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Funded by federal and state governments, Medicaid helps low-income patients pay for a variety of inpatient and outpatient medical, dental, behavioral health care services, and medical equipment and supplies.
Medicaid is a complex system or rules and regulations and sometimes Medicaid representatives can improperly deny services, equipment, or supplies to its member patients resulting in harm to the patient.
If you have been denied services, equipment, or supplies you believe were necessary and allowed by Medicaid, your best recourse is to hire an attorney who is well-versed in Medicaid rules and regulations, insurance law, and has experience suing Medicaid with good results.
State Medicaid laws can differ, so you will need at attorney who knows the Medicaid program or Medicaid fraud laws in your state.
The first step is to determine if you have a viable case. Most Medicaid attorneys will provide a free consultation at which your attorney will explain the applicable law and evaluate the strength of your case based on the facts and circumstances involved.
If you have a case against Medicaid, your attorney will protect your rights by filing a civil lawsuit and seeking monetary damages. As your case moves forward, your attorney will gather facts, evidence, and identify witnesses to support your contention and represent your best interests in all legal proceedings leading to trial in federal or state civil court, whichever has the authority to hear your case under jurisdiction law.
In civil court, your must prove your case on the preponderance of evidence, which means that the evidence you present more likely than not proves your claim. Your attorney will use your medical records, related expenses, and other evidence to prove your claim was improperly denied and the service, equipment, or supplies were allowed by Medicaid.