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  • Newton-Nations v. Betlach & Sebelius, District of Arizona and Ninth Circuit Court of Appeals

    Litigation Team and

    Medicaid beneficiaries in Arizona challenged Arizona’s decision to impose expensive copayments that exceeded the limits set out in federal law, creating barriers to beneficiaries’ access to services. Plaintiffs also challenged the United States Department of Health and Human Services approval of those copayments through the federal Section 1115 authority.…

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  • Pashby v. Cansler, Eastern District of North Carolina

    Litigation Team and

    Class of Medicaid beneficiaries who received in-home personal care services challenged State’s decision to narrow the standards for assessing need for in home assistance and practice of favoring services provided in adult care homes over services provided in homes of Medicaid beneficiaries. Partners: Disability Rights NC, Charlotte Center for…

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  • Salazar v. District of Columbia D.D.C. and D.C. Circuit

    Litigation Team and

    A class of Medicaid beneficiaries in the District of Columbia challenged widespread problems in DC’s Medicaid program, including failing to timely process Medicaid applications, terminating benefits without advanced notice, and denying children the full scope of benefits they are entitled to under the Early and Periodic, Screening, Diagnosis, and…

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  • McCartney v. Dempsey, Eastern District of North Carolina

    Litigation Team and

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

    Litigation Team and

    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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  • Edmunds v. Levine, Southern District of Florida

    Litigation Team

    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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