Thursday, September 4, 2014

Terris, Pravlik & Millian, LLP Is Pleased to Announce A New Partner

Terris, Pravlik & Millian, LLP takes pleasure in announcing the promotion of Patrick A. Sheldon to partnership in the firm.  Mr. Sheldon became a partner in April 2014.

Thursday, March 13, 2014

Passive Medicaid Recertification for Some D.C. Medicaid Beneficiaries to Begin on July 1, 2014

The District of Columbia issued a document at the Medical Care Advisory Committee (MCAC) meeting on February 26, 2014, which states that certain Medicaid beneficiaries will be subject to passive renewal for Medicaid beginning on July 1, 2014.  These Medicaid beneficiaries – who are subject to the MAGI (Modified Adjusted Gross Income) method of determining eligibility for Medicaid – will not be terminated from Medicaid from January 1, 2014, though June 30, 2014, even if they ordinarily would have had to recertify their Medicaid benefits during that time period.  Medicaid beneficiaries subject to the MAGI method include families with children under age 21, pregnant women, and childless adults aged 21-64. 

On the other hand, Medicaid beneficiaries who are not subject to the MAGI method of determining eligibility for Medicaid, namely, those over age 65, the disabled, the blind, and those receiving long-term care services, are not subject to passive recertification for Medicaid.  These Medicaid beneficiaries remain subject to the usual D.C. Medicaid recertification process. 

To read the District of Columbia’s document, please click here.   If you have questions about or need assistance with Medicaid recertification, contact Terris, Pravlik & Millian, LLP, at 202-682-0578.

Wednesday, March 12, 2014

Court Orders D.C. to Publicize and Allow an Extension of Time for Certain Medicaid Reimbursement Claims

In the fall of 2013, the District of Columbia failed to update the correct address for submission of Medicaid reimbursement claims on its forms and website for two months after it moved offices.  Therefore, in an Order issued on February 18, 2014, the United States District Court for the District of Columbia ruled that Medicaid beneficiaries who were delayed in submitting a Medicaid reimbursement claim because they had the wrong address are entitled to an extension of time to submit reimbursement claims.  The Court directed the District of Columbia to place notice of the extension of time to March 31, 2014, on the website of the Department of Health Care Finance (DHCF).  Medicaid beneficiaries who are class members may obtain free assistance with submitting reimbursement claims by contacting Terris, Pravlik & Millian, LLP, at 202-682-0578.  To read the Court’s Order and see the press release, click here.

Tuesday, December 3, 2013

District Court in D.L. v. District of Columbia certifies subclasses, allowing class claims challenging systemic failures in the District of Columbia special education system

In a decision issued on November 8, 2013, the United States District Court for the District of Columbia certified four subclasses challenging failures by the District of Columbia to provide required special education services to preschool-aged children in the District.  The prior class was de-certified by the United States Court of Appeals for the District of Columbia Circuit following the Supreme Court’s decision in Wal-Mart Stores, Inc. v. Dukes and remanded for reconsideration of certification of classes or sub-classes.  The district court will commence proceedings to make findings of fact with regard to each subclass since the April 2011 trial.  To learn more about this case, click here, and, to read the Court’s decision, click here.

Tuesday, October 29, 2013

Court Terminates Oversight of Medicaid Recertification, But Rules that Salazar Class Members May Continue to Receive Assistance from Class Counsel

In a decision rendered on October 18, 2013, the United States District Court for the District of Columbia ruled that it would end its oversight of the protection of due process rights of the Salazar plaintiff class at the time of recertification for Medicaid benefits because of a new federal regulation changing the procedures for Medicaid recertification to a passive system.   The District of Columbia stated in court papers that the new passive system will be fully in place for the Salazar plaintiff class by October 2014.  Although the district court ended its oversight of the Medicaid recertification system, it stated:  “members of the plaintiff class can also contact Plaintiffs' counsel, as they have been doing over the years, to obtain legal assistance.”  Therefore, Terris, Pravlik & Millian, LLP will continue to assist Medicaid beneficiaries in the Salazar class who have problems recertifying their Medicaid benefits.  To read the Court’s decision, use this link

Monday, January 28, 2013

Terris, Pravlik & Millian, LLP Is Pleased to Announce Three New Partners

Terris, Pravlik & Millian, LLP takes pleasure in announcing the promotion of three associate attorneys to partnership.  Alicia C. Alcorn became a partner in the firm on August 1, 2012.  Zenia Sanchez Fuentes and Jane M. Liu became partners on January 1, 2013.

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