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  • Dekker v. Marstiller, Northern District of Florida

    Litigation Team

    Four transgender Medicaid beneficiaries filed a lawsuit challenging a Florida regulation that prohibits coverage of medically necessary gender-affirming care. The plaintiffs allege that the discriminatory coverage exclusion violates: 1) the EPSDT requirements in the Medicaid Act; 2) the comparability requirement in the Medicaid Act; 3) Section 1557 of the…

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  • Managed Care Sanctions: An Important Tool for Accountability

    This report is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care, focusing on sanctions, which are one of the tools available to states to hold managed care organizations (MCOs) accountable for failing to meet their obligations. Our research indicates that the states…

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  • Wright v. AHCA, Second Judicial Circuit in and for Leon County, Florida

    Litigation Team

    Plaintiff Nancy Wright is a Florida attorney who has represented hundreds of Florida Medicaid recipients (often pro bono) who are challenging erroneous terminations, denials, or reduction of Medicaid benefits. To prepare these appeals, Attorney Wright needs to access the state Medicaid agency’s (Agency for Health Care Administration's or AHCA’s)…

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  • Florida Maternal and Child Health Fact Sheet

    This fact sheet reports data from several sources that measure Medicaid managed care health care delivery and quality pertaining to maternal and child health. They highlight and summarize information from the state's External Quality Review Report, measures from the Healthcare Effectiveness Data and Information Set (HEDIS), results from the…

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  • Jackson Health Systems Violation of Hill-Burton Community Service Obligation

    Complaint filed by Florida Legal Services, Inc. with the Office of Civil Rights against the Jackson Health System, Miami-Dade County's publicly funded health care system. The complaint alleges that JHS is violating requirements governing billing and collection policies of non-profit health providers for low-income patients. This complaint includes a…

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  • Memorandum in Support of IRS Form 13909 Tax-Exempt Organization Complaint

    External Source and

    Ground-breaking IRS complaint filed by NHeLP and Florida Legal Services, Inc. against the Jackson Health System, Miami-Dade County's publicly funded health care system, alleging that JHS is violating requirements governing billing and collection policies of non-profit health providers for low-income patients.

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