A group of orthodontist & their patients sued MassHealth for having unduly restrictive medical necessity criteria for approving braces for children & youth under age 21. The case resulted in a settlement changing MassHealth policies. Attached is a copy of a Jan 2016 transmittal letter making changes to the Dental Manual and regulations and the subsequent Aug 2016 settlement agreement. The case was Sam H. v. Patrick when filed & Sam H. v. Baker when settled.
|Transmittal DEN 95 Jan 2016 (Sam H v Baker).pdf||539.46 KB|
|Sam H v Baker Aug 2016 settlement.pdf||630.71 KB|
|Sam H v Patrick Orthodontia Case 2014 First Amended Complaint.pdf||99.7 KB|