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Archives
- March 29, 2022
McCutchen v. Becerra, D.D.C.
Read moreThirteen Medicaid enrollees, a pediatrician, and the Tennessee Justice Center are challenging the approval of the TennCare III project as a violation of the APA. The approval caps the amount of federal funding available to the State, continues Tennessee's decades-long waiver of retroactive coverage, and permits the State to…
- December 7, 2021
Model Contraceptive Equity Act: Legislative Language and Issue Brief
Read moreUPDATED - December 2021. Contraceptive Equity is a policy framework under which contraceptive care is easily accessible and covered at no cost in all health plans. This paper begins with the Model Contraceptive Equity Act legislative language that can serve as a template for state advocates. It concludes with…
- June 11, 2021
L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals
Litigation Team CasesRead moreThis class action was filed on behalf of a class of North Carolinians with intellectual and developmental disabilities who received letters from their regional managed care organization, Piedmont Behavioral Health (known as PBH and later Cardinal Innovations Healthcare), informing them that, based on their Supports Intensity Scale (SIS) assessment,…
- June 11, 2021
AMICUS:Washtenaw County Community Mental Health v. Wiesner, State of Michigan Court of Appeals
Litigation Team CasesRead moreNHeLP submitted two amicus briefs 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…
- February 26, 2021
Wright v. AHCA, Second Judicial Circuit in and for Leon County, Florida
Litigation Team CasesRead morePlaintiff Nancy Wright is a Florida attorney who has represented hundreds of Florida Medicaid recipients (often pro bono) who are challenging erroneous terminations, denials, or reduction of Medicaid benefits. To prepare these appeals, Attorney Wright needs to access the state Medicaid agency’s (Agency for Health Care Administration's or AHCA’s)…
- May 28, 2020
Schwartz v. Cal DHCS, Superior Court of California
Abbi Coursolle and Kimberly Lewis CasesRead moreAn 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…
