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  • Franklin v. Kinsley, Eastern District of North Carolina

    Litigation Team

    This case was formerly known as Hawkins v. Cohen. Adults and children enrolled in Medicaid filed a class action in North Carolina challenging the State’s policy and practice of making automatic ex parte redeterminations of Medicaid eligibility and terminating Medicaid coverage without providing adequate notice or opportunity for a…

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  • S.J, et. al v. Knodell, Western District of Missouri

    This case was formerly known as S.J v. Tidball. Nine children with medically complex conditions who are enrolled in Medicaid in Missouri challenged the Missouri Department of Social Services' failure to provide or arrange for medically necessary in-home nursing services as required by the Medicaid Act and the Americans…

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  • AMICUS: Georgia v. Brooks-LaSure,Southern District of Georgia, Brunswick Division

    Litigation Team

    In late 2021, the Centers for Medicare & Medicaid Services rescinded its 2020 approval of work requirements and premiums in Georgia. Georgia filed suit to challenge the withdrawal. The National Health Law Program, along with the Southern Poverty Law Center, Georgians for a Healthy Future, Georgia Legal Services Program,…

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  • C.K. v. Bassett, Eastern District of N.Y.

    Plaintiffs are two children on Medicaid who have been deprived of the intensive mental health services necessary for them to remain safely at home and in their communities, as required under the Medicaid's Early and Periodic Screening, Diagnostic, and Treatment mandate. Plaintiffs filed this action on behalf of a…

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  • McCutchen v. Becerra, D.D.C.

    Thirteen Medicaid enrollees, a pediatrician, and the Tennessee Justice Center are challenging the approval of the TennCare III project as a violation of the APA. The approval caps the amount of federal funding available to the State, continues Tennessee's decades-long waiver of retroactive coverage, and permits the State to…

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  • L.S. by and through Ron S. v. Delia, Eastern District of North Carolina and Fourth Circuit Court of Appeals

    Litigation Team

    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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