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- July 23, 2013
Massachusetts and Ohio District Courts finds some Medicaid Claims Enforceable
Read moreThe federal district court for Massachusetts has allowed a number of Medicaid claims for dental services made by an organization and beneficiaries to proceed to trial. Health Care for All, Inc. V. Romney, No. 00-10833-RWZ (D. Mass. Oct. 1, 2004). The court held that a number of crucial…
- July 23, 2013
The Seventh Circuit Weighs in on ADA Fundamental Alteration Defense in Medicaid
Read moreOn September 8, 2004, the Seventh Circuit reversed a decision to issue a judgment on the pleadings against a Medicaid beneficiary in an Americans with Disabilities Act case. Radaszewski v. Maram, No. 02-3657, 2004 U.S. App. LEXIS 18940 (Sept. 8, 2003 7th Cir. 2004). The plaintiffs argued that…
- July 23, 2013
Managed Care: Dealing with Problems
Read moreThis presentation for the Kern Consumer Health Center addresses common problems beneficiaries encounter with managed care, including service denials, inadequate provider networks, billing issues and poor care quality. It also charts the internal and external appeals processes for Medicaid, CHIP and private managed care in California.
- July 23, 2013
Kentucky District Court Issues Good Medicaid and ADA Decision
Read moreThe Kentucky P&A has received an excellent decision in Michelle P v. Holsinger, No. 3:02-23-JMH (E.D. Ky. Feb. 11, 2005). The case involves Medicaid and ADA challenges to a home and community based waiver waiting list. The court finds the following Medicaid provisions are enforceable…
- July 23, 2013
California Court of Appeal Issues Good Medicaid Decision For People With Disabilities
Read moreFor full publication text, download document.
- July 23, 2013
Outline on State Medicaid Cutbacks and Responsive Advocacy
Read moreI. Activities Reducing/Eliminating Coverage A. Reduction or elimination of optional population groups E.g. poverty level aged/disabled and children and pregnant women, medically needy. B. Benefit reduction or elimination E.g., quantitative limits on mandatory services, such as physician visits and prescriptions; monetary caps…