Automated Decision Making Archive

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… results in Automated Decision Making.
  • June 10, 2021

    NHeLP AHRQ Comments

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    In these comments, NHeLP responds to a request for information from AHRQ regarding the use of clinical algorithms that have the potential to introduce racial/ethnic bias into healthcare delivery. Using our long history of litigation and advocacy on issues that involve the use of automated decision-making systems, including algorithms,…

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  • May 26, 2020

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

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    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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  • December 19, 2019

    Opportunities for Public Comment on HCBS Assessment Tools

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    Medicaid home and community-based services (HCBS) are critical to ensuring people with disabilities and older adults are supported in their communities. State Medicaid agencies and their contractors often rely on assessment tools to make eligibility decisions, allocate services, and inform person-centered planning processes. However, these tools can be difficult to…

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  • March 1, 2019

    Hawkins v. Cohen, Eastern District of North Carolina

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    Hawkins Summary Hawkins v. Cohen (5:17-CV-581 E.D.N.C.) is a federal lawsuit filed in 2017 by Charlotte Center for Legal Advocacy and the National Health Law Program to stop illegal terminations of Medicaid benefits in North Carolina. The Court hearing the case has certified it as a class action. This…

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  • June 13, 2017

    Evaluating Functional Assessments for Older Adults

    State Medicaid agencies and their contractors rely on functional assessment tools to make coverage and eligibility decisions for long-term services and supports (LTSS). Many states use tools developed and licensed by private entities, while others have developed and implemented their own tools. The variety of tools is staggering. One…

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  • July 22, 2016

    Darjee v. Betlach, District of Arizona

    Litigation Team

    Low-income immigrant residents of Arizona who were eligible for full Medicaid benefits, but whose benefits were reduced to emergency-only benefits, filed suit against the state Medicaid agency for preventing them from accessing the full scope of necessary medical care. Plaintiffs alleged that these benefit reductions violated the obligation to…

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