Tag Archives | DMAS retraction

Michael Matheson

“Abysmal” Documentation of Services Deemed a Material Breach of the Provider Agreement

By on April 8, 2014

We have previously discussed a line of Virginia case decisions holding that less-than-perfect compliance with the Department of Medical Assistance Services regulations does not always justify a retraction of payments.  Rather, Virginia courts have held that ordinary contract principles govern disputes between the Department and a provider.  Accordingly, a breach of the Provider Agreement does […]

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