Administrative Law Topics: Medi-Cal

Court Overturns Medi-Cal Suspension Against CA RN

We sued the California Department of Health Care Services (DHCS) because it suspended the Medi-Cal “provider status” of a registered nurse who had never actually been a Medi-Cal provider.  The DHCS blacklisted the RN by including the nurse on a list of individuals barred from employment by Medi-Cal facilities.  This unwarranted action prevented our client from working in all California hospitals and as lawyers who defend nurses we took action to remedy this.

California Medical Board Sunset Legislation—Senate Bill 304 (Price)

The Medical Board issues medical licenses and investigates doctors for misconduct, including negligence and criminal charges.  The Board can file accusations leading to administrative law hearings.  Citations, license revocation, suspension, or probation for physicians and physician assistants can result.  As California medical license defense attorneys, we are concerned when the rules that govern Medical Bo

Court Holds that Buyer of California Pharmacy Cannot Use Seller's Medi-Cal Provider Number

On March 23, 2010, the California Court of Appeal filed its decision in Advanced Choices Inc. v Department of Health Services. Case No B210116. An Administrative Law Judge, the Superior Court and the Court of Appeal decided that using another's Medi-Cal provider number by power of attorney is an unlawful assignment of the number.

A pharmacy’s Medi-Cal provider status was terminated for violations of pharmacy law by DHCS even though the Pharmacy Board declined to take action

On December 9, 2009, in the case of Golden Drugs Co. Inc. v. Maxwell-Jolly, Case No. C058178, the California Court of Appeal issued a decision which upheld the termination of a pharmacy’s Medi-Cal provisional provider status by the Department of Health Care Services (DHCS). The DHCS terminated provider status based on a violation of pharmacy law rather than billing fraud. The Board of Pharmacy declined to take action.

Court Upholds Suspension of Doctors' Status as Medi-Cal Provider by Department of Health Care Services Based Fraud Investigation

Mednik v. State Department of Health Care Services, 175 Cal.App.4th 631 (2009).

On June 30, 2009, the California Court of Appeal upheld the suspension of a physician provider from the Medi-Cal program based upon the fact that the doctor was under investigation for fraud.