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June 11, 2021
L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals
Litigation Team Cases
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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June 11, 2021
AMICUS:Washtenaw County Community Mental Health v. Wiesner, State of Michigan Court of Appeals
Litigation Team Cases
NHeLP submitted two amicus briefs in this case in support of a Medicaid beneficiary who won his Medicaid Fair Hearing, entitling him to certain home and community based services and supports. Rather than complying with the hearing decision and providing him the services to which he was entitled, his…
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July 16, 2020
Amicus: Bellin v. Zucker, U.S. Court of Appeals, Second Circuit
Litigation Team Court Document, Cases
The National Health Law Program, along with the Center for Medicare Advocacy and Justice in Aging, filed this brief in the Second Circuit in support of the plaintiff. Rosalind Bellin receives Medicaid in New York and needs in-home long term care services to live in her home safely. She…
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May 28, 2020
Schwartz v. Cal DHCS, Superior Court of California
Abbi Coursolle and Kimberly Lewis Cases
An adult California Medicaid (Medi-Cal) beneficiary is challenging the California Department of Health Care Services and her county Mental Health Plan after she experienced a mental health crisis and was turned away from evaluation and subsequent treatment without appropriate notice. The Plaintiff alleges that she was denied medically necessary…
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October 21, 2019
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)
Abigail Coursolle Issue Brief
Federal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not…
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July 17, 2018
Advocates’ Guide to Accessibility in Medicaid Managed Care Grievances and Appeal
dfitzgerald Issue Brief
Pursuant to new regulations from the U.S. Department of Health and Human Services (HHS), state Medicaid agencies are now required to ensure that managed care plans in each state are complying with new procedural requirements for grievance and appeals systems. This Advocate's Guide from Disability Rights Education and Defense…
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L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals

AMICUS:Washtenaw County Community Mental Health v. Wiesner, State of Michigan Court of Appeals

Amicus: Bellin v. Zucker, U.S. Court of Appeals, Second Circuit

Schwartz v. Cal DHCS, Superior Court of California

Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)

Advocates’ Guide to Accessibility in Medicaid Managed Care Grievances and Appeal