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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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  • 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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