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Administrative – Medicaid – New Reimbursement Program – Subject Matter Jurisdiction – Failure to Exhaust Administrative Remedies (access required)

Holding: The state has conceded that the defendant North Carolina Department of Health and Human Services has not given the plaintiff-medical practices adequate notice of DHHS’s denial of plaintiffs’ Medicaid reimbursement claims; nevertheless, plaintiffs have neither exhausted their administrative remedies ...

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Administrative – Social Security – Disability Benefits – Claim Denial – Concentration, Persistence or Pace (access required)

Sizemore v. Berryhill (Lawyers Weekly No. 001-219-17, 22 pp.) (Paul Niemeyer, J.) 16-1301; amended Dec. 1, 2017; USDC at Statesville, N.C. (Max Cogburn Jr., J.) 4th Cir. Holding: Contrary to plaintiff’s argument, the administrative law judge recognized plaintiff’s overall moderate difficulties with concentration, ...

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