Bellin v. Zucker, No. 20-1463 (2d Cir. 2021)
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Bellin brought a putative class action under 42 U.S.C. 1983, alleging that managed long-term care plans (MLTCs) that contract with New York State violate Medicaid beneficiaries’ due process rights by denying them the right to appeal an MLTC’s initial determination of the personal care services hours the MLTC will provide the beneficiary if they choose to enroll with the MLTC. Bellin also alleged that beneficiaries are entitled to this appeal right, and to notice of the right, under federal statutory and constitutional law. Bellin brought her claims against ElderServe, an MLTC that she alleges denied her these rights, and Zucker, in his official capacity as Commissioner of the New York State Department of Health, for his alleged failure to enforce these asserted rights.
The Second Circuit affirmed the dismissal of Bellin’s federal law claims on the grounds that the relevant federal statutes do not provide Medicaid beneficiaries a right to appeal initial personal care services hours determinations. The court vacated the dismissal of Bellin’s Fourteenth Amendment due process claims; Bellin plausibly alleged a constitutionally protected property interest in the determination of her personal care services hours.
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