Adam J. Hepworth’s practice focuses on Medicaid and Medicare, administrative appeals, health privacy laws, and compliance with health care fraud and abuse laws. He is a partner in the firm’s Health Care and Life Sciences Sector and has been recognized since 2020 in Chambers USA:
“Adam Hepworth is a walking encyclopedia of healthcare regulations.”
“He is a delight to work with and we feel very confident in his advice and counsel.”
“Adam is incredibly thoughtful. He is someone that I talk to about strategy, not just what the right answer is.”
Adam has represented hospitals, Federally Qualified Health Centers (FQHCs), and other providers in numerous Medicaid administrative appeals. He argued Tulare Pediatric Health Care Center v. State Department of Health Care Services, resulting in a decision from the California Court of Appeals recognizing the state’s obligation to pay FQHCs a Medi-Cal per-visit rate that reflects their full costs when they contract with an outside medical group.
Adam has written, presented, and counseled clients on how to navigate federal and state health privacy laws — including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the federal substance use-disorder privacy regulations at 42 C.F.R. Part 2 — when developing integrated models of care that address the social determinants of health. He has also worked on state legislation addressing FQHC reimbursement, telehealth, Medicaid waiver programs, and behavioral health delivery systems.
Adam has often assisted health care providers to comment on federal and state rules addressing Medicaid managed care, Medicaid and Medicare reimbursement, the 340B Drug Pricing Program, HIPAA, the federal substance use-disorder privacy regulations and Knox-Keene licensing requirements. He has also worked on state legislation addressing FQHC reimbursement, telehealth, Medicaid waiver programs, and mental health delivery systems.
Prior to joining Foley, Adam was a law clerk for Judge Harris L. Hartz on the 10th Circuit U.S. Court of Appeals.
More Legal and Business Bylines From Adam J. Hepworth
- Health-Related Social Needs: Three Trends in Leveraging Community Partnerships - (Posted On Wednesday, March 27, 2024)
- What FQHCs Need to Know About Telehealth After the PHE - (Posted On Monday, April 10, 2023)
- What FQHCs Need to Know About Telehealth After the PHE - (Posted On Monday, April 10, 2023)
- HHS Proposes to Align Federal Substance Use Disorder Law with HIPAA - (Posted On Wednesday, November 30, 2022)
- FQHCs: Proposed Guidance Addresses Health Center Delivery of Telehealth Services - (Posted On Monday, October 03, 2022)
- California: Health Care Providers Must Join Statewide Data Sharing Agreement by 2024 - (Posted On Tuesday, July 26, 2022)
- CMS Requires COVID-19 Vaccination for Health Care Facility Staff - (Posted On Monday, November 08, 2021)
- Episode 16: Community Health Centers: Issues Facing FQHCs Today [PODCAST] - (Posted On Monday, July 26, 2021)
- Payment Dispute with a Medicaid Health Plan? State Not Obligated to Help, According to Federal Court - (Posted On Thursday, July 15, 2021)
- Congress Requires New Medicaid Payment Reporting - (Posted On Tuesday, February 23, 2021)