Medicaid Financing and Payments

Medicaid is a dynamic program ensuring access to healthcare services for Americans with the most need.  Athene Law, LLP attorneys work with clients to design and implement Medicaid financing programs, including both structuring funding and enhanced payments to providers.  Our experienced attorneys have worked on hospital, ground emergency medical transportation and other Medicaid financing and payment programs.  At the same time, we leverage our deep expertise in Medicaid managed care to ensure maximization of the benefit to healthcare providers through directed payments or other avenues.

We have drafted legislation implementing programs bringing billions of dollars of Medicaid funding to healthcare providers.  We routinely help our provider clients navigate these programs to ensure compliance with federal and state rules governing Medicaid financing.  We stay up-to-date with the most recent policy changes on state and federal levels to ensure that these essential programs remain operational and beneficial to providers.

Capabilities

Clients in the healthcare industry, including hospitals and hospital systems, ground emergency medical transport providers, and trade associations need guidance and representation to establish, implement and maintain Medicaid financing and reimbursement program.

Athene Law’s diverse experience within the healthcare industry has prepared the team to represent practices and professionals in a highly-regulated environment. 

Medicaid financing and direct payments capabilities include:

• Establishment of multiple Medicaid provider assessment and intergovernmental transfer programs for multiple provider types and in 3 states
• Assessment and legislative amendment to provider assessment programs
• Testimony and technical expertise to legislators and other stakeholders around Medicaid provider assessment programs
• Structure Medicaid payment programs for fee-for-service and managed care delivery systems
• Regulatory guidance to providers for Medicaid financing and enhanced payment programs to ensure compliance and minimize risk