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Case No. 18-0464

Robert F. Colwell, Jr.
v.
Iowa Department of Human Services

The Department of Human Services (DHS) appeals from a district court ruling on judicial review reversing the DHS’s decision to deny petitioner a hearing to contest the rejection by Delta Dental, one of DHS’s managed care organizations, of his claims for payment for dental services he provided to Medicaid patients. The DHS contends the district court erred by failing to find: (1) Iowa Code section 249A.4(11)’s mandate to provide state fair hearings relates only to Medicaid members and not providers; (2) Medicaid providers are not authorized to bill Medicaid members for services not paid by DHS’s managed care organization; (3) DHS need not provide administrative hearings to providers like petitioner under the applicable administrative rules; and (4) petitioner is not entitled to attorney fees under Iowa Code section 625.29.

County:
Polk
Trial Court Case No.:
CVCV053547

Appellee

Robert F. Colwell, Jr.

Appellant

Iowa Department of Human Services

Attorneys for Appellee

Rebecca A. Brommel

Attorneys for Appellant

Gretchen Kraemer, J. Bradley Horn

Supreme Court

Oral Argument Schedule

15-15-5

Dec 11, 2018 1:30 PM

Briefs

Supreme Court Opinion

Opinion Number:
18-0464
Date Published:
Feb 08, 2019
Date Amended:
Apr 24, 2019

View archived opinions from prior to November 2017

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