Healthcare attorney Adam Bird prevails in an appeal of the Texas Health & Human Services Commission’s rejection of Medicaid enrollment
Adam Bird, a partner in Calhoun, Bhella & Sechrest’s Washington D.C. office, recently prevailed in an appeal of the Texas Health & Human Services Commission’s decision to deny a Texas-based healthcare provider’s enrollment in Medicaid.
Adam’s client provides in-home nursing care to patients across Texas. Though it has been in business for years, it recently had to file a re-enrollment application with the Texas Health & Human Services Commission in order to continue being paid through Texas Medicaid. Adam’s client filed a re-enrollment application, but it was denied due to issues the Commission found with certain disclosures.
“This was a do-or-die matter for my client,” said Adam. “Almost all of their income comes from Texas Medicaid. If they could not re-enroll, it would shut down the business completely. Unfortunately, these decisions are very difficult to overturn. Once the Commission makes a decision like this, they are not inclined to reverse it.”
Adam prepared a thorough appeal letter, explaining why the Commission’s rejection should be reversed. The Commission ultimately agreed with Adam and reinstated his client in the Texas Medicaid system.
Adam routinely represents all types of healthcare providers in state and federal courts around the country and before administrative agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the U.S. Health and Human Services Office of Inspector General (OIG). You can learn more about his practice here.