B&P advises public agencies and private entities on matters relating to federally funded health and benefit programs, including Medicaid, Medicare, the Affordable Care Act, Title IV-E Foster Care and Adoption Assistance, other Title IV programs (TANF, Child Support Enforcement), the Supplemental Nutrition Assistance Program, and federal block grants.  Our lawyers leverage their deep knowledge of the operation of these health and benefit programs to develop workable solutions for our clients, even under the most challenging circumstances.  

B&P’s lawyers regularly counsel clients on application of complex statutory and regulatory provisions to a range of issues, including (for example): Medicaid upper payment limits (UPL), disproportionate share hospital (DSH) payments, health care-related taxes and donations, certified public expenditures (CPE), Medicaid managed care, home and community-based services, risk adjustment programs,  and Title IV-E claiming for state child welfare systems. 

B&P has extensive experience assisting States in negotiations with federal agencies, including with respect to Section 1115 demonstrations, Section 1915 waivers, and Medicaid state plan amendments.