{ "muckrock_id": "174592", "agency": "Department of Health and Human Services", "title": "Comprehensive FOIA Request for Connecticut Medicaid Acquired Brain Injury Waiver Program Records", "first_date": "2024-10-17", "last_date": "2025-01-07", "sourceSearchUrl": "https://www.muckrock.com/foi/list/?q=174592", "route": "/foia/174592-department-of-health-and-human-services/", "messages": [ { "when": "2024-10-17 10:31:35", "file": "2024-10-17T10_31_35.845992 Communication.txt", "text": "To Whom It May Concern:\n\nPursuant to the Freedom of Information Act, I hereby request the following records:\n\nFreedom of Information Officers\nSubject: Comprehensive FOIA Request for Connecticut Medicaid Acquired Brain Injury Waiver Program Records\n\nDear Freedom of Information Officers,\n\nI am writing to formally request access to all records under the Freedom of Information Act (FOIA) (5 U.S.C. 552) and relevant Connecticut state laws, specifically related to the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program. This information is critical to my participation in the oversight and administration of this program.\n\nIn accordance with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) and the Americans with Disabilities Act (ADA) (42 U.S.C. 12101 et seq.), I am requesting accommodations due to my condition. I respectfully request that all records be provided electronically via email, as opposed to portals or complex delivery methods, to ensure full and equal access to the information.\n\nScope of Request:\nLegislative Records:\n\nAll bills, amendments, resolutions, legislative proposals, and legislative history related to the Connecticut Medicaid ABI Waiver Program.\nVoting records of all state and federal legislators on any legislation affecting the Medicaid ABI Waiver Program.\nMinutes, transcripts, and audio/video recordings of meetings, hearings, or discussions where the Medicaid ABI Waiver Program was a topic.\nPublic Records:\n\nComprehensive reports, studies, assessments, and evaluations on the Connecticut Medicaid ABI Waiver Program.\nBudget allocations, financial statements, expenditure reports, and audit results related to the program, pursuant to Connecticut Budget Transparency Laws (C.G.S. 4-66 and related sections).\nAll contracts, agreements, memoranda of understanding, and intergovernmental agreements involving the administration or management of the Medicaid ABI Waiver Program.\nCorrespondence:\n\nAll emails, letters, and other forms of communication, including internal and external, regarding the Medicaid ABI Waiver Program.\nInternal memoranda, briefing documents, policy directives, and decision-making correspondence related to the oversight and implementation of the program.\nPersonnel Records:\n\nNon-confidential employment records, including job descriptions, resumes, and performance evaluations, of individuals involved in the administration and oversight of the Medicaid ABI Waiver Program. This request is consistent with the Privacy Act of 1974 (5 U.S.C. 552a), which protects confidential personal data.\nOrganizational charts detailing the structure and personnel responsible for managing the Medicaid ABI Waiver Program within relevant state and federal agencies.\nProgram Information:\n\nAll guidelines, protocols, procedural documents, and compliance reviews governing the operation of the Medicaid ABI Waiver Program, as mandated by Centers for Medicare & Medicaid Services (CMS) Regulations (42 CFR 440.180) for home and community-based services waiver programs.\nImplementation plans, performance metrics, outcome reports, and evaluation summaries regarding the effectiveness of the program.\nComprehensive data sets related to enrollment, utilization, demographic information, and outcomes of beneficiaries participating in the Medicaid ABI Waiver Program.\nSpecial Requests:\nExpedited Processing: Pursuant to Executive Order 13392, which mandates the improvement of agency disclosure processes, and the Freedom of Information Act (5 U.S.C. 552), I request expedited processing of this FOIA request due to the public interest and personal impact of the information.\n\nElectronic Records: In compliance with my rights under Section 504 of the Rehabilitation Act and the ADA, I request that all records be provided in electronic format and sent directly to my email address. This will ensure that I can access the information without unnecessary barriers or delays.\n\nFee Waiver Request:\nI request a waiver of all fees associated with this FOIA request under 5 U.S.C. 552(a)(4)(A)(iii). This request is made in the public interest and not for commercial use. The disclosure of the requested information will significantly contribute to public understanding of government operations, particularly concerning the Connecticut Medicaid ABI Waiver Program, which impacts a vulnerable population. Additionally, due to my condition, as covered by Section 504 of the Rehabilitation Act, a fee waiver will ensure equitable access to this important information.\n\nRelevant Laws:\nThis FOIA request, and the accommodations I am requesting, are governed by the following laws and regulations:\n\nFreedom of Information Act (5 U.S.C. 552) Governing the right to request access to federal records.\nAmericans with Disabilities Act (ADA) (42 U.S.C. 12101 et seq.) Ensuring equal access for individuals with disabilities, including in communication.\nSection 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) Prohibiting discrimination based on disability in programs receiving federal funding.\nPrivacy Act of 1974 (5 U.S.C. 552a) Protecting personal privacy in records maintained by federal agencies.\nMedicaid Statute (Title XIX of the Social Security Act) (42 U.S.C. 1396 et seq.) Governing Medicaid programs, including waivers like the ABI Waiver.\nConnecticut Freedom of Information Act (C.G.S. 1-200 to 1-242) Governing the right to request access to state records.\nConnecticut Budget Transparency Laws (C.G.S. 4-66) Requiring public disclosure of state budget allocations and financial reports.\nCMS Regulations (42 CFR 440.180) Governing the administration of home and community-based services waiver programs, including the ABI Waiver.\nExecutive Order 13392 (\"Improving Agency Disclosure of Information\") Mandating federal agencies to improve FOIA processing.\nNon-Waiver of Rights:\nThis request does not waive any rights I may have under FOIA, the ADA, the Rehabilitation Act, or any other applicable law, and I reserve all rights regarding this matter.\n\nThank you for your prompt attention to this request and for accommodating my needs.\n\nSincerely,\nDavid Medeiros\nABI Resources\n\nDepartments of Submission:\nState of Connecticut Agencies:\nConnecticut Department of Social Services (DSS)\nEmail: foia.dss@ct.gov\nDepartment: Department of Social Services\n\nConnecticut Office of the Attorney General\nEmail: attorney.general@ct.gov\nDepartment: Office of the Attorney General\n\nConnecticut General Assembly (CGA)\nEmail: foia@cga.ct.gov\nDepartment: Connecticut General Assembly\n\nConnecticut Office of Policy and Management (OPM)\nEmail: opm.foia@ct.gov\nDepartment: Office of Policy and Management\n\nConnecticut Department of Public Health (DPH)\nEmail: dph.foi@ct.gov\nDepartment: Department of Public Health\n\nFederal Agencies:\nU.S. Department of Health and Human Services (HHS)\nEmail: HHS_FOIA@hhs.gov\nDepartment: U.S. Department of Health and Human Services\n\nCenters for Medicare & Medicaid Services (CMS)\nEmail: FOIA_Request@cms.hhs.gov\nDepartment: Centers for Medicare & Medicaid Services\n\nU.S. Department of Justice (DOJ)\nEmail: foia.requests@usdoj.gov\nDepartment: U.S. Department of Justice\n\nU.S. Department of Housing and Urban Development (HUD)\nEmail: foiarequests@hud.gov\nDepartment: U.S. Department of Housing and Urban Development\n\nU.S. Department of Labor (DOL)\nEmail: foiarequests@dol.gov\nDepartment: U.S. Department of Labor\n\nFederal Trade Commission (FTC)\nEmail: FOIA@ftc.gov\nDepartment: Federal Trade Commission\n\nThe requested documents will be made available to the general public, and this request is not being made for commercial purposes.