Samantha A

Description of action

DRW received multiple calls from families with children who had received extensive cuts to personal care. Hours were reduced based on the presumption that needs were met informally whenever a child lives with a parent. DRW took on the case of Samantha A., a teenager with Down syndrome, whose mother had appealed a 57% reduction of her personal care service hours.

The Department of Social and Health Service's (DSHS) rules that were struck by the court reduced hours for Medicaid Personal Care (MPC), which supports self-care, behavioral intervention and other individualized needs of kids with disabilities. 

Summary of work: 

Milestone: May 2011

The Washington State Supreme Court upheld a Superior Court ruling last Thursday, stating automatically-generated cuts to children's personal care, based on presumed informal supports, were a violation of Medicaid law.

Issues: