On Monday, September 23, 2024, a federal lawsuit (Grant v. Weida) was filed against Florida's Agency for Health Care Administration (AHCA), accusing the state of failing to properly oversee Medicaid managed care plans that provide home- and community-based services (HCBS) to individuals with disabilities. The plaintiffs argue that critical services, including nursing and personal care, are being reduced or denied without adequate notice, violating federal laws such as the Americans with Disabilities Act.

The lawsuit claims AHCA’s appeal process lacks meaningful review, leaving Medicaid recipients unable to adequately challenge service reductions or denials. Filed on behalf of five disabled adults, the suit seeks an injunction to ensure that managed care plans provide timely, detailed written notices before altering services and to prevent arbitrary limits on the care provided.

While there is no specific timeline for resolution, the lawsuit has been assigned to U.S. District Judge Robert Hinkle.

HCAF will continue to monitor the case and provide updates as developments occur.

• Related: Florida's Managed Care Oversight is Target of Lawsuit By Adults With Disabilities (Health News Florida, 9/25/24)