February 13, 2020 / 1:01 PM / 12 days ago

‘Representatives’ can’t sue Medicaid on beneficiaries’ behalf – 7th Circuit

A regulation that allows Medicaid applicants and beneficiaries to designate a representative to act on their behalf in “all matters with the agency” does not authorize the representative to file suit on their behalf, a federal appeals court held Tuesday.

The 7th U.S. Circuit Court of Appeals affirmed that Bria Health Services and several other consultants to the long-term care industry lacked standing to sue the state of Illinois and its Medicaid Managed Care Organizations - including Aetna Better Health, Cigna, Humana Health Plan and Molina Healthcare - on behalf of the facilities’ residents.

To read the full story on Westlaw Practitioner Insights, click here: bit.ly/2UN6ZAv

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