Legal Opinion

A.W. v. Humana Med. Plan, Inc.

District Court of Appeal of Florida

Decided March 27, 2019No. 4D18-866PublishedCited by 1 opinion

1Opinion of the CourtGross, J.

A.W. appeals a final order of the Agency for Health Care Administration (the "Agency") that dismissed her request for a Medicaid Fair Hearing. We reverse because the Agency's method of notifying A.W. about the hearing did not comply with the dictates of due process.

Appellant is a Medicaid recipient under a plan administered by Humana. Appellant submitted a request to Humana for certain outpatient services. After reviewing the request, *401Humana sent her a Notice of Adverse Benefit Determination denying her request, determining that the services were "not medically necessary" and were for…

2Cases cited3 opinions

  1. FLORIDA PUBLIC SERV. v. Triple" A" EnterprisesSupreme Court of Florida · 1980
  2. Schrimsher v. School Bd.District Court of Appeal of Florida · 1997
  3. Citizens of the State of Florida, etc. v. Florida Public Service CommissionSupreme Court of Florida · 2014

3Cited by1 opinion

  1. STATE OF FLORIDA vs TROY VICTORINO AND JERONE HUNTERDistrict Court of Appeal of Florida · 2023

Showing a preview — retrieve the full document via the Exa API.

Powered by the Exa API