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The state appealed a federal judge's ruling about whether it was improperly institutionalizing children who often require 24/7 care and have needs such as ventilators, feeding tubes and breathing tubes.
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In the wake of an investigation by KFF Health News and Cox Media Group, the SSA acting commissioner said a special team will review “overpayment policies and procedures” and report directly back to her.
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Lawmakers are faulting the SAA for issuing billions in payments that beneficiaries weren’t entitled to receive — and then demanding the money back — as reported by KFF Health News and Cox Media Group.
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The long-running organization provides residential and other services for members of the disabled community.
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Beneficiaries in five states described what happened when they received demands to return overpayments that reached up to tens of thousands of dollars or more.
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The federal judge wrote that he is “not persuaded that Florida will suffer irreparable damage without a stay," but that noncompliance can bring substantial harm to institutionalized children.
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The settlement puts the lawsuit on hold while AHCA moves forward with a rule-making process. Plaintiffs alleged that the state’s policy on incontinence supplies violated federal Medicaid law and the ADA.
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A key part of the decision would require the state to increase the availability of private-duty nursing that could help children receive care outside of nursing homes. The state says complying is "impossible."
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A civil rights lawsuit filed by the Justice Department against regulators a decade ago has finally gone to trial, and the judge looks set to remove 140 children from nursing homes in Broward and Pinellas.
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With little or no income, disability applicants are seeking Social Security early retirement benefits even though it could cost them tens of thousands of dollars in future income, lawyers say.
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The bill comes after long-running concerns about people with developmental disabilities being stuck on a waiting list for services.
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A judge grants a request to handle the case as a class action. The claimants say the state stops providing incontinence supplies to Medicaid beneficiaries older than 21.