Franklin Vs. Kinsley- Court Reaffirms Medicaid Department Priorities

In 2017, a class action lawsuit was filed on behalf of N.C. Medicaid beneficiaries. Many residents alleged that N.C. Health Department had not followed proper protocol when reducing or terminating Medicaid benefits. On November 7, 2022, the court sent notice to all N.C. Health Departments reaffirming that our top priorities in our Medicaid department are to:

• Assure that Medicaid does not stop without notice because the county DSS has not timely redetermined Medicaid eligibility;
• Assure that all categories of Medicaid eligibility are considered before termination or reduction of Medicaid;
• Assure that persons receiving Medicaid in other categories are given an opportunity to have their eligibility as a disabled person considered prior to termination or reduction of their Medicaid benefits;
• Assure compliance with all federal regulations governing the Medicaid eligibility process;
• Assure that the written notice provided before Medicaid is reduced or terminated clearly and specifically states what action will be taken and the reason for that action;
• Assure that all county DSSs comply with the provisions of the agreement.

Read the full settlement document here:

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