\n\nIn the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.\n\nThank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 20 business days, as the statute requires.\n\nSincerely,\n\nDAVID MEDEIROS" }, { "when": "2024-10-20 22:47:50", "file": "2024-10-20T22_47_50 Communication.txt", "text": "Dear DAVID MEDEIROS, \n\nYour profile has been created in theHHS FOIA Submission Site and an email has been sent to the email address provided with a link to create your password to access your profile. Go tohttps://requests.publiclink.hhs.gov once you have created your password. \nUser Name: 174592-18623438@requests.muckrock.com \n\nIf you have any previously submitted requests to U.S. Department of Health & Human Services you will be able to view them when you login.\nRegards, \nU.S. Department of Health & Human Services" }, { "when": "2024-10-20 22:47:52", "file": "2024-10-20T22_47_52 Communication.txt", "text": "Dear DAVID MEDEIROS, \nTo create a password to access your HHS FOIA Submission Site profile. Follow the link below. \nhttps://requests.publiclink.hhs.gov/App/SetPassword.aspx?aun=WHztIBdCi9l1ne4sFsmIOpDi4P8XRdWAHnv3SVrYFFY= \nOnce your password is created you will be directed back to the Sign In page, or you can click this link to return to theHHS FOIA Submission Sitehttps://requests.publiclink.hhs.gov.\nRegards, \nU.S. Department of Health & Human Services" }, { "when": "2024-10-20 22:56:53", "file": "2024-10-20T22_56_53.218415 Communication.txt", "text": "Dear DAVID MEDEIROS, \nThe status of your FOIA request #2025-00410-FOIA-PHS has been updated to the following status 'Received'. To log into the HHS FOIA Submission Site click on the Application URL below. \n\nhttps://requests.publiclink.hhs.gov \n\nSincerely, \nU.S. Department of Health & Human Services\n" }, { "when": "2024-10-20 22:56:53", "file": "2024-10-20T22_56_53.487994 Communication.txt", "text": "Dear DAVID MEDEIROS, \n\nRequest #2025-00410-FOIA-PHS has been assigned to the request you submitted. In all future correspondence regarding this request please reference request #2025-00410-FOIA-PHS.\nRegards, \nU.S. Department of Health & Human Services" }, { "when": "2024-11-01 06:30:07", "file": "2024-11-01T06_30_07.952897 Communication.txt", "text": "\nSubject: FOIA Appeal Comprehensive Records Request for Medicaid ABI Waiver Program\nFOIA Request Number: 2025-00410-FOIA-PHS\n\nTo the FOIA Appeals Officer,\n\nI am submitting this appeal concerning my FOIA request (#2025-00410-FOIA-PHS) for comprehensive records related to the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program. I am seeking clarification and prompt resolution regarding the recent delays and scope of my request, as these records are essential for public oversight and effective Medicaid program administration.\n\nBasis for Appeal\nThe initial acknowledgment from the Department of Health and Human Services (HHS) confirmed receipt of my request. However, no substantive updates or record retrieval details have been provided, warranting this appeal to ensure that my requests full scope is addressed and all responsive records are considered.\n\nScope and Breadth of the Request:\nMy original request included legislative records, public records, correspondence, personnel records, and program-specific documentation related to the ABI Waiver Program. I request confirmation that all relevant records, particularly those within the Centers for Medicare & Medicaid Services (CMS) and interagency communications, are retained in the scope of the search.\n\nRequest for Expedited Processing:\nDue to the urgent need for access to these records to support Medicaid oversight and program transparency, I renew my request for expedited processing under 5 U.S.C. 552(a)(6)(E). The importance of these records to the public health oversight of vulnerable populations necessitates a prompt response.\n\nFee Waiver and ADA Accommodation Requests:\nI renew my request for a fee waiver under 5 U.S.C. 552(a)(4)(A)(iii), as this request is made in the public interest, aiming to enhance transparency in Medicaid operations, and is not intended for commercial gain. Additionally, I request that the following ADA accommodations are applied:\n\nEmail-Only Communication: Please ensure all correspondence, including responses and clarifications, is sent exclusively via email to AabiWR@live.com, as phone communication and portals are inaccessible to me.\nComplete Response in Email Body: Include the full text of the response in the body of the email rather than solely in attachments, which pose accessibility challenges.\nClear Identification of FOIA Representatives: Kindly provide the complete names, titles, and direct contact information of any FOIA officers handling my request.\nAvoidance of Portals or External Links: Responses should avoid using portals or links, ensuring all information is directly accessible within the email.\nConfirmation of Interagency Coordination:\nGiven CMSs involvement and the potential for other HHS components to hold relevant records, I request confirmation that the full scope of my request has been forwarded to all applicable HHS divisions and that comprehensive interagency coordination will be managed to address the entirety of the information sought.\n\nRelief Sought\nI respectfully request that HHS conduct a complete and thorough review of all relevant records within its jurisdiction, including CMS or any other departments with oversight of the ABI Waiver Program. If further clarification is required to facilitate this search, I am available immediately via email at AabiWR@live.com.\n\nThank you for your attention to this matter, and I look forward to a full response within the statutory timeframe.