Representing Clients in Medicaid Service Appeals In North Carolina - Nuts and Bolts
This CLE will provide a short introduction to Medicaid transformation in North Carolina and the transition to Medicaid managed care, followed by an in-depth discussion of Medicaid Service Appeals, including: issues on appeal, the appeal process, and differences between managed care and non-managed care appeals. The training will be beneficial for legal services attorneys, volunteer attorneys involved in Legal Aid’s pro bono program, and attorneys in private practice who represent clients in Medicaid or disability claims.
Douglas Sea is a Senior Attorney with the Charlotte Center for Legal Advocacy in Charlotte. For almost forty years, Mr. Sea's main area of practice has been in public benefits and health law. He has been lead counsel in numerous class action suits against state and federal agencies administering public benefits programs. He is a past recipient of many awards, including the N.C. Justice Center’s Defenders of Justice Award for Litigation and the N.C. Advocates for Justice Disability Advocacy Section Lifetime Service Award. He has written several articles for publication and is a frequent lecturer before professional groups on topics pertaining to public benefits, health law, and litigation against administrative agencies. Mr. Sea received his B.A. and J.D. degrees, with honors, from the University of North Carolina at Chapel Hill.
Madlyn Morreale, JD, MPH, will provide a brief introduction to the training. She is Managing Attorney of Legal Aid of North Carolina's statewide Medical-Legal Partnership (MLP) Program. Legal advocates involved in this Program work collaboratively with health professionals in clinics and hospitals to improve patient and community health by addressing the root causes and non-medical social drivers of poverty and poor health. Prior to joining the staff of Legal Aid of North Carolina in 2008, Ms. Morreale co-founded the Center for Adolescent Health & the Law, served on the faculty at the Johns Hopkins University School of Public Health, was Professional Staff for the Select Committee on Children, Youth, and Families in the U.S. House of Representatives, and was a consultant to several national nonprofit organizations.