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· 4/7/2011

Moore Ex Rel. Moore v. Reese

Citations

  • 637 F.3d 1220
  • 2011 U.S. App. LEXIS 7126
  • 2011 WL 1316172

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

  • stating that Congress could have but did not give the state the role of “final arbiter” over medical necessity
  • providing an exhaustive summary of the statutory and regulation system governing the provision of PDN services to medically fragile children
  • “Accordingly, even if a category of medical services or treatments is mandatory under the Medicaid Act, participating states must provide those medical services or treatments for Medicaid recipients only if they are ‘medically necessary.’”
  • “Accordingly, even if a category of medical services or treatments is mandatory under the Medicaid Act, participating states must provide those medical services or treatments for Medicaid recipients only if they are ‘medically necessary.’”
  • “Accordingly, even if a category of medical services or treatments is mandatory under the Medicaid Act, participating states must provide those medical services or treatments for Medicaid recipients only if they are ‘medically necessary.’”
  • “A state is obligated to provide EPSDT- eligible children with private duty nursing services, but only to the extent that they are medically necessary.” (emphasis added)

Source: CourtListener parenthetical corpus (CC0).

Judges: Hull, Marcus, Whittemore

Read full opinion on CourtListener

Sourced from CourtListener / Free Law Project (CC0).

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.