\n\nSincerely,\nDavid Medeiros\nFounder & Owner, ABI Resources\n39 Kings HWY STE C\nGales Ferry, Connecticut, 06335\nAabiWR@live.com" }, { "when": "2024-11-04 13:25:12", "file": "2024-11-04T13_25_12.782972 Communication.txt", "text": "Dear DAVID MEDEIROS, \nThe status of your FOIA request #2025-00410-FOIA-PHS has been updated to the following status 'In Process'. To log into the HHS FOIA Submission Site click on the Application URL below. \n\nhttps://requests.publiclink.hhs.gov \n\nSincerely, \nU.S. Department of Health & Human Services\n" }, { "when": "2024-11-04 13:28:14", "file": "2024-11-04T13_28_14.395757 Communication.txt", "text": "Dear Mr. Medeiros, \nAttached is the final response to FOIA request 2025-00410-FOIA-PHS.If you have any questions regarding your FOIA, please e-mail our office. Sincerely, \n\nNatasha Taylor \nPHS FOIA Intake Team \nPHS FOIA Office Email: FOIARequest@psc.hhs.gov" }, { "when": "2024-11-18 14:30:13", "file": "2024-11-18T14_30_13.297410 Communication.txt", "text": "Dear DAVID MEDEIROS, \n\nYour request has been received by the U.S. Department of Health & Human Services. The request has been assigned tracking # 2025-00027-A-OS, please log into your account and review your submission. \n\nThe application address is https://requests.publiclink.hhs.gov. \n\nThank you, \nU.S. Department of Health & Human Services\n" }, { "when": "2024-11-18 14:58:14", "file": "2024-11-18T14_58_14.751361 Communication.txt", "text": "David Medeiros\nABI Resources, LLC\n39 Kings Highway, Suite C\nGales Ferry, CT 06335\nDate: November 18, 2024\n\nSubject: FOIA Appeal ADA and Rehabilitation Act Violations, Taxpayer Accountability, and Non-Compliance with FOIA Request (#2025-00410-FOIA-PHS)\n\nTo:\nWilliam Holzerland\nDeputy Agency Chief FOIA Officer\nOffice of the Assistant Secretary for Public Affairs (ASPA)\nU.S. Department of Health and Human Services\nEmail: HHS.ACFO@hhs.gov\n\nCC:\nHHS FOIA/PA Public Liaison\nEmail: HHS_FOIA_Public_Liaison@hhs.gov\n\nIntroduction and Basis for Appeal\nThis appeal formally challenges the mishandling of FOIA request #2025-00410-FOIA-PHS, including violations of the Freedom of Information Act (5 U.S.C. 552) and federally mandated accommodations under the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act. Specifically, this appeal addresses:\n\nFailure to Honor Legally Required ADA Accommodations: The agency has disregarded explicit accommodations required under federal law, which undermines equitable access to public records.\nNon-Compliance with Transparency Standards: No names, titles, or roles of responsible FOIA personnel have been provided, raising serious concerns about accountability and adherence to taxpayer-funded obligations.\nCritical Need for Public Oversight of Taxpayer Funds: The requested records relate to Medicaid programs funded by taxpayer dollars, emphasizing the publics right to transparency and accountability.\nThe agencys actions represent not only procedural violations but also systemic failures in upholding public trust, disability rights, and government accountability.\n\nFailure to Adhere to ADA and Rehabilitation Act Accommodations\nNon-Compliance with Required ADA Accommodations\nIn my original FOIA request, I invoked my rights under Section 504 of the Rehabilitation Act (29 U.S.C. 794) and Title II of the ADA (42 U.S.C. 12131 et seq.) due to a documented traumatic brain injury (TBI). These accommodations are non-negotiable and legally required to ensure accessible participation in the FOIA process. The agencys disregard for these accommodations constitutes a grave violation of my federally protected accessibility rights.\n\nRequested ADA Accommodations (Non-Negotiable)\nEmail-Only Communication via MuckRock Platform:\nAll responses, updates, and records must be sent exclusively through the MuckRock platform. No physical mail, phone calls, or external portals may be used, as these methods impose barriers to accessibility.\n\nDirect Text in Email Body:\nWhere possible, response text must be embedded directly in the email body to ensure immediate readability and accessibility. Attachments alone are insufficient and must supplementnot replacethe response text.\n\nPDF Attachments for Documents:\nAll documents must be provided as clearly labeled PDF attachments, organized by date and document type, retaining original formatting to ensure clarity and navigability.\n\nSimplified Summaries for Complex Records:\nFor documents containing complex legal, financial, or procedural content, simplified summaries must accompany the records to facilitate comprehension in compliance with 28 C.F.R. 35.160.\n\nIdentification of Responsible Personnel:\nEach response must include the full names, titles, and contact information of FOIA officers, decision-makers, and supervisors involved in processing my request to ensure accountability and transparency.\n\nDetailed Justifications for Redactions and Denials:\nAny redacted or withheld information must include detailed explanations, citing specific statutory exemptions as outlined under 5 U.S.C. 552(b), with sufficient detail to verify each exemptions applicability.\n\nExpedited Processing:\nThis request qualifies for expedited processing due to its significant public interest, ADA compliance requirements, and implications for taxpayer-funded Medicaid oversight under 5 U.S.C. 552(a)(6)(E) and Executive Order 13392.\n\nConfirmation of Accommodation Compliance:\nUpon receipt of this appeal, the agency must confirm that each ADA accommodation will be strictly adhered to in all future responses and communications.\n\nFailure to meet these accommodations directly violates both the ADA and the Rehabilitation Act, and I am formally documenting this non-compliance for the Office for Civil Rights (OCR). Continued disregard will result in legal action to enforce compliance.\n\nTransparency and Accountability Concerns\nFailure to Identify Responsible FOIA Personnel\nThe agency has failed to provide the names, titles, or roles of any FOIA officers, decision-makers, or supervisors involved in the processing of my request. This lack of transparency raises serious accountability concerns, particularly when dealing with public funds.\n\nLegal Basis for Concern:\n\nFOIA Transparency Requirements: FOIA mandates that agencies identify the personnel responsible for handling requests to ensure transparency and public trust.\nADA and Constitutional Due Process: The absence of named personnel obstructs accountability and impedes my ability to pursue remedies under FOIA and ADA frameworks.\nCritical Nature of Records: Taxpayer Money and Medicaid Accountability\nThe requested records pertain to the Connecticut Medicaid Acquired Brain Injury Waiver Program, which is funded by taxpayers. Transparency in the use and management of these funds is essential to ensure:\n\nProgram Integrity: That taxpayer dollars are used efficiently and in compliance with federal and state laws.\nCivil Rights Protections: That Medicaid programs comply with ADA and Rehabilitation Act standards, ensuring equitable access for vulnerable populations.\nBy failing to provide these records, the agency is obstructing public oversight of a taxpayer-funded program and undermining accountability in critical government operations.\n\nRelief Sought\nComprehensive Records Review:\nConduct a full review across all relevant HHS divisions and ensure interagency coordination with CMS, DSS, HUD, and DOJ to locate all responsive records. Provide a timeline for compliance and a detailed explanation for any exclusions or redactions.\n\nEnforce ADA Accommodations:\n\nConfirm compliance with my MuckRock platform-only communication request.\nEnsure all records are provided in screen-reader-compatible PDF formats, with simplified summaries for complex documents.\nIdentification of FOIA Officers:\nProvide the full names, titles, and contact information of all personnel managing or supervising this FOIA request to ensure accountability.\n\nExpedited Processing and Fee Waiver:\nGrant expedited processing under 5 U.S.C. 552(a)(6)(E) and waive all fees under 5 U.S.C. 552(a)(4)(A)(iii), as this request is non-commercial and serves the public interest in Medicaid program transparency and taxpayer accountability.\n\nLegal Basis for Appeal\nThis appeal is grounded in the following legal standards:\n\nFreedom of Information Act (5 U.S.C. 552): Governs public access to records and mandates agency transparency and accountability.\nAmericans with Disabilities Act (42 U.S.C. 12132): Requires reasonable accommodations to ensure effective communication with individuals with disabilities.