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  • AMICUS: Georgia v. Brooks-LaSure,Southern District of Georgia, Brunswick Division

    Litigation Team

    In late 2021, the Centers for Medicare & Medicaid Services rescinded its 2020 approval of work requirements and premiums in Georgia. Georgia filed suit to challenge the withdrawal. The National Health Law Program, along with the Southern Poverty Law Center, Georgians for a Healthy Future, Georgia Legal Services Program,…

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  • C.K. v. Bassett, Eastern District of N.Y.

    Plaintiffs are two children on Medicaid who have been deprived of the intensive mental health services necessary for them to remain safely at home and in their communities, as required under the Medicaid's Early and Periodic Screening, Diagnostic, and Treatment mandate. Plaintiffs filed this action on behalf of a…

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  • McCutchen v. Becerra, D.D.C.

    Thirteen 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…

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  • L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals

    Litigation Team

    This 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,…

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  • Cyrus ex rel. McSweeney v. Nusbaum Southern District of West Virginia

    Litigation Team

    In 2004, a class of recipients of West Virginia’s Medicaid HCBS waiver program for older adults and people with disabilities was granted a preliminary injunction that restored HCBS benefits that had been terminated the year before and required the state to provide adequate notice that explained the reasons for…

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  • Salazar v. District of Columbia, D.C. District Court, D.C. Circuit

    Litigation Team

    This class action was originally brought in 1996 on behalf of children and adults who had applied for Medicaid, with claims including that the Medicaid agency failed to: issue decisions and provide coverage within 45 days of a submitted application, provide advance notice of termination of benefits; provide or…

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