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April 7, 2008
McCartney v. Dempsey, Eastern District of North Carolina
Litigation Team and Andy DiAntonio Cases
Class of Medicaid-eligible children with behavioral, emotional, or developmental conditions challenged North Carolina’s decision to deny or reduce their requests for mental and behavioral health services, and for making those decisions without providing adequate notice or informing them of the right to continue receiving benefits during the appeal. Partner:…
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April 15, 2007
Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians
Mara Youdelman Article, Fact Sheet, Guide
Fifty-two million people, 19.4% of the U.S. population, speak a language other than English at home. Of these, 44.6% speak English “less than very well.” Estimates of the number of people with Limited English Proficiency (LEP) range from 11 million to 21 million people. To determine whether internal medicine…
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August 29, 2005
Lankford v. Sherman, Western District of Missouri and Eighth Circuit Court of Appeals
Litigation Team and Andy DiAntonio Cases
Medicaid beneficiaries in Missouri challenged a regulation which eliminated coverage for many items of durable medical equipment, such as nebulizers, catheters, suction pumps, apnea monitors, and wheelchair accessories or scooters. Coverage was eliminated even where a medical provider said the devices were medically necessary. Without this equipment, plaintiffs and…
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March 15, 2005
Edmonds v. Levine, Southern District of Florida
Litigation Team Cases
Class of severely disabled Medicaid recipients challenged Florida’s decision to deny coverage of a prescription drug, Neurontin, for medically accepted indications that were cited in congressionally-recognized drug compendia, including neuropathic pain and certain psychiatric disorders, in violation of the Medicaid Act. Partners: Florida Legal Services, Legal Aid Service of…
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January 15, 2005
Fact Sheet: Medicaid Medical Care Advisory Committees
Jane Perkins and Sarah Somers
Federal law requires states to have a Medical Care Advisory Committee (MCAC) to advise the Medicaid agency about health and medical care services, help develop Medicaid policies, and give ideas about how the program should be run. This Fact Sheet sets forth the legal requirements for MCACs, reviews the…
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June 23, 2004
Q & A: Defining Medical Necessity
Jane Perkins and Mara Youdelman Issue Brief
Question: Our office has been contacted by Ms. G., a 32-year-old Medicaid recipient. She tells us that the state Medicaid agency is seeking to implement a definition of ?medical necessity? that, when applied to her condition, will cause her physical therapy services to be terminated. What is the…
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McCartney v. Dempsey, Eastern District of North Carolina

Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians

Lankford v. Sherman, Western District of Missouri and Eighth Circuit Court of Appeals

Edmonds v. Levine, Southern District of Florida

Q & A: Defining Medical Necessity

Search Results

Never miss a thing.

Subscribe today.

McCartney v. Dempsey, Eastern District of North Carolina

Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians

Lankford v. Sherman, Western District of Missouri and Eighth Circuit Court of Appeals

Edmonds v. Levine, Southern District of Florida

Fact Sheet: Medicaid Medical Care Advisory Committees

Q & A: Defining Medical Necessity