Georgia's Trusted Healthcare
& Medical Provider Attorneys

Archives for June 2016

Another Katie Beckett Denial Overturned!!!

Katie Beckett Denial OverturnedWe’re so excited!!!

We’ve helped another family overturn a Katie Beckett denial!

Katie Beckett Legal Help Testimonial 

Here’s the review R. Carrington posted on our site:

“When our son’s Katie Beckett was denied after 9 years of approval, we were lost. Mr. Jeyaram walked us through the appeal process, met with us and helped us write a strong letter for review and followed up with us to make sure our appeal was a success.”

“What could have been devastating for our family, was a small bump in the road, easily handled. Mr. Jeyaram’s is a special needs’ family most needed contact. Thank you Jeyaram & Associates! You really saved the day!”

Thank you R. Carrington for the kind words! We love nothing more than seeing our kids get the benefits they deserve!

Our Attorneys Have Extensive Experience With Katie Beckett

Receive notice that your child’s Katie Beckett has been denied? We can help! Our attorneys have an intimate understanding of how the Katie Beckett and NOW/COMP approval process operates through the Department of Community Health (DCH), as well as the Office of State Administrative Hearings (OSAH), the entity that presides over the Katie Beckett and NOW/COMP appeals.

Before joining Jeyaram & Associates, our attorneys worked as DCH Medicaid attorneys and OSAH judge. They have experience with and insight into the Katie Beckett and NOW/COMP Waiver process at DCH and OSAH that other lawyers cannot offer.

We’ve Been Through The Process

Our attorneys have personal experience applying for, initially being denied and then finally approved Waiver services. We’ve been there, and we want to help other parents whose children would also benefit from these programs. We know the application process is frustrating and confusing. Don’t give up. We’re here to help! We’ve also successfully helped dozens of families appeal Katie Beckett and NOW/COMP denials.

Need Help?

Attorney and special needs dad DJ Jeyaram can help. Contact DJ at or 678.325.3872.

Healthcare Providers Need To Ensure Compliance Under Expansion of False Claims Act

False Claims Act Attorney The U.S. Supreme Court voted unanimously to allow False Claims Act (FCA) liability under the “implied certification theory.”

The implied certification theory means that submitting a claim to the government implies that the entity has complied with all contractual and regulatory requirements.

What The Supreme Court Ruling Means To Healthcare Providers

This decision could have profound repercussions for healthcare providers who bill federal healthcare programs. Healthcare providers must contend with the Stark Law and Anti-Kickback Statute (“AKS”). Violations of either the Stark law or AKS give rise to FCA liability. Healthcare cases make up approximately two-thirds of federal whistle-blower cases, which are enforced using the FCA.

The Supreme Court did not limit liability under the implied certification theory to conditions of payment. This ruling can potentially mean that a facially valid invoice can violate the false claims act case because of requirements that are not explicitly requirements for payment. If a regulation is a condition of participation but not a condition of payment, a violation can still give rise to FCA liability.

The Supreme Court did rule that liability is limited to “material” violations. Materiality may be shown if it is a provision for which the government routinely denies payment. The Court emphasized that the materiality test is “rigorous” and demanding….”

Healthcare Providers Need To Ensure Compliance 

Healthcare providers, and all contractors billing the government, should ensure they are compliant with all statutory, regulatory and contractual requirements.

Jeyaram & Associates’ attorneys have extensive experience in helping healthcare providers remain compliant with all state and federal regulations. Contact DJ Jeyaram at or Jonathan Anderson at

Did You Know?

Katie Beckett Attorney GeorgiaDid you know DJ Jeyaram is Georgia’s leading attorney on Katie Beckett?

He has successfully helped more than 100 families obtain Katie Beckett approvals on appeal!!!

For help with Katie Beckett denials, please contact DJ at or 678.325.3872. You can also learn more on our site by clicking here.

DJ Jeyaram Joins Frazer Center Board of Directors

DJ JeyaramCongratulations DJ Jeyaram for being selected to serve on the Frazer Center Board of Directors.

