Samantha A. v. Dep’t of Soc. & Health Servs.

Samantha A. is a 15-year-old with a wide range of medical maladies. Samantha is unable to perform a many activities necessary for independent living. The Department of Social and Health Services (DSHS) determined that Samantha is eligible for 24-hour institutional care because of the extreme nature of her needs. Because Samantha is cared for by a single mother, Samantha qualified for the Medicaid Home and Community Based Waiver Program so that she can receive benefits at home and not be institutionalized. As part of the in-home benefits, Samantha receives Medicaid Personal Care (MPC). DSHS assessed Samantha as needing 90 hours of MPC per month. In 2005, DSHS adopted changes to its assessment formula pertaining to MPC. Under the new rules, Samantha's MPC hours were reduced. Samantha petitioned the Superior Court for review of the DSHS reassessment. The court invalidated some of the DSHS rule changes. DSHS appealed to the Supreme Court, arguing that the rule changes were valid. The Supreme Court agreed with the lower court, finding the rule changes invalid under the Medicaid laws. The Court affirmed the superior court's decision.