\nSection 504 of the Rehabilitation Act (29 U.S.C. 794): Prohibits disability-based discrimination in federally funded programs, including FOIA processes.\nDue Process Clause of the Fifth Amendment: Protects against arbitrary or capricious government actions that impede access to public records.\nConclusion and Deadline for Compliance\nPlease confirm receipt of this appeal and provide a timeline for compliance within ten (10) business days. Continued violations of FOIA and ADA requirements will result in escalation, including:\n\nFiling complaints with the Office for Civil Rights (OCR) and the Office of Government Information Services (OGIS).\nPursuing legal remedies under FOIA, ADA, and constitutional due process protections.\nTransparency, accountability, and equitable access are non-negotiable principles that must be upheld in the processing of this FOIA request.\n\nSincerely,\nDavid Medeiros\nABI Resources" }, { "when": "2024-11-19 09:47:37", "file": "2024-11-19T09_47_37.570544 Communication.txt", "text": "From:\nDavid Medeiros\nFounder, ABI Resources, LLC\n39 Kings Hwy, Suite C\nGales Ferry, CT 06335\n\nDate: November 18, 2024\n\nTo:\nWilliam Holzerland\nDeputy Agency Chief FOIA Officer\nOffice of the Assistant Secretary for Public Affairs (ASPA)\nU.S. Department of Health and Human Services (HHS)\nEmail: HHS.ACFO@hhs.gov\n\nCC:\nHHS FOIA/PA Public Liaison\nEmail: HHS_FOIA_Public_Liaison@hhs.gov\n\nSubject: FOIA Appeal Comprehensive Records Request for Medicaid ABI Waiver Program (#2025-00410-FOIA-PHS)\nIntroduction and Basis for Appeal\nThis appeal formally challenges the mishandling of my FOIA request (#2025-00410-FOIA-PHS) regarding comprehensive records for the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program. It addresses:\n\nNon-Compliance with FOIA Statutory Obligations:\n\nFailure to provide complete, responsive records within statutory timelines.\nImproper referral without substantive search or justification.\nViolations of Disability Accommodations under ADA and Rehabilitation Act:\n\nIgnoring legally mandated accommodations, obstructing access to requested information.\nLack of Transparency and Accountability:\n\nOmission of responsible personnels names, roles, and direct contact information.\nFailure to clarify the scope of the search or confirm interagency coordination.\nLegal Violations\n1. FOIA Compliance Violations\nUnder 5 U.S.C. 552, agencies are required to:\n\nRespond within 20 business days with substantive updates or provide lawful justifications for delays or exemptions.\nConduct a reasonable search for all responsive records and clarify referrals to other agencies.\nProvide detailed statutory exemptions for redactions or withheld information.\n2. ADA and Rehabilitation Act Non-Compliance\nPursuant to Section 504 of the Rehabilitation Act (29 U.S.C. 794) and Title II of the ADA (42 U.S.C. 12132):\n\nPublic entities must ensure effective communication with individuals with disabilities, including providing accessible formats.\nDenying reasonable accommodations, such as email-only communication and screen-reader-compatible PDFs, violates my federally protected rights.\n3. Constitutional Due Process Violations\nUnder the Fifth and Fourteenth Amendments, public agencies are obligated to:\n\nAvoid arbitrary or capricious actions that impede equitable access to public records.\nUphold transparency in taxpayer-funded programs critical to public oversight.\nScope of the Appeal\nThis appeal reiterates the original requests scope and seeks the following records from January 1, 2020, to present:\n\n1. Legislative Records\nAll bills, amendments, resolutions, and legislative proposals affecting the ABI Waiver Program.\nMeeting minutes, transcripts, and recordings from legislative bodies where the program was discussed.\n2. Public Records\nBudget allocations, expenditure reports, audits, and financial statements related to the ABI Waiver Program.\nReports, evaluations, and studies assessing program outcomes and compliance with federal Medicaid requirements.\n3. Correspondence\nAll internal and external communications, emails, memos, and policy directives about the program.\n4. Personnel Records\nNon-confidential employment records, organizational charts, and job descriptions for staff administering the program.\n5. Program Documentation\nGuidelines, procedural documents, compliance reviews, and performance metrics related to the ABI Waiver Program.\nAppeal Demands\n1. Immediate Compliance with FOIA Obligations\nConduct a full and complete search for responsive records across all relevant HHS divisions, including CMS.\nProvide a detailed explanation for any referred, redacted, or withheld records, citing specific statutory exemptions.\n2. Full ADA Accommodation Compliance\nAll future responses must strictly adhere to the following:\n\nEmail-Only Communication via MuckRock Platform: Responses must be delivered exclusively through email. Portals and physical mail are inaccessible and non-compliant.\nScreen-Reader-Compatible PDFs: Documents must be formatted for accessibility and clearly labeled by date and subject.\nSimplified Summaries for Complex Records: Summaries must accompany complex or technical documents to facilitate comprehension.\nIdentification of FOIA Officers: Provide full names, titles, and direct contact information for all personnel managing this request.\n3. Confirmation of Interagency Coordination\nConfirm that this request has been forwarded to CMS and any other relevant HHS components.\nProvide timelines and tracking numbers for all interagency responses.\n4. Expedited Processing and Fee Waiver\nReaffirm the need for expedited processing under 5 U.S.C. 552(a)(6)(E) due to significant public interest and the requests relevance to Medicaid program transparency.\nReinforce the public interest basis for the fee waiver under 5 U.S.C. 552(a)(4)(A)(iii).\n\nConsequences for Continued Non-Compliance\nFailure to address this appeal will result in:\n\nFormal Complaints to Oversight Bodies:\n\nFiling with the Office for Civil Rights (OCR) for ADA and Rehabilitation Act violations.\nSubmitting a case to the Office of Government Information Services (OGIS) for FOIA mediation.\nJudicial Remedies:\n\nPursuing litigation to enforce compliance under FOIA, ADA, and constitutional law.\nPublic Accountability:\n\nReporting non-compliance to public and media channels to ensure taxpayer accountability for Medicaid program administration.\nRelief Sought\nComprehensive Review of All Records:\n\nA full and thorough search across HHS and CMS to ensure no responsive records are omitted.\nADA-Compliant Delivery:\n\nGuarantee accessible formats and adherence to all accommodation requests in future responses.\nAccountability and Transparency:\n\nProvide names, roles, and contact information for all FOIA officers and supervisors responsible for processing this request.\nTimely Updates:\n\nDeliver substantive updates on the status of all searches, referrals, and anticipated completion timelines.\nConclusion\nThis appeal reflects the legal, constitutional, and ethical obligation of HHS to comply with FOIA and ADA requirements. Failure to address this appeal promptly and fully will result in escalation to administrative, legal, and public accountability channels.\n\nPlease confirm receipt of this appeal and provide a detailed response within 10 business days, per statutory requirements.