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  • KC and LS v. Wos & Shipman, United States District Court, Eastern District of North Carolina

    2011 Medicaid beneficiaries with disabling and chronic conditions challenged North Carolina’s failure to ensure that managed care organizations provided them with adequate notice and opportunity for a hearing when their developmental disability services were reduced or terminated using arbitrary and non-ascertainable standards, denying beneficiaries a meaningful opportunity to challenge…

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  • T.R. v. Dreyfus, Western District of Washington

    2011 Medicaid eligible children and youths under 21 years old, with mental health needs, brought this lawsuit to obtain intensive home and community-based mental health services which they are entitled to through Medicaid’s Early and Periodic Screening, Diagnosis and Treatment provisions. Partners: Disability Rights Washington, National Center for Youth…

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  • Salazar v. District of Columbia D.D.C. and D.C. Circuit

    Litigation Team and

    A class of Medicaid beneficiaries in the District of Columbia challenged widespread problems in DC’s Medicaid program, including failing to timely process Medicaid applications, terminating benefits without advanced notice, and denying children the full scope of benefits they are entitled to under the Early and Periodic, Screening, Diagnosis, and…

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  • McCartney v. Dempsey, Eastern District of North Carolina

    Litigation Team and

    Class of Medicaid-eligible children with behavioral, emotional, or developmental conditions challenged North Carolina’s decision to deny or reduce their requests for mental and behavioral health services, and for making those decisions without providing adequate notice or informing them of the right to continue receiving benefits during the appeal. Partner:…

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  • Lankford v. Sherman, Western District of Missouri and Eighth Circuit Court of Appeals

    Litigation Team and

    Medicaid beneficiaries in Missouri challenged a regulation which eliminated coverage for many items of durable medical equipment, such as nebulizers, catheters, suction pumps, apnea monitors, and wheelchair accessories or scooters. Coverage was eliminated even where a medical provider said the devices were medically necessary. Without this equipment, plaintiffs and…

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  • Edmunds v. Levine, Southern District of Florida

    Litigation Team

    Class of severely disabled Medicaid recipients challenged Florida’s decision to deny coverage of a prescription drug, Neurontin, for medically accepted indications that were cited in congressionally-recognized drug compendia, including neuropathic pain and certain psychiatric disorders, in violation of the Medicaid Act. Partners: Florida Legal Services, Legal Aid Service of…

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