose when California attempted to remove several optional items from coverage by Medi-Cal in 2009 - including adult dental care, chiropractic treatment, and podiatric services . . .

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