\n\nSincerely,\nDavid Medeiros\nFounder, ABI Resources, LLC" }, { "when": "2024-12-05 13:02:53", "file": "2024-12-05T13_02_53.117330 Communication.txt", "text": "Dear DAVID MEDEIROS, \n\nYour request number was changed from 2025-00027-A-OS to 2025-00027-A-PHS, by the agency. Please note the new case number to quote in your future correspondence about the request.\nRegards, \nU.S. Department of Health & Human Services" }, { "when": "2024-12-05 16:29:04", "file": "2024-12-05T16_29_04.276085 Communication.txt", "text": "Appeal Immediate Compliance Required with ADA Accommodations and FOIA Obligations\n\nDear FOIA Officer\nI am writing to formally reiterate my request for specific ADA accommodations and compliance with FOIA obligations, which are essential for my full participation in this process. These accommodations were explicitly requested to address accessibility needs stemming from my traumatic brain injury and to ensure compliance with federal law. To date, your office has failed to meet these requirements, resulting in undue barriers and systemic non-compliance.\n\nAccommodations Previously Requested\nThe following accommodations, explicitly outlined in prior communications, remain unfulfilled:\n\nExclusive Use of MuckRock Platform\n\nRequested: All communications must be routed exclusively through the MuckRock platform. No external portals, password-protected links, or alternate communication methods are acceptable.\nNon-Compliance: Communications have directed me to use external portals and password-protected links, violating ADA guidelines and my explicit requests.\nAccessible Document Formatting\n\nRequested: All documents must be provided as screen-reader compatible PDFs, properly labeled and indexed for ease of navigation and accessibility.\nNon-Compliance: Provided documents have not adhered to accessibility standards, preventing effective access to critical information.\nSimplified Summaries for Complex Records\n\nRequested: Simplified summaries must accompany all complex or technical records to enhance comprehension and ensure equitable participation.\nNon-Compliance: No summaries have been provided, creating unnecessary barriers to understanding the records.\nIdentification of Responsible Personnel\n\nRequested: Each communication must include the name, title, and role of the individual responsible for processing or responding to my requests.\nNon-Compliance: Correspondence has consistently lacked this information, hindering accountability and effective follow-up.\n\nImmediate Action Required\nTo rectify these ongoing failures and ensure compliance with federal laws, I demand the following actions be taken without delay:\n\nTransition All Communications to MuckRock\n\nImmediately cease the use of external portals or non-compliant communication methods and ensure all responses are routed exclusively through the MuckRock platform.\nProvide Accessible Documents\n\nReformat and resend all previously provided documents as screen-reader compatible PDFs, properly labeled and indexed to ensure accessibility.\nInclude Simplified Summaries\n\nProvide simplified summaries for all complex or technical records, both previously shared and in future communications, to ensure accessibility and equitable participation.\nIdentify Responsible Personnel\n\nInclude the name, title, and role of the individual responsible for every communication moving forward to ensure transparency and accountability.\nLegal Basis for Compliance\nYour office is legally obligated to comply with these accommodations under the following statutes and principles:\n\nAmericans with Disabilities Act (ADA): Title II, 42 U.S.C. 12132, and Section 504 of the Rehabilitation Act mandate reasonable accommodations and accessibility in communications for individuals with disabilities.\nFreedom of Information Act (FOIA): 5 U.S.C. 552 requires transparency, accessibility, and adherence to procedural fairness.\nConstitutional Protections: The First, Fifth, and Fourteenth Amendments to the U.S. Constitution safeguard my rights to petition the government, due process, and equal protection under the law.\nExecutive Order 13392: Mandates improved agency disclosure of information to enhance transparency and accountability.\n\nDeadline for Compliance\nYour office must confirm compliance with these accommodations and provide the requested corrective actions within five (5) business days of this notice. Continued non-compliance will be documented as a violation of the ADA and FOIA and may result in escalation, including:\n\nFormal Complaints: Filing with the U.S. Department of Justice and the Office for Civil Rights.\nJudicial Remedies: Seeking injunctive relief and damages for ADA and FOIA violations.\nPublic Advocacy: Reporting systemic failures to oversight agencies, media, and advocacy organizations.\nConclusion\nThis communication serves as a final request for compliance. It is imperative that your office address these deficiencies promptly to restore transparency, accessibility, and adherence to federal law.\n\nThank you for your immediate attention to this matter. I look forward to your response and resolution by the stated deadline.\n\nSincerely,\nDavid Medeiros\nFounder, ABI Resources\nDB.42.131.Inf.\n\nCC\nFederal Officials\nMerrick B. Garland\n\nTitle: U.S. Attorney General\nContact: Department of Justice Contact Page\nKristen Clarke\n\nTitle: Assistant Attorney General, Civil Rights Division\nContact: Civil Rights Division Contact Page\nXavier Becerra\n\nTitle: Secretary, U.S. Department of Health and Human Services (HHS)\nContact: HHS Contact Page\nChiquita Brooks-LaSure\n\nTitle: Administrator, Centers for Medicare & Medicaid Services (CMS)\nContact: CMS Contact Page\nLisa M. Gomez\n\nTitle: Assistant Secretary, Employee Benefits Security Administration\nContact: EBSA Contact Page\nMichael E. Horowitz\n\nTitle: Inspector General, U.S. Department of Justice\nContact: DOJ OIG Contact Page\nChristi Grimm\n\nTitle: Inspector General, U.S. Department of Health and Human Services\nContact: HHS OIG Contact Page\nGene L. Dodaro\n\nTitle: Comptroller General, U.S. Government Accountability Office (GAO)\nContact: GAO Contact Page\nConnecticut State Officials\nNed Lamont\n\nTitle: Governor, State of Connecticut\nContact: Governor's Contact Page\nWilliam Tong\n\nTitle: Attorney General, State of Connecticut\nContact: Attorney General's Contact Page\nAndrea Barton Reeves\n\nTitle: Commissioner, Connecticut Department of Social Services (DSS)\nContact: DSS Contact Page\nManisha Juthani, MD\n\nTitle: Commissioner, Connecticut Department of Public Health\nContact: DPH Contact Page\nJeffrey R. Beckham\n\nTitle: Secretary, Connecticut Office of Policy and Management\nContact: OPM Contact Page\nCongressional Oversight Committees\nHouse Committee on Oversight and Accountability\n\nChair: James Comer (R-KY)\nContact: Committee Contact Page\nSenate Committee on Homeland Security and Governmental Affairs\n\nChair: Gary Peters (D-MI)\nContact: Committee Contact Page\nHouse Subcommittee on Civil Rights and Civil Liberties\n\nChair: Jamie Raskin (D-MD)\nContact: Subcommittee Contact Page\nSenate Judiciary Committee\n\nChair: Dick Durbin (D-IL)\nContact: Committee Contact Page\n\nMerrick Garland\tU.S. Attorney General\tAskDOJ@usdoj.gov\t202-514-2000\nKristen Clarke\tAssistant Attorney General, Civil Rights Division\twebmaster@usdoj.gov\t202-514-4609\nDouglas R. Hibbard\tChief, Initial Request Staff, Office of Information Policy (DOJ)\toip.foia@usdoj.gov\t202-514-3642\nMichael