Selected Georgia Medicaid Decisions

The following Georgia Medicaid cases were litigated outside the context of an administrative hearing, or were appealed beyond that point. Of course, we are not representing there are no other published decisions on point.

• United Cerebral Palsy of Georgia v. Ga. Dep’t of Behavioral Health and Dev. Disabilities, 331 Ga. App. 616 (2015). A provider was not required to exhaust administrative remedies where Medicaid paid less than the contract rate because no notice of an adverse action was issued.
• Cook v. Glover, Decision, Georgia Supreme Court (2014). Annuity case.
• Glover v. Reese, Petition for Writ of Certiorari (2014)
• Royal v. Reese (2014) (Federal District Court ordered that GAPP services be continued pending litigation)
• Weldon v. Medows, Order (2009 IME Decision). IME case.
• Weldon v. Medows, Motion for Summary Judgment
• Georgia Department of Community Health v. Medders, 292 Ga. App. 439 (2008). Transfer penalty case.
• Dept. of Community Health v. Gwinnett Hosp System, 262 Ga. App. 879 (2003). This is a certificate of need case, stating the appellate standard of review in Medicaid cases.
• Johnson v. Llewellyn, 194 Ga. App. 186 (1990). Transfer penalty case addressing review standard on appeal.
• Johnson v. Ellis, 174 Ga. App. 861 (1985). Transfer penalty case addressing review standard on appeal.
• Bradford v. Bradford (Whitfield Superior Court 2007). Decision increasing MMMNA. In this case, an administrative action pursuant to 42 U,S,C, § 1396r-5(e)(2)(C) would not work because there were insufficient resources.