Articles by Susannah Vance Gopalan

Feldesman Tucker Leifer Fidell LLP is pleased to announce a significant victory for South Carolina FQHCs on December 9, 2015.  Led by Managing Partner, Edward Waters, Associate Greg Cumming and Partner Susannah Vance Gopalan, FTLF successfully represented two South Carolina FQHCs in arguing for the U.S. District Court for the…

FTLF Partner Susannah Vance Gopalan is partnering with the National Health Program on the following two webinars in 2016: Medicaid and the “Free Care” Rule  (January 21, 2016) One year ago, the U.S. Department of Health and Human Services issued guidance explaining how and when Medicaid can cover services that…

On October 30, 2015, the Centers for Medicare and Medicaid Services (“CMS”) released the calendar year 2016 physician fee schedule (“PFS”) final rule.  That rule, which determines how providers are reimbursed under Medicare, is relevant to federally-qualified health centers (“FQHC”) in several respects. The PFS is designed to establish payments…

On November 2, 2015, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule with Comment Period (the “Final Rule”) establishing new processes that States must follow to demonstrate compliance with the requirements in the federal Medicaid law relating to provider reimbursement.  Specifically, under Section 1902(a)(30)(A) of the…

On June 1, 2015, CMS published a proposed rule with extensive updates to the Medicaid managed care regulations. This is the first update to Medicaid managed care regulations since 2002. Nearly 70% of Medicaid enrollees are served through managed care delivery systems, so the impact of these new regulations will…