E. Horowitz\tInspector General, DOJ\toig.hotline@usdoj.gov\t202-514-3435\nChiquita Brooks-LaSure\tAdministrator, Centers for Medicare & Medicaid Services (CMS)\tAdministrator@cms.hhs.gov\t202-690-6726\nXavier Becerra\tSecretary, U.S. Department of Health and Human Services (HHS)\tSecretary@HHS.gov\t202-690-7000\nGene L. Dodaro\tComptroller General, U.S. Government Accountability Office (GAO)\tcontact@gao.gov\t202-512-3000\nAlina M. Semo\tDirector, Office of Government Information Services (OGIS)\togis@nara.gov\t202-741-5770\nEric F. Stein\tDirector, Office of Information Programs and Services, Department of State\tfoia@state.gov\t202-261-8484\nWilliam Tong\tAttorney General, State of Connecticut\tattorney.general@ct.gov\t860-808-5318\nAndrea Barton Reeves\tCommissioner, Connecticut Department of Social Services (DSS)\tandrea.barton.reeves@ct.gov\t860-424-5053\nManisha Juthani, MD\tCommissioner, Connecticut Department of Public Health\tmanisha.juthani@ct.gov\t860-509-8000\nJeffrey Beckham\tSecretary, Connecticut Office of Policy and Management\tjeffrey.beckham@ct.gov\t860-418-6200\nJames Comer\tChair, House Oversight Committee\toversight.democrats@mail.house.gov\t202-225-5074\nGary Peters\tChair, Senate Committee on Homeland Security and Governmental Affairs\thsgac@hsgac.senate.gov\t202-224-2627\nJamie Raskin\tChair, House Subcommittee on Civil Rights and Civil Liberties\traskin@mail.house.gov\t202-225-5341\nDick Durbin\tChair, Senate Judiciary Committee\tjudiciary_democrats@judiciary-dem.senate.gov\t202-224-7703\nNed Lamont\tGovernor of Connecticut\tgovernor.lamont@ct.gov\t860-566-4840\nMatthew Ritter\tSpeaker of the House, Connecticut General Assembly\tmatthew.ritter@cga.ct.gov\t860-240-8500\nMartin M. Looney\tPresident Pro Tempore, Connecticut Senate\tlooney@senatedems.ct.gov\t860-240-8600\nFederal Officials\nMerrick Garland\n\nTitle: U.S. Attorney General\nEmail: AskDOJ@usdoj.gov\nPhone: 202-514-2000\nOversight: DOJ operations, FOIA, ADA enforcement, civil rights.\nHierarchy: Reports to the President; oversees Kristen Clarke, Douglas R. Hibbard, and Michael Horowitz.\nKristen Clarke\n\nTitle: Assistant Attorney General, Civil Rights Division\nEmail: webmaster@usdoj.gov\nPhone: 202-514-4609\nOversight: ADA enforcement, civil rights compliance.\nHierarchy: Reports to Merrick Garland.\nDouglas R. Hibbard\n\nTitle: Chief, Initial Request Staff, Office of Information Policy (DOJ)\nEmail: oip.foia@usdoj.gov\nPhone: 202-514-3642\nOversight: FOIA processing and compliance.\nHierarchy: Reports to Merrick Garland.\nMichael E. Horowitz\n\nTitle: Inspector General, DOJ\nEmail: oig.hotline@usdoj.gov\nPhone: 202-514-3435\nOversight: DOJ investigations and audits.\nHierarchy: Reports directly to Congress and the Attorney General.\nChiquita Brooks-LaSure\n\nTitle: Administrator, Centers for Medicare & Medicaid Services (CMS)\nEmail: Administrator@cms.hhs.gov\nPhone: 202-690-6726\nOversight: Medicaid and Medicare program administration.\nHierarchy: Reports to Xavier Becerra.\nXavier Becerra\n\nTitle: Secretary, U.S. Department of Health and Human Services (HHS)\nEmail: Secretary@HHS.gov\nPhone: 202-690-7000\nOversight: All HHS programs, including CMS.\nHierarchy: Reports to the President.\nGene L. Dodaro\n\nTitle: Comptroller General, U.S. Government Accountability Office (GAO)\nEmail: contact@gao.gov\nPhone: 202-512-3000\nOversight: Investigates federal program efficiency and legality.\nHierarchy: Reports directly to Congress.\nAlina M. Semo\n\nTitle: Director, Office of Government Information Services (OGIS)\nEmail: ogis@nara.gov\nPhone: 202-741-5770\nOversight: FOIA dispute resolution.\nHierarchy: Reports to the Archivist of the United States.\nEric F. Stein\n\nTitle: Director, Office of Information Programs and Services, Department of State\nEmail: foia@state.gov\nPhone: 202-261-8484\nOversight: FOIA processing at the State Department.\nHierarchy: Reports to State Department leadership.\nJulie A. Su\n\nTitle: Acting Secretary, U.S. Department of Labor\nEmail: executive.secretariat@dol.gov\nPhone: 202-693-6000\nOversight: Labor policies and ADA workplace compliance.\nHierarchy: Reports to the President.\nLisa M. Gomez\n\nTitle: Assistant Secretary, Employee Benefits Security Administration (EBSA), U.S. Department of Labor\nEmail: executive.secretariat@dol.gov\nPhone: 202-693-8300\nOversight: Employee benefits and ERISA compliance.\nHierarchy: Reports to Julie A. Su.\nChristi Grimm\n\nTitle: Inspector General, U.S. Department of Health and Human Services\nEmail: media@oig.hhs.gov\nPhone: 202-619-0088\nOversight: HHS investigations and audits.\nHierarchy: Reports to Congress and Xavier Becerra.\nValeree Villanueva\n\nTitle: FOIA Public Liaison, Office of Information Policy (DOJ)\nEmail: oip.foia@usdoj.gov\nPhone: 202-514-3642\nOversight: FOIA compliance and inquiries.\nHierarchy: Reports to Douglas R. Hibbard.\nLori Hartmann\n\nTitle: Appeals Officer, Office of Information Programs and Services, Department of State\nEmail: foia@state.gov\nPhone: 202-261-8484\nOversight: FOIA appeals and resolutions.\nHierarchy: Reports to Eric F. Stein.\nConnecticut State Officials\nWilliam Tong\n\nTitle: Attorney General, State of Connecticut\nEmail: attorney.general@ct.gov\nPhone: 860-808-5318\nOversight: State-level FOIA and ADA compliance.\nHierarchy: Reports to the Governor of Connecticut.\nAndrea Barton Reeves\n\nTitle: Commissioner, Connecticut Department of Social Services (DSS)\nEmail: andrea.barton.reeves@ct.gov\nPhone: 860-424-5053\nOversight: Medicaid administration.\nHierarchy: Reports to the Governor of Connecticut. \nConnecticut State Officials \nManisha Juthani, MD\n\nTitle: Commissioner, Connecticut Department of Public Health\nEmail: manisha.juthani@ct.gov\nPhone: 860-509-8000\nOversight: Public health programs, including disability-related health policies.\nHierarchy: Reports to the Governor of Connecticut.\nJeffrey Beckham\n\nTitle: Secretary, Connecticut Office of Policy and Management\nEmail: jeffrey.beckham@ct.gov\nPhone: 860-418-6200\nOversight: State budget and agency coordination.\nHierarchy: Reports to the Governor of Connecticut.\nNed Lamont\n\nTitle: Governor of Connecticut\nEmail: governor.lamont@ct.gov\nPhone: 860-566-4840\nOversight: Executive authority over all state agencies.\nHierarchy: Reports to the citizens of Connecticut.\nMatthew Ritter\n\nTitle: Speaker of the House, Connecticut General Assembly\nEmail: matthew.ritter@cga.ct.gov\nPhone: 860-240-8500\nOversight: State legislative agenda and laws, including Medicaid legislation.\nHierarchy: Reports to the General Assembly and constituents.\nMartin M. Looney\n\nTitle: President Pro Tempore, Connecticut Senate\nEmail: looney@senatedems.ct.gov\nPhone: 860-240-8600\nOversight: State Senate legislative leadership.\nHierarchy: Reports to the Connecticut Senate and constituents.\nDeborah Migneault\n\nTitle: Chair, Connecticut State Legislatures Human Services Committee\nEmail: deborah.migneault@cga.ct.gov\nPhone: 860-240-1370\nOversight: Medicaid and disability-related legislation.\nHierarchy: Reports to the General Assembly.\nAmy Porter\n\nTitle: Commissioner, Connecticut Department of Aging and Disability Services\nEmail: amy.porter@ct.gov\nPhone: 860-424-5055\nOversight: Aging and disability services at the state level.\nHierarchy: Reports to the Governor of Connecticut.\nNora R. Dannehy\n\nTitle: Chief Legal Counsel to the Governor of Connecticut\nEmail: nora.dannehy@ct.gov\nPhone: 860-566-4840\nOversight: Legal advice and compliance for the Governors office.