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 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.
Since joining Harris Beach Murtha, Matt has served in engagements that include work as an interim compliance officer at two hospitals; performed gap analyses of compliance programs compared to New York’s statutory and developing regulatory requirements; updated compliance plan policies and procedures; and provided advice on various New York Medicaid compliance matters.
He’s also written extensively for the Harris Beach Murtha Health Care blog, covering topics such as OIG’s enforcement activities; OIG Advisory Opinions; updates to OIG’s Work Plan; OMIG’s updated compliance requirements; compliance guidance, audit guidance and FAQs; and updates to New York’s Medicaid program requirements.
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 New York'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.