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Legal Aid attorneys question Medicaid drug denials

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HARTFORD, Conn. – Legal aid attorneys are trying to understand why the Department of Social Services is denying, with no explanation, Medicaid patients’ attempt to get pre-approved for certain drugs.

Usually the reason for denial is clear-cut — this particular drug does not suit the patient’s illness, or their medical provider failed to fill out the form correctly.

But according to legal aid attorneys, the department has consistently issued notices that offered no real reason at all — an omission they say has likely resulted in hundreds of low-income patients being denied medication altogether.

“The notices we have seen fail to tell Medicaid enrollees the reason for the negative action and the specific regulatory basis for the action,” Jean Mills Aranha of Connecticut Legal Services and Sheldon Toubman of New Haven Legal Assistance Association wrote in a May letter to the department’s legal counsel.

See the complete story at CT News Junkie.

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