\nHierarchy: Reports directly to the Governor.\nKate McEvoy\n\nTitle: State Medicaid Director, Connecticut Department of Social Services\nEmail: kate.mcevoy@ct.gov\nPhone: 860-424-5053\nOversight: Medicaid program management and waivers.\nHierarchy: Reports to Andrea Barton Reeves.\nAdvocacy and Oversight Officials\nJames Comer\n\nTitle: Chair, House Oversight Committee\nEmail: oversight.democrats@mail.house.gov\nPhone: 202-225-5074\nOversight: Federal agency oversight and investigations.\nHierarchy: Reports to the U.S. House of Representatives.\nGary Peters\n\nTitle: Chair, Senate Committee on Homeland Security and Governmental Affairs\nEmail: hsgac@hsgac.senate.gov\nPhone: 202-224-2627\nOversight: Federal government operations and efficiency.\nHierarchy: Reports to the U.S. Senate.\nJamie Raskin\n\nTitle: Chair, House Subcommittee on Civil Rights and Civil Liberties\nEmail: raskin@mail.house.gov\nPhone: 202-225-5341\nOversight: Civil rights and civil liberties investigations.\nHierarchy: Reports to the U.S. House of Representatives.\nDick Durbin\n\nTitle: Chair, Senate Judiciary Committee\nEmail: judiciary_democrats@judiciary-dem.senate.gov\nPhone: 202-224-7703\nOversight: Federal judiciary and legal compliance.\nHierarchy: Reports to the U.S. Senate.\nCharlotte A. Burrows\n\nTitle: Chair, U.S. Equal Employment Opportunity Commission (EEOC)\nEmail: charlotte.burrows@eeoc.gov\nPhone: 202-921-2945\nOversight: Federal employment civil rights compliance, including ADA workplace requirements.\nHierarchy: Reports to the President." }, { "when": "2024-12-12 15:52:07", "file": "2024-12-12T15_52_07.040376 Communication.txt", "text": "Case No. 2025-00027-A-PHS (Original Appeal No. 2025-00027-A-OS)\n\n\n\nDecember 12, 2024\n\n\n\nDavid Medeiros\n\nMuckRock News, DEPT MR 174592\n\n263 Huntington Avenue\n\nBoston, MA 02115\n\n174592-18623438@requests.muckrock.com\n\n\n\nDear Mr. Medeiros:\n\n\n\nOn October 20, 2024, you submitted a Freedom of Information Act (FOIA) request to the Department of Health and Human Services, Office of the Secretary (OS). Your request sought records related to \"the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program.\" The OS FOIA Office assigned your request tracking number 2025-00410-FOIA-PHS.\n\n\n\nOn November 1, 2024, you submitted an appeal concerning your October 20, 2024, FOIA request. Your appeal stated that you were seeking \"clarification and prompt resolution regarding the recent delays and scope of [your] request.\" Your appeal further stated that \"no substantive updates or record retrieval details [had] been provided, warranting [your] appeal to ensure that [your] request's full scope is addressed and all responsive records are considered.\" The OS FOIA Office assigned your appeal tracking number 2025-00027-A-OS (subsequently renumbered 2025-00027-A-OS). I interpreted your appeal as an indication that you believed that the OS FOIA Office had failed to respond to your request in a timely manner.\n\n\n\nOn November 4, 2024, the OS FOIA Office issued a final response to your initial request. This response informed you that your request had been re-routed to the Centers for Medicare and Medicaid Services (CMS) for review and a direct response to you. Because the OS FOIA Office has already responded to your request, your appeal is now moot.\n\n\n\nCMS can further assist you with the processing of your request. If at any point in the FOIA process you need assistance with the processing of your request, you may contact CMS's FOIA Public Liaison. This individual can assist you in reducing delays in the processing of your request, increasing transparency and understanding of the status of your request, and assisting to resolve any FOIA disputes. CMS's FOIA Public Liaison can be reached using the following contact information:\n\n\n\nDesiree Gaynor\n\nCMS FOIA Public Liaison\n\nE-mail: desiree.gaynor@cms.hhs.gov\n\n\n\nYou may also seek assistance from the HHS FOIA Public Liaison. This individual can be reached using the following contact information:\n\n\n\nPaula Formoso\n\nHHS FOIA Public Liaison\n\nU.S. Department of Health and Human Services\n\nOffice of the Assistant Secretary for Public Affairs\n\nE-mail: HHS_FOIA_Public_Liaison@hhs.gov\n\n\n\nFinally, you may seek assistance with the processing of your requests from the Office of Government Information Services (OGIS). OGIS serves as the Federal FOIA ombudsman and assists requesters and agencies to prevent and resolve FOIA disputes through mediation. Using OGIS services does not affect your right to pursue litigation. You may contact OGIS via email at ogis@nara.gov.\n\n\n\nCONCLUSION:\n\n\n\nYour administrative appeal, 2025-00027-A-PHS, is hereby administratively closed as moot.\n\n\n\nSincerely,\n\nAlesia Y. Williams\n\nDirector, FOIA Appeals and Litigation\nFOI/Privacy Acts Division\n\nBrandon L. Lancey\nGovernment Information Specialist\nFreedom of Information/Privacy Acts Division\nOffice of the Assistant Secretary for Public Affairs (ASPA)\nOffice of the Secretary (OS)\nDepartment of Health and Human Services (HHS)\n\nMailing Address:\nSuite 729H\n200 Independence Avenue, SW\nWashington, DC 20201\n\nPhone: (202) 691-2049\nFax: (202) 690-8320\nE-mail: brandon.lancey@hhs.gov\n" }, { "when": "2024-12-12 15:57:13", "file": "2024-12-12T15_57_13.103922 Communication.txt", "text": "Dear DAVID MEDEIROS, \nThe status of your Appeal request #2025-00027-A-PHS has been updated to the following status 'In Process'. To log into the HHS FOIA Submission Site click on the Application URL below. \n\nhttps://requests.publiclink.hhs.gov \n\nSincerely, \nU.S. Department of Health & Human Services\n" }, { "when": "2024-12-13 10:07:30", "file": "2024-12-13T10_07_30.189466 Communication.txt", "text": "FOIA Appeal Enforcement of Constitutional, ADA, Taxpayer, and Whistleblower Rights\nFOIA Case No.: 2025-00410-FOIA-PHS / 2025-00027-A-PHS\nDate: December 13, 2024\n\n\"The agency's continued failure to comply with statutory obligations raises serious concerns about the integrity of its processes and adherence to the rule of law. If compliance is not demonstrated, it will be evident that this failure constitutes an intentional obstruction of transparency and accountability.\"\n\n\nTo:\nAlesia Y. Williams\nDirector, FOIA Appeals and Litigation\nFOI/Privacy Acts Division\nDepartment of Health & Human Services\n\nCC:\nPaula Formoso, HHS FOIA Public Liaison\nDesiree Gaynor, CMS FOIA Public Liaison\nMichael E. Horowitz, Inspector General, DOJ\nAlina M. Semo, Director, Office of Government Information Services\nKristen Clarke, Assistant Attorney General, Civil Rights Division, DOJ\nIntroduction:\nThis appeal formally challenges the mishandling of FOIA request #2025-00410-FOIA-PHS and administrative appeal #2025-00027-A-PHS, specifically citing:\n\nConstitutional Violations\nNon-Compliance with ADA and Whistleblower Laws\nTaxpayer Accountability\nFOIA Violations\nCritical Failures and Violations\n1. Constitutional Violations:\nThe improper handling of this FOIA request infringes upon my:\n\nFirst Amendment: Denial of access to records obstructs my right to petition the government for redress, as affirmed in Richmond Newspapers, Inc. v. Virginia, 448 U.S. 555 (1980).\nFifth Amendment: Delays and arbitrary referrals undermine due process rights under Goldberg v. Kelly, 397 U.S. 254 (1970).\nFourteenth Amendment: Unequal treatment in addressing ADA accommodations violates equal protection guarantees.