Recent Publications


Deadline Fast-Approaching for Medicaid Managed Care Participating Providers
November 7, 2017 | Health Services | Compliance, Investigations & White Collar

The deadline for required enrollment with Medicaid under the Federal 21st Century Cures Act (Cures Act) is fast approaching. Currently, Medicaid Managed Care providers are sending mass mailings to their participating providers with notices of required compliance.

By December 1, 2017 certain participating healthcare providers of New York State Medicaid Managed Care plans or the

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Appellate Term Split on Payment of Disputed No-Fault Claims
November 2, 2017 | Insurance Coverage

Unless resolved by the Appellate Division or by the New York Court of Appeals, or clarified by the legislature or the Department of Financial Services, the Appellate Term split will make it difficult for automobile insurers to accurately calculate premium rates for no-fault coverage or to know which claims of health care providers they should

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Visa-Renewal Policy About-Face Creates Uncertainty
October 30, 2017 | Corporate

The U.S. Citizenship and Immigration Services (USCIS) changed its policy on visa renewals. USCIS will no longer defer to prior visa approvals and will instead treat each renewal application as if it were an initial application. This represents a major turnaround to an immigration policy that had been in place for 13 years.

Since 2004,

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New York Insurance Coverage Law Update
October 27, 2017 | Insurance Coverage

Appellate Division Rules That Policy Covered Loss Caused By A Defect That Began Before Policy’s Effective Date

The insured made a claim under its insurance policy for losses that resulted when a power-generating turbine was taken out of operation due to excessive vibrations. The vibrations were found to have been caused by a crack in

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Lawsuits Highlight Looming Requirements for Handicapped-Accessible Websites
October 26, 2017 | Privacy, Data & Cyber Law

Today, most businesses are e-businesses, and all e-businesses should take note. There has been an explosion in the number of lawsuits filed in the Federal Courts seeking damages and injunctive relief under Title III of the Americans With Disabilities Act, 42 U.S.C. § 12182(a) (the “ADA”) based on alleged failures to provide accommodations that enable

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New York Paid Family Leave: Update of Available Forms
October 24, 2017

We previously posted bulletins addressing an overview of employer and employee requirements under New York’s Paid Family Leave Act (the “Act”), which goes into effect January 1, 2018. (See https://www.rivkinradler.com/publications/regulations-issued-new-york-paid-family-leave-benefits-law/ and https://www.rivkinradler.com/publications/ny-workers-compensation-board-finalizes-paid-family-leave-regulations/.)

Under the Act, employees who will not meet the minimum employment duration requirements to qualify for coverage will have the option of waiving

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Trump Administration to Increase Worksite Enforcement of Immigration Laws
October 18, 2017 | Corporate

Immigration Customs and Enforcement (ICE) Acting Director Thomas Homan confirmed what most immigration experts predicted – the Trump administration will intensify worksite enforcement of immigration laws.

Speaking at the Heritage Foundation, Acting Director Homan stated that the agency would increase the amount of time spent on “worksite enforcement” by “four or five times” this year. ICE

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OIG Audit Discovers $51.6 M in Overpayments to Acute-Care Hospitals
October 17, 2017 | Health Services | Compliance, Investigations & White Collar

The Office of the Inspector General of the Department of Health and Human Services (OIG) issued a report last month regarding inappropriate payments made to acute-care hospitals for outpatient services provided to Medicare beneficiaries who were inpatients of other facilities. OIG’s findings highlight the need to diligently review claims before submitting them to Medicare.

In

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Does Our Digital Age Require New Fourth Amendment Rules?
October 17, 2017 | Privacy, Data & Cyber Law

It’s 10 p.m. Your cellphone knows where you are. It also knows where you are at 10:00 in the morning, at 7:00 in the evening, and at noon and midnight and at every other moment of the day.

We live in a world where cellphones are omnipresent. We have them at home, at work, and

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New York Legislature Broadens Telehealth Services Coverage for Adult Care Facilities
October 16, 2017 | Health Services | Privacy, Data & Cyber Law

New York continues to drive legislative reform to promote telehealth services – clinical healthcare provided remotely through information technology. Most recently the state legislature passed a bill that expands the definition of “originating sites” where telehealth services may be provided to Medicaid patients in an effort to lower costs and health risks.

For background, in

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OMIG Issues New Compliance Alert for NY Medicaid Program
October 13, 2017 | Health Services | Compliance, Investigations & White Collar

A recent Compliance Alert published by the New York State Office of Medicaid Inspector General (OMIG) underscores the need for Medicaid providers to re-evaluate their compliance programs in light of a shift toward new payment methodologies.

On August 31, OMIG published its first Compliance Alert of 2017, entitled “Mandatory Compliance Programs’ Risk Assessments: Changes in

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Insurance Update
October 12, 2017 | Insurance Coverage

Our Insurance Update for October covers several topics.

We begin with a pair of state high court decisions.  One addresses the elements of a bad faith action in Pennsylvania.  The other, from Nevada, serves as a reminder to insurers that cancellation notices must follow the letter of the law.

We also discuss a pair of

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Employee Benefit Plan Review – From the Courts
October 7, 2017 | Insurance Coverage | Labor & Employment

California Federal Court Permits Plaintiff in ERISA Suit to Proceed Under a Pseudonym

The plaintiff in this case, appearing anonymously as John Doe, filed a lawsuit against Lincoln National Life Insurance Company alleging violations of the Employee Retirement Income Security Act of 1974 (ERISA). Specifically, the plaintiff alleged that, since June 12, 2013, he had been disabled,

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Broad Language in Retainer Agreement Allows Legal Malpractice Claim to Proceed Against Law Firm
October 2, 2017 | Professional Liability

The United States District Court, Southern District of New York recently held that a legal malpractice action could withstand a law firm’s motion to dismiss when the law firm’s retainer agreement was broadly written and did not clearly define the scope of the firm’s representation.

In Mitchell Barack v. Seward & Kissel, LLP, (Civil Action

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Electronic Wills and Digital Estate Planning: Still in the Concept Phase
September 29, 2017 | Trusts & Estates

For trust and estate attorneys, the big news this summer from Florida was not Hurricane Irma, but Governor Rick Scott’s veto of proposed legislation to legalize what are often called “electronic Wills.” These are Last Will and Testaments that are digitally created, signed and stored online or on a tablet, smart phone or similar electronic

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