S.J v. Tidball, Western District of Missouri

Executive Summary

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 with Disabilities Act. Absent sufficient in-home nursing hours, these children are at risk of or required to live in institutions and hospitals, or to suffer at home, putting their own health and safety at risk and placing severe strain on the families.

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