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Judge approves proposed settlement agreement

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A federal judge has approved a proposed settlement agreement in a class-action lawsuit against the Indiana Family and Social Services Administration alleging that an agency policy that doesn’t allow certain Medicaid waiver enrollees to apply for services other than what’s been approved by their case manager is in violation of federal Medicaid law.

Bernis Boatman, by her daughter Diana Wilbur, filed the original action in February 2010 against the then-FSSA Secretary Anne Waltermann Murphy, and the directors of the Division of Aging and Office of Medicaid Policy and Planning, after their case manager did not submit a request for additional services to the Division of Aging. Boatman was enrolled in the Aged & Disabled Waiver Program, and was approved to receive certain services each week or month. When her daughter, who was her primary caretaker, became ill and unable to care for her mother as she had before, the pair asked for additional services from their case manager.

There is no mechanism for someone to request additional services beyond what they had already been approved for, and their class-action suit claimed they were unable to apply for these services because of FSSA policy. The class consists of anyone who is enrolled or will be enrolled in the ADW program operated by FSSA. The FSSA operates five Medicaid waiver programs approved by the federal government, including the ADW program. The Department of Health and Human Services may waive certain requirements of the Medicaid program for states that include as “medical assistance” home and community-based services that are provided to someone, who but for such services, would require the level of care provided in a hospital, nursing facility, or intermediate care facility for the mentally disabled.

The parties stipulated and agreed to enter into a settlement agreement in March 2011. Under the terms of the settlement, when case managers create waiver enrollees’ proposed cost comparison budget and plan of care to submit to the FSSA for approval, case managers must submit a request for services for whatever amount and type of service each waiver enrollee desires. Case managers will be trained that they are now required to submit these requests to FSSA, and if for some reason, the case manager refuses or does not submit the request for services, the waiver enrollee may contact FSSA directly.

Judge Jane Magnus-Stinson in the Southern District of Indiana approved the proposed settlement in Edna Chadwell, et al. v. Michael A. Gargano, et al., No. 1:10-CV-158, finding it to be fair, reasonable and an adequate resolution. The plaintiffs are receiving everything that they could obtain through a final judgment in their favor in the settlement, she wrote, and this settlement spares the continued expense of litigating the matter.

The defendants, who deny all the allegations against them, also agreed to pay $16,000 in attorney fees to the American Civil Liberties Union of Indiana, who represented the plaintiffs. The parties have 60 days from July 21 to jointly file a status report regarding the ultimate dismissal of the case.

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  1. MCBA .... time for a new release about your entire membership (or is it just the alter ego) being "saddened and disappointed" in the failure to lynch a police officer protecting himself in the line of duty. But this time against Eric Holder and the Federal Bureau of Investigation: "WASHINGTON — Justice Department lawyers will recommend that no civil rights charges be brought against the police officer who fatally shot an unarmed teenager in Ferguson, Mo., after an F.B.I. investigation found no evidence to support charges, law enforcement officials said Wednesday." http://www.nytimes.com/2015/01/22/us/justice-department-ferguson-civil-rights-darren-wilson.html?ref=us&_r=0

  2. Dr wail asfour lives 3 hours from the hospital,where if he gets an emergency at least he needs three hours,while even if he is on call he should be in a location where it gives him max 10 minutes to be beside the patient,they get paid double on their on call days ,where look how they handle it,so if the death of the patient occurs on weekend and these doctors still repeat same pattern such issue should be raised,they should be closer to the patient.on other hand if all the death occured on the absence of the Dr and the nurses handle it,the nurses should get trained how to function appearntly they not that good,if the Dr lives 3 hours far from the hospital on his call days he should sleep in the hospital

  3. It's a capital offense...one for you Latin scholars..

  4. I would like to suggest that you train those who search and help others, to be a Confidential Intermediary. Original Birth Certificates should not be handed out "willie nillie". There are many Birth Parents that have never told any of their families about, much less their Husband and Children about a baby born prior to their Mother's marriage. You can't go directly to her house, knock on her door and say I am the baby that you had years ago. This is what an Intermediary does as well as the search. They are appointed by by the Court after going through training and being Certified. If you would like, I can make a copy of my Certificate to give you an idea. you will need to attend classes and be certified then sworn in to follow the laws. I still am active and working on 5 cases at this time. Considering the fact that I am listed as a Senior Citizen, that's not at all bad. Being Certified is a protection for you as well as the Birth Mother. I have worked with many adoptees as well as the Birth Parents. They will also need understanding, guidance, and emotional help to deal with their own lost child and the love and fear that they have had locked up for all these years. If I could talk with those involved with the legal end, as well as those who do the searches and the Birth Mothers that lost their child, we JUST might find an answer that helps all of those involved. I hope that this will help you and others in the future. If you need to talk, I am listed with the Adoption Agencies here in Michigan. They can give you my phone number. My email address is as follows jatoz8@yahoo.com. Make sure that you use the word ADOPTION as the subject. Thank you for reading my message. Jeanette Abronowitz.

  5. The promise of "Not to Tell" is the biggest lie ever given to a Birth Mother. THERE WERE NEVER ANY PROMISES GIVEN TO ANY OF US. One of the lies used to entice us to give up our Babies. There were many tactics used to try to convince us that it was best for Mother and Baby to cut the cord at birth. They have no idea of the pain and heartache that was caused by their attitude. The only thing that mattered was how great and wonderful they appeared to the prospective parents and their community. I completed my search, but that didn't stop the pain, heartbreak and the tears of the last 62 Years. I keep track and do know that he is alive, well educated and a musician. That little knowledge in itself is a Godsend to me. I pray that other Mothers also know that much and more to help heal their pain and open wounds. open wounds.

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