G. Ex Rel. K. v. Hawaii

FINDINGS OF FACT, CONCLUSIONS OF LAW, AND DECISION

ALAN C. KAY, Senior District Judge.

SYNOPSIS

This litigation involves a dispute over the method by which the State of Hawai’i is currently providing Medicaid services to aged, blind, and disabled beneficiaries (“ABD beneficiaries”). Traditionally, states provided Medicaid benefits on a fee-for-service basis (“Medicaid FFS”). In a Medicaid FFS program, the state contracts directly with and pays healthcare providers, such as physicians, hospitals, and clinics, for services they provide to Medicaid beneficiaries. By contrast, under a managed care…