Matt provides legal, regulatory, business, and compliance counsel based on a unique background that includes roles as a state government regulator, as well as a senior executive for both health care providers and health insurers. Matt focuses on health care clients that are under the oversight of state and federal regulatory agencies, including those facing scrutiny from government investigations into fraud, waste, and abuse in programs such as Medicaid and Medicare. Matt also has experience in issues concerning health insurers and managed care plans.
Matt served as Deputy Director of the Bureau of Program Counsel in the Division of Legal Affairs at the New York State Department of Health, where he oversaw attorneys providing legal counsel to both fee-for-service and managed care Medicaid programs, other New York State healthcare programs, and legislative, budget, and regulatory initiatives related to the State’s health insurance programs and the Office of Health Insurance Programs.
Previously, for 10 years, he served as an Assistant Medicaid Inspector General where he organized and managed the Bureau of Compliance in the New York State Office of Medicaid Inspector General. He provided guidance, oversight, and assessment of compliance programs as he led the nation’s first Medicaid program integrity compliance initiative. In this role, Matt interacted with the New York Attorney General and U.S. Department of Justice on criminal prosecutions related to violations of Medicaid regulations and negotiated and enforced New York State’s Corporate Integrity Agreements for the Medicaid Inspector General. He regularly worked with the federal Centers for Medicare and Medicaid Services and other state agencies on various compliance issues and initiatives.
Matt also has substantial experience on the business side of health care. He served as Chief Operating Officer, Board Secretary and Trustee, as well as Vice President of Legal Affairs for St. Elizabeth Medical Center in Utica. He served as executive vice president and general counsel for the Excellus Health Plans Utica-Watertown Division. Prior to the Utica-Watertown Division’s merger into Excellus, Matt served as its Acting CEO for 13 months where he oversaw an underwriting and financial turnaround.
Previously Matt was an adjunct professor of law at Albany Law School where he taught courses in Managed Care Law and Healthcare Finance. He has also spent time in private practice.
In addition to his law degree, Matt is a Fellow in the American College of Healthcare Executives and he completed the Healthcare Compliance Certification Program at the Seton Hall School of Law.
RECENT PUBLICATIONS + SPEAKING ENGAGEMENTS
- Compliance and Ethics Requirements for Skilled Nursing Facilities and Nursing Facilities, September 27 and October 4, 2021.
- What OMIG Looks for in a Compliance Program Review, Office of the Medicaid Inspector General, June 20, 2019
- Compliance Q&A. A Conversation with OMIG, Office of the Medicaid Inspector General, May 7, 2019
- What OMIG Looks for in a Compliance Program Review, Office of the Medicaid Inspector General, May 2, 2019 – New York, NY; April 30, 2019 – Albany, NY; April 24, 2019 – Henrietta, NY
- Q & A on Compliance Issues, April 27, 2018
- Evidence that Your Compliance Program is Meeting Requirements, January 4, 2017
- Compliance Program Review Guidance Impact on Compliance Programs, February 1, 2017