Mr. Jeyaram joins an esteemed group of community members who are committed to the inclusion of individuals with disabilities. The Frazer Center provides services for children and adults with disabilities.

Honor To Serve

“It’s an honor to serve along with so many esteemed individuals who have committed their lives to helping individuals of all levels of abilities and disabilities,” Mr. Jeyaram said. “The Frazer Center understands and appreciates the value of all individuals and that there is tremendous community benefit and value in diversity.”

The Frazer’s Center Guiding Principles 

  • We value every individual as a member of the community.
  • We strive for excellence in every aspect of our work.
  • We are committed to advocacy and research on behalf of the community we serve.
  • We are faithful stewards of all the resources entrusted to our care: human, natural, and economic.
  • We are committed to building and deepening partnerships knowing we cannot do this alone.

Local and Global Community Inclusion 

The Frazer Center is a long standing advocate and resource for helping with the inclusion of individuals of all abilities into the community. According to an annual report by the Frazer Center, “We are vision builders with a passion for the world that we hope for—one in which each person has the chance to be acknowledged for their gifts, to be valued and included despite any difference in ability, and to be productive members of society.”

Learn More

To learn more about the Frazer Center and the programs it offers for adults and children with disabilities, visit

Healthcare Providers: Are You Compliant With The New Overtime Rule?

Over time healthcare providerThe U.S. Department of Labor recently announced a Final Rule that substantially increases the number of salaried workers who will receive overtime.

The new rule, which goes into effect on December 1, 2016, is expected to affect 4.2 million workers – including healthcare employees.

Currently, employers did not have to pay overtime to salaried workers earning more than $23,600. The new Final Rule increases that threshold to $47,476 with automatic future increases.

The Final Rule will particularly affect healthcare businesses and professionals. The average salaries for nurses, medical and physical therapists, medical and pharmacy technicians, and paramedics is between $25,710 and $47,010. [1]

However, there is some exceptions for certain Medicaid providers. Providers that serve individuals with intellectual and developmental disabilities do not have to increase salaries until March 17, 2019. The delay is for providers of Medicaid-funded services “for individuals with intellectual or developmental disabilities in residential homes and facilities with 15 or fewer beds.”[2]

The delay addresses concerns that the change would increase the cost of paying workers, without the ability to increase the revenue from Medicaid payments.

While the non-enforcement policy is a boon to home and community based providers, it will not affect private pay ID/DD providers. The Administration’s Final Rule is likely to raise costs for those private pay providers because the cost of labor will increase as many more salaried workers are entitled to overtime pay.

Healthcare providers should review their compensation structures to ensure they comply with the new overtime rules. Providers who believe they meet the exception for Medicaid funded ID/DD services should ensure they meet the exception.

Jeyaram & Associates is a full service healthcare law firm and can review employers’ salary structures to ensure compliance with the new law. For assistance, contact DJ at or 678.325.3872.


How To Ensure Proper Care For Our Fuzzy Children In Our Wills

Will Pet Trust

When we think about creating a will or trust, we think about things like our checking or savings accounts, our family heirlooms and if we have children, how we want them to be cared for when we pass.

However, one of the most important – and often overlooked – parts of preparing for our futures is making sure our fuzzy loved ones are cared for too.

And while pets are legally and technically considered – “property” – as pet owners, we know that they mean so much more to us than just being “property.” They are our companions and a big part of our families.

Leaving our pets’ fate unknown and the thought of having them possibly sent to a shelter is unthinkable. This is where legally documenting our wishes for our fuzzy children is important.

Our Pets Are Family Too!

Traditional wills or trusts treat pets as property. One of the challenges with only including your pet in your will is that it often takes time, sometimes years before the probate process is completed. Your pet will need immediate care. So often we see people dividing their estates purely by percentages. Where does a pet go in that scenario?

When clients want to provide for their fuzzy child, there are a couple of options:

1) Specifically designate who gets ownership of your pet when you pass or

2) Create a Pet Trust. A Pet Trust has benefits beyond simply giving ownership of your pet to someone else.

