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John B. v. Menke
No. 3-98-0168 (M.D. Tenn. Feb. 25, 1998). ; Clearinghouse Number: 52228
Description
Tennessee’s Medicaid Managed Care Program Must Comply with Early and Periodic Screening, Diagnosis, and Treatment Requirements
Abstract
The court entered a consent decree in this class action challenging
the adequacy of children’s health services provided by
Tennessee’s Medicaid managed care program. Plaintiffs are
more than half a million children who depend on TennCare, the
state’s Medicaid program, for essential medical and mental
health services. In their complaint plaintiffs alleged that the
state Department of Health and state Department of Children’s
Services deprived children of Early and Periodic Screening,
Diagnosis, and Treatment services in violation of Title XIX of the
Social Security Act, 42 U.S.C. §§ 1396 et seq., the terms
and conditions of TennCare, and the terms and conditions of risk
agreements between TennCare and managed care organizations and
behavioral health organizations. Plaintiffs charged defendants with
depriving TennCare children in state custody of needed health and
mental services in violation of Title XIX of the Social Security
Act, Title IV, of the Social Security Act, 42 U.S.C. §§
620–29a, 670–79, and the due process clause of the U.S.
Constitution. Plaintiffs sought declaratory and injunctive relief.
Under the consent decree Tennessee must take enumerated steps over
five years to bring outreach and screening, diagnosis and
treatment, coordination and delivery of services, and reporting in
TennCare into compliance with Early and Periodic Screening,
Diagnosis, and Treatment requirements as set forth in statute,
regulations, and controlling Health Care Financing Administration
guidelines.
