Eligible Children With Disabilities Denied Medically Necessary Incontinence Briefs |
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A class action lawsuit was filed by the Arizona Center for Disability Law Center against the Arizona Health Care Cost Containment System (AHCCCS), (Arizona's Medicaid System). Plaintiffs in this case are children under the age of 21, with disabilities who are recipients of state Medicaid services and need incontinence briefs because of their disabilities. Currently, AHCCCS will not cover incontinence briefs for children with disabilities unless the child has experienced skin breakdown, sores or infections.
"Arizona's policy to wait until a child with a disability develops skin breakdown and infection before covering incontinence briefs is cruel as well as contrary to federal Medicaid law", said the staff attorney at the Center, who brought the lawsuit. "Currently, there are special provisions in federal Medicaid law to provide enhanced services to children." "This lawsuit is about making sure children in Arizona get all of the services they are entitled to under federal law."
In the lawsuit, the Center argues that Arizona has failed to adhere to the legal requirements set out in federal Medicaid statutes and regulations which requires states to cover incontinence supplies for eligible children with disabilities.
A favorable ruling would not make Arizona the first state in the country to pay for incontinence briefs for children with disabilities who are Medicaid eligible. Research conducted by Center staff indicates as many as 36 other states supply incontinence briefs for Medicaid recipients.
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