Georgia Can't Reduce Prescribed Health Services For Children

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U.S. DistrictCourt Judge Thomas Thrash last week ruled that Georgia does not have the authorityto deny or reduce health care services prescribed by a physician for childMedicaid beneficiaries, the Atlanta Journal-Constitution reports. Pat Nobbie, deputydirector of the Governor's Council on DevelopmentalDisabilities, saidthe state in recent years has reduced services for hundreds or thousands ofchildren. She said she hopes the recent the court decision forces the agency toreconsider its practices.

The lawsuit involved a 13-year-old developmentally disabled girl whosephysician prescribed 94 hours of private duty nursing care per week for her.The state Department of Community Health had approved 84 hours of nursingcare. DCH Commissioner Rhonda Medows said in a court filing that the state hasdiscretion to limit the amount of treatment paid for by Medicaid. According toThrash's ruling, the state did not have such discretion (Schneider, AtlantaJournal-Constitution, 6/16).

Reprintedwith permission from kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign upfor email delivery at kaisernetwork.org/email . The Kaiser Daily Health PolicyReport is published for kaisernetwork.org, a free service of The Henry J.Kaiser Family Foundation.

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