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 decision. Plaintiffs alleged that this practice violated the Medicaid Act and the requirements of constitutional due process.
Many government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS…