A.W. v. Humana Med. Plan, Inc.
District Court of Appeal of Florida
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
- FLORIDA PUBLIC SERV. v. Triple" A" EnterprisesSupreme Court of Florida · 1980
- Schrimsher v. School Bd.District Court of Appeal of Florida · 1997
- Citizens of the State of Florida, etc. v. Florida Public Service CommissionSupreme Court of Florida · 2014