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.