Pet Trusts can be created in your will or be valid while you are alive and can be implemented if you were to become ill and unable to care for your fuzzy child.  A Pet Trust also allows you to allocate funds that can only be used for your pet’s care.  When we see animals go to a shelter in probate situations, many times it is because family members are not willing to accept the financial burdens of having a pet, especially an older pet.

Things To Consider For Your Pet’s Future

The Pet Trust allows you to leave specific instructions on how your pet should be cared for and by whom, as well how money set up in a trust should be allocated. Some things to think about when setting up a Pet Trust are:

  • Who would take care of your fuzzy child in a way that makes you comfortable? Does your pet know this person? Would this person honor your wishes?
  • If you have more than one pet, would your pet’s guardian be willing to keep all of your pets together?
  • How much money should you set aside? Think not only about current costs, but how much care your pet may need as he or she gets older?
  • Including detailed care instructions such as your pet’s favorite toys or treats. Is your pet scared of thunderstorms or other animals or small children?

While the thought of leaving behind our loved ones when we pass is painful, it’s important that we think about how we can best provide for them now – and in the future. And as pet owners, we know that our pets are more than just “property” –  they are our family too!

Need Help Getting Started?

Our attorneys specialize in wills and Pet Trusts. Not only do we have extensive experience with wills and Pet Trusts, but we are avid pet lovers too! Contact DJ Jeyaram at or 678.325.3872.


Got Katie Beckett? Your Child Could Qualify For NOW/COMP Waivers Too


If your child receives the Katie Beckett Waiver, first and foremost, congratulations!

You survived the laborious process of securing physical, speech and occupational therapy notes, medical histories, doctors’ notes and evaluations – not to mention probably resubmitting your 2-inch completed application more than once!

BUT, as parents of special needs children, we know it’s worth it. Without Katie Beckett our kids would not receive the services they need. So if the thought of going through yet another application process seems overwhelming – read on.

How Children Qualify for NOW/COMP Waivers

One of the benefits of being on Katie Beckett is that your child may also qualify for additional services through the state’s NOW/COMP Waivers – programs designed to help children and adults with developmental or intellectual disabilities (or a closely related condition) live at home or integrate into the community.

One of the Levels of Care that qualifies someone for an applicant for Katie Beckett is the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-ID). The ICF-ID level of care is the same level of care used to qualify an applicant for the NOW/COMP Waivers. So if you qualify under ICF-ID Level of Care for Katie Beckett, you should also qualify for NOW/COMP under the same level of care.

The NOW/COMP waivers increase the independence and quality of life for individuals with developmental disabilities. They cover expenses not typically covered by Medicaid such as respite, job training, housing services, and transportation. Services can be provided to help support the individual during the day, night and weekends.

One of the common misconceptions is that the NOW/COMP Waivers are only for adults. And while it is true that many NOW/COMP services are aimed at older individuals, children may also qualify for the Waivers and utilize services more appropriate for children.

Approximately 12,000 individuals in Georgia receive services through the NOW/COMP waivers. The waiting lists are long and sometimes it takes years to get approved – but it’s worth it. And, here’s the best news yet – once your child receives the wavier, it’s his/hers as long as your child continues to meet the eligibility criteria during annual renewals and continues to need services.

Here are some of the services your child can receive.

Sample of Support Services NOW/COMP Covers

  • Nursing services: If your child has a clinical diagnosis that requires complex assessment and intervention, nursing services are available to help restore your child’s health or prevent further deterioration.
  • Respite – Brief periods of support or relief for caregivers. This includes hourly and overnight care for your special needs child.
  • Specialized Medical Equipment – Devices, controls or appliances that enable your child to increase the abilities to perform activities of daily living and interactive more independently.
  • Specialized Medical Supplies – Food supplements, special clothing, diapers, bed wetting protective gear and other supplies.
  • Vehicle Adaptation Services – Adaptations to your family’s vehicle such as hydraulic lifts, ramps, special sets, etc.

The aforementioned is just a sample of the services available. For a comprehensive list, click here.

How To Get Started

The NOW/COMP Wavier application process is not nearly as arduous as the Katie Beckett application process. But remember, the waiting lists are long and often takes years to secure services. To download the PDF application, click here.