Robinett v. Shelby County Healthcare Corp., No. 17-1336 (8th Cir. 2018)
Annotate this CaseThe Eighth Circuit affirmed the district court's grant of judgment on the pleadings to the Med and Avectus in a class action suit alleging that both federal and Arkansas Medicaid laws prohibited the Med from directly billing Medicaid beneficiaries. The court held that federal law did not bar the Med from attempting recovery from plaintiff or a liable third party because the Med had opted not to bill and to accept payment from Arkansas Medicaid. The court also held that, like the federal provisions, the Arkansas Medicaid statutes do not prohibit a medical provider from foregoing Medicaid’s guaranteed payment for covered services and opting instead to bill the patient or liable third parties directly.
Court Description: Smith, Author, with Melloy and Shepherd, Circuit Judges] Civil case - Medicaid. Here defendants treated plaintiff, a Medicaid recipient, after she was injured in a car accident and then billed her directly for the amount of the claim after she received a settlement from the at-fault driver's insurer; plaintiff claimed that both federal and Arkansas Medicaid laws prohibited direct billing of Medicaid beneficiaries; held, the statutes do not prohibit a medical provider from foregoing Medicaid's guaranteed payment for covered services and opting, instead, to bill the patient or liable third parties directly.
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