Court: "Doctors, Medicaid Providers Both Have Say"

By: The Associated Press
By: The Associated Press

A federal appeals court in Atlanta says Medicaid providers and state health officials should have a say along with physicians in determining how to treat patients.

Florida, Georgia and Alabama argued that their Medicaid officials should make the final decision in treating Anna Moore, a 14-year-old Georgia girl who suffers from almost daily seizures. The state is trying to reduce the number of hours she is treated by a home nurse, despite the recommendations of her doctor.

In June, a lower court ruled the state must provide the amount of skilled nursing care Anna's doctor deems necessary.

But the appeals court Friday said the state should not be "wholly excluded" from determining the care she needs. The case was returned to District Court for a rehearing.


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