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  • Washtenaw County Community Mental Health v. Wiesner, State of Michigan Court of Appeals

    Litigation Team

    NHeLP submitted an amicus in this case in support of a Medicaid beneficiary who won his Medicaid Fair Hearing, entitling him to certain home and community-based services and supports. Rather than complying with the hearing decision and providing him the services to which he was entitled, his Medicaid managed…

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  • K.B. v. Michigan D.H.H.S., Eastern District of Michigan

    A class of Medicaid-eligible children with intensive mental health care needs who are at risk of avoidable psychiatric hospitalizations or commitment to the juvenile delinquency system sued the Michigan Department of Health and Human Services for failing to provide needed mental health services in the community as required by…

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  • Schwartz v. Cal DHCS, Superior Court of California

    Abbi Coursolle and

    An adult California Medicaid (Medi-Cal) beneficiary is challenging the California Department of Health Care Services and her county Mental Health Plan after she experienced a mental health crisis and was turned away from evaluation and subsequent treatment without appropriate notice. The Plaintiff alleges that she was denied medically necessary…

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  • A.M.C. v. Smith, Middle District of Tennessee

    Thirty-five children and adults from across Tennessee brought a class action challenging the State for wrongfully terminating people’s health insurance under Tennessee’s Medicaid program, known as TennCare. The Plaintiffs allege that TennCare’s system for reevaluating eligibility is defective and fails to provide the notice and opportunity for hearing required…

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  • Hernandez v. Medows, Southern District of Florida

    Litigation Team

    Class of Medicaid recipients challenged Florida’s failure to provide basic due process when denying coverage of prescription drugs. Recipients were simply told by a pharmacist that Medicaid would not pay for a prescription drug, without any written explanation of why coverage was denied, or how they could challenge the…

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