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Phil Peisch is an associate in the firm’s Washington, DC office, where he practices in the areas of health care and federal-state programs. Mr. Peisch helps clients navigate state and federal health care rules and policies, including those governing the Medicaid and Medicare programs. Mr. Peisch regularly counsels clients regarding the Affordable Care Act, coverage of Essential Health Benefits, the Medicaid expansion and Alternative Benefit Plans, Medicaid maintenance of effort rules, Federally Qualified Health Center (FQHC) and Rural Health Center (RHC) reimbursement, disproportionate share hospital (DSH) adjustments, provider donations, provider taxes, Medicaid managed care, and payment for home and community-based services, among other issues.
Representative Matters
- Advises clients responding to audits conducted by the United States Department of Health and Human Services (HHS) Office of Inspector General.
- Represents clients facing disallowances issued by HHS and the Centers for Medicare & Medicaid Services (CMS).
- Advised a state agency seeking approval of a Section 1115 demonstration project.
- Drafted comments for several state agencies on Medicaid regulations proposed by CMS.
- Represented a state agency in defending the structure of the State’s home- and community-based services program in a class action brought under the Americans with Disabilities Act.
Previous Experience
- Deputy Press Secretary, Office of Senator James M. Jeffords, I-Vt. (2005-2006)
Memberships and Affiliations
- American Bar Association, Health Law Section
- Commissioner, DC Advisory Neighborhood Commission
- Co-Head Agent, Class of 2004, Dartmouth College Fund
Publications and Speeches
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