A.M.H. v. Hayes

U.S. Dist. LEXIS 27387 (2004)

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A.M.H. v. Hayes

United States District Court for the Southern District of Ohio
U.S. Dist. LEXIS 27387 (2004)

  • Written by Jody Stuart, JD

Facts

A.M.H., age 14, and C.W., age 13 (plaintiffs) were eligible for Medicaid benefits. A.M.H. was diagnosed with mental retardation, severe tuberous sclerosis, seizure disorder, recurrent bacterial infection, and possible autism. C.W. was diagnosed with autism and mental retardation. In 2002, A.M.H. and C.W. were each admitted to Springview, a state-operated intermediate-care facility for mentally retarded individuals, for a 30-to-60-day evaluation and assessment period. The Springview physicians concluded that Springview was an inappropriate long-term location for A.M.H. and C.W. and that the appropriate setting would be a facility offering community-based services. In 2003, A.M.H. was admitted to a private intermediate-care facility. C.W. remained at Springview. A.M.H., proceeding through her parent, and C.W., proceeding through her next friend, brought an action against Thomas Hayes (defendant) in his official capacity as director of the Ohio Department of Job and Family Services, the agency that oversaw Ohio’s Medicaid program. A.M.H. and C.W. alleged that they were entitled to community-based services under Medicaid. Hayes moved to dismiss, alleging that community-based services were not required under the Medicaid Act (act).

Rule of Law

Issue

Holding and Reasoning (Smith, J.)

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