Browse Advisory Opinions

Concerning an ambulance supplier's proposal to routinely waive cost-sharing amounts for emergency medical services rendered on a part-time basis.

Concerning a proposal by a radiology group to offer free insurance pre-authorization services to physicians and patients.

Concerning reduced-rate arrangements for the provision of therapy services at state-operated veterans' homes.

Concerning an exclusive arrangement between a county and an emergency medical services company whereby the company provides emergency ambulance services to county residents.

Concerning two proposals by an anesthesia services provider to enter into contracts with physician-owned professional corporations or limited liability companies to provide anesthesia services.

Concerning certain aspects of an exclusive contract for emergency transport services between a municipality and an ambulance company that reimburses the municipality for dispatch services and for certain costs incurred when municipal firefighters drive transports.

Concerning a proposal by a municipal fire department to share certain costs related to dispatch and other services with hospital-based ambulance providers that participate in the local 911 emergency dispatch system.

Concerning a proposed arrangement under which an entity would furnish allergy testing and immunotherapy laboratory services within various primary care physicians' medical offices.

Concerning a hospital's domiciliary services program that provides transportation, lodging, and meal assistance to certain patients and their family members.

Concerning a proposal under which physicians would invest in a company that would provide pathology laboratory management services to a third party.

Concerning a proposal for ophthalmologists in a group practice to co-manage cataract surgery patients, including Medicare beneficiaries, with optometrists external to that group practice who would separately charge the beneficiaries for services related to premium refractive intraocular lenses that are not covered by the Medicare program.

Concerning a proposal for a county which provides emergency medical services ("EMS") transportation through its fire department, to treat revenue received from taxes as payment of otherwise applicable cost-sharing amounts owed by bona fide county residents for EMS transportation to hospitals.

Concerning two proposals by a supplier that furnishes medical supplies, equipment, and related services to enter into a contract with a skilled nursing facility to provide such items and services.

Concerning an arrangement under which a company that sells a variety of health care management services will disburse pay-for-performance financial incentives on behalf of a state's Medicaid program.

Concerning an existing arrangement and a proposed arrangement involving contracts between a durable medical equipment ("DME") supplier and various independent diagnostic testing facilities ("IDTF"), pursuant to which IDTF staff members perform certain services on behalf of the DME supplier.

Concerning the formation of a new long-term care pharmacy and the agreement to manage all of its day-to-day operations and provide all personnel and related services necessary for its operation.

Concerning a network of pediatric charity hospitals plan to: (1) begin billing third-party payers, including Federal health care programs, for services rendered, and waive all cost-sharing amounts without regard to patients' financial need; (2) adopt a new financial need-based policy of providing lodging assistance, in limited circumstances, to patients, including Federal health care program beneficiaries, and their families; and (3) adopt a new financial need-based policy of providing transportation assistance, in limited circumstances, to patients, including Federal health care program beneficiaries, and their families.

Concerning proposed payment plans for emergency and non-emergency transportation services provided for Medicaid-covered residents of skilled nursing facilities.

Concerning the amendment of an exclusive contract for emergency ambulance transport services between a municipality and an ambulance company.

Concerning a proposed arrangement between a sleep testing provider and a hospital to provide certain sleep testing equipment and services, including marketing services, for a hospital-owned sleep testing facility.