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Farmer v. Dalton
No. 93-5183 (W.D. Ark. filed Jan. 19, 1994) ; Clearinghouse Number: 49693
Description
Class Action Challenges Inclusion of VA UME Reimbursements as Income for Medicaid Share-of-Cost Liability
Abstract
Plaintiffs have filed this class action challenging the Arkansas
Department of Human Services (DHS)'s practice of counting VA
reimbursement for unusual medical expenses (UMEs) as income in
calculating Medicaid share-of-cost liability. Named plaintiff is an
elderly individual with a disability who resides in a nursing home.
He receives benefits under the VA Improved Pension Program, which
includes an allowance for his wife, and Medicaid, which pays for
his medical expenses and institutionalization. Under Medicaid, he
and his wife are required to make a
contribution--"share-of-cost"--from their income to the
cost of care covered by the program. Under their pension plan, the
VA reimburses plaintiffs for UMEs paid from plaintiffs' own
pockets. Plaintiffs claim that DHS counts this reimbursement as
income when computing their Medicaid share-of-cost liability, in
violation of the Medicaid laws. DHS filed a motion to dismiss on
the basis of plaintiffs' failure (1) to join the Secretary of
HHS as a necessary party and (2) to state a claim upon which relief
can be granted. The district court denied the motion and gave DHS
leave to file a third-party complaint against HHS. Plaintiffs'
motions for a preliminary injunction and class certification are
pending.
Additional Information
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