Wednesday, April 1, 2015
Unfortunate SCOTUS decision limits Medicaid provider rights
A decision
yesterday by the US Supreme Court reversed a Ninth Circuit decision and
ruled that providers do not have the legal right to sue a state Medicaid
program under the federal Medicaid act. Armstrong
v. Exceptional Child Center involved an Idaho clinic suing the state because
rates were too low to ensure adequate access to care, as required under federal
law. The Court ruled that only the federal Medicaid agency can enforce that
provision of law. Advocates
are deeply concerned about the implications for access to care and
protecting fragile consumers’ health in the program.