Egan v. Davis

No. 97-1184 (7th Cir. June 25, 1997) ; Clearinghouse Number: 52201

Description

Seventh Circuit Vacates Judgment Voiding Indiana’s Policy Allowing Agency to Appeal Administrative Decisions Favorable to Medicaid Claimants

Abstract

The Seventh Circuit has vacated the district court’s judgment in this class action challenging the Indiana Department of Social Services (DSS)’s provisions for appellate review of plaintiffs’ Medicaid claims. Plaintiffs alleged that DSS’s procedures, which allowed the state or its fiscal intermediary to appeal administrative law judge decisions that were favorable to claimants, violated 42 C.F.R. § 431.205(b). Named plaintiffs’ claims for Medicaid benefits were resolved in their favor pending the district court’s ruling on plaintiffs’ motion for class certification. Subsequently, the district court enjoined DSS from modifying and/or reversing any decisions issued by administrative law judges that were favorable to Medicaid applicants and/or recipients. DSS appealed. The court of appeals held that, because named plaintiffs did not suffer monetary injury from the administrative appeals of their claims, and because the class was not certified while named plaintiffs’ administrative appeals were pending, plaintiffs’ claims were moot. Accordingly, the court vacated the district court’s judgment and remanded the case with instructions to dismiss the complaint for lack of a case or controversy.

Additional Information

Docket Date
1997-06-25 00:00:00+00:00

Files

Filed under: