healthcare

New York Administrative Law healthcare

Appellate Division, Third Department

Uncategorized

National Seating & Mobility v. NY Medicaid IG — Faxed DME Orders Without Wet Signatures Support Full Medicaid Recoupment

/ July 4, 2026

The Third Department confirms OMIG’s recoupment of 51,000 in Medicaid payments from a wheelchair provider that failed to obtain original wet-signed practitioner orders, holding the documentation guidelines were interpretive statements not requiring SAPA rulemaking.

Texas Administrative Law Constitutional healthcare

Texas Court of Appeals, Fifteenth District

Uncategorized

Cantu’s Pharmacy v. Texas HHSC — Medicaid Provider Has No Vested Right to Special Notice of Regulation Changes; Sovereign Immunity Bars Pre-Enforcement Suit

/ June 8, 2026

The Texas Fifteenth Court of Appeals held that a Medicaid pharmacy has no vested right to individualized notice of Provider Manual changes, that its pre-enforcement due process and declaratory judgment claims were barred by sovereign immunity, and that dismissal with prejudice was proper after the pharmacy amended its pleadings but still failed to state a cognizable claim.