Price v. McCarthy
(United States District Court/Southern District of Ohio Western Division)

Eighty-nine year old Betty Hilleger, who suffered from frailty and dementia, exhausted all of her limited savings as a resident of an assisted living center in Ohio. She was found to be eligible for the state’s Medicaid waiver program, but was denied months’ worth of coverage because of the state’s delay in making the decision, putting her at risk for eviction. This case challenges Ohio’s refusal to provide retroactive Medicaid coverage to Ms. Hilleger and others like her.

In September 2015, the Court Granted Summary Judgement for Plaintiffs and Certified the Class. Read the Court Order

In October 2015, Justice in Aging, along with several other advocates for older adults sent a letter to CMS requesting the elimination of the coverage gap for Home and Community-Based Services, based on this court ruling. Read the letter.