\n2. FOIA Non-Compliance (5 U.S.C. 552):\n\nFailure to Conduct a Comprehensive Search:\nNo evidence of a thorough search across relevant divisions (HHS, CMS, DSS).\nImproper Referrals:\nMy request was improperly routed without substantive action or justification.\nFailure to Provide Timely Responses:\nStatutory timelines under FOIA have been flagrantly disregarded.\nLack of Detailed Exemptions:\nNo statutory basis (5 U.S.C. 552(b)) was provided for redactions or denials.\n3. ADA and Whistleblower Violations:\n\nFailure to Provide ADA Accommodations:\nIgnoring my documented requests for accessible communication violates 28 C.F.R. 35.160 and 34 C.F.R. Part 104.\nWhistleblower Retaliation:\nThese delays directly obstruct my ability to expose systemic issues in the Medicaid ABI Waiver Program, jeopardizing public interest protections.\n4. Taxpayer Accountability Failures:\nTransparency failures obstruct public oversight of taxpayer-funded Medicaid programs, undermining:\n\nProgram Integrity: Compliance with 42 U.S.C. 1396.\nFiscal Responsibility: Accountability for budget allocations and expenditures.\nCivil Rights Compliance: Adherence to ADA and Section 504 for vulnerable populations.\nSpecific Relief Sought\nComprehensive Records Review:\n\nConduct a complete search across all relevant entities (HHS, CMS, DSS).\nConfirm interagency coordination and provide detailed timelines for compliance.\nADA-Compliant Delivery:\n\nMuckrock Platform Only: Cease external portals, external links, and physical mail.\nScreen-Reader-Compatible PDFs: Ensure all documents are accessible.\nSimplified Summaries: Provide plain-language explanations for complex records.\nIdentify FOIA Officers: Disclose names, titles, and roles of all involved personnel.\nDetailed Justifications for Non-Disclosure:\n\nCite exemptions under 5 U.S.C. 552(b) for withheld or redacted records.\nExpedited Processing and Fee Waiver:\n\nApprove expedited processing under 5 U.S.C. 552(a)(6)(E).\nWaive all fees under 5 U.S.C. 552(a)(4)(A)(iii) as this request is non-commercial and serves the public interest.\nConsequences of Continued Non-Compliance:\nAdministrative Complaints: Filing with OCR, OGIS, and Congressional oversight bodies.\nJudicial Remedies: Legal action to enforce FOIA and ADA compliance.\nPublic Advocacy: Escalation to media outlets and transparency organizations.\nConclusion and Deadline:\nI demand:\n\nImmediate ADA compliance confirmation.\nA complete response within 10 business days.\nFailure to comply will result in escalation to all available administrative, legal, and public accountability channels.\n\nFederal Officials\nMerrick Garland\n\nTitle: U.S. Attorney General\nDepartment: Department of Justice (DOJ)\nEmail: AskDOJ@usdoj.gov\nPhone: (202) 514-2000\nOversight: DOJ operations, enforcement of FOIA compliance, ADA rights, and civil rights.\nDOJ Contact Page\nKristen Clarke\n\nTitle: Assistant Attorney General, Civil Rights Division\nDepartment: Department of Justice (DOJ)\nEmail: webmaster@usdoj.gov\nPhone: (202) 514-4609\nOversight: Protection of ADA rights, civil rights enforcement, and transparency.\nCivil Rights Division Contact Page\nDouglas R. Hibbard\n\nTitle: Chief, Initial Request Staff, Office of Information Policy\nDepartment: Department of Justice (DOJ)\nEmail: oip.foia@usdoj.gov\nPhone: (202) 514-3642\nOversight: FOIA appeals, transparency in government records.\nOIP Contact Page\nMichael E. Horowitz\n\nTitle: Inspector General\nDepartment: Department of Justice (DOJ)\nEmail: oig.hotline@usdoj.gov\nPhone: (202) 514-3435\nOversight: Investigations into FOIA non-compliance, ADA rights violations.\nDOJ OIG Contact Page\nXavier Becerra\n\nTitle: Secretary\nDepartment: U.S. Department of Health & Human Services (HHS)\nEmail: Secretary@HHS.gov\nPhone: (202) 690-7000\nOversight: Administration of Medicaid programs, ADA compliance, FOIA transparency.\nHHS Contact Page\nChiquita Brooks-LaSure\n\nTitle: Administrator\nDepartment: Centers for Medicare & Medicaid Services (CMS)\nEmail: Administrator@cms.hhs.gov\nPhone: (202) 690-6726\nOversight: Medicaid program transparency, enforcement of ADA compliance.\nCMS Contact Page\nGene L. Dodaro\n\nTitle: Comptroller General\nDepartment: U.S. Government Accountability Office (GAO)\nEmail: contact@gao.gov\nPhone: (202) 512-3000\nOversight: Audits of federal Medicaid programs, taxpayer rights protection.\nGAO Contact Page\nAlina M. Semo\n\nTitle: Director\nDepartment: Office of Government Information Services (OGIS)\nEmail: ogis@nara.gov\nPhone: (202) 741-5770\nOversight: Mediation of FOIA disputes, enhancement of government transparency.\nOGIS Contact Page\nConnecticut State Officials\nWilliam Tong\n\nTitle: Attorney General\nDepartment: Office of the Attorney General, State of Connecticut\nEmail: attorney.general@ct.gov\nPhone: (860) 808-5318\nOversight: Enforcement of ADA and FOIA compliance in Connecticut.\nAttorney General Contact Page\nAndrea Barton Reeves\n\nTitle: Commissioner\nDepartment: Connecticut Department of Social Services (DSS)\nEmail: andrea.barton.reeves@ct.gov\nPhone: (860) 424-5053\nOversight: Medicaid program compliance, transparency in state programs.\nDSS Contact Page\nNed Lamont\n\nTitle: Governor\nDepartment: Office of the Governor, State of Connecticut\nEmail: governor.lamont@ct.gov\nPhone: (860) 566-4840\nOversight: Executive oversight of state agency compliance with FOIA and ADA.\nGovernors Contact Page\nAdvocacy and Oversight Officials\nPaula Formoso\n\nTitle: HHS FOIA Public Liaison\nDepartment: Office of the Assistant Secretary for Public Affairs\nEmail: HHS_FOIA_Public_Liaison@hhs.gov\nPhone: (202) 690-7453\nOversight: Resolution of FOIA appeals and mediation of HHS disputes.\nHHS FOIA Contact Page\nDesiree Gaynor\n\nTitle: CMS FOIA Public Liaison\nDepartment: Centers for Medicare & Medicaid Services (CMS)\nEmail: desiree.gaynor@cms.hhs.gov\nPhone: (410) 786-5353\nOversight: FOIA compliance, Medicaid records transparency.\nCMS FOIA Contact Page\n\nSincerely,\nDavid Medeiros\nFounder, ABI Resources\nDB.42.131.Inf. https://www.ctbraininjury.com/blog/tags/db-42-131-inf\nhttps://x.com/ABIresources/status/1866212331279339765 https://www.youtube.com/@ABI.RESOURCES-CT-ABI-MFP-CARE/videos?view=0&sort=dd&shelf_id=2" }, { "when": "2025-01-07 16:41:20", "file": "2025-01-07T16_41_20.966391 Communication.txt", "text": "Case No. 2025-00032-A-PHS (Original Appeal No. 2025-00032-A-OS)\n\n\n\nJanuary 7, 2025\n\n\n\nDavid Medeiros\n\nMuckRock News, DEPT MR 174592\n\n263 Huntington Avenue\n\nBoston, MA 02115\n\n174592-18623438@requests.muckrock.com\n\n\n\nDear Mr. Medeiros:" }, { "when": "2025-01-07 17:34:14", "file": "2025-01-07T17_34_14.960090 Communication.txt", "text": "Escalated Legal Complaint and Appeal \n***** 10/17/2024 Subject: Freedom of Information Act Request: Subject: Comprehensive FOIA Request for Connecticut Medicaid Acquired Brain Injury Waiver Program Records (Department of Health and Human Services)\n\n\"The absence of any records for a federally funded Medicaid program, such as the Acquired Brain Injury (ABI) Waiver, spanning over a decade raises significant concerns about systemic failures in governance, transparency, and accountability. Under federal law, agencies are mandated to maintain comprehensive documentation for oversight and compliance. A response claiming 'no records found' suggests either gross negligence, deliberate suppression of information, or fundamental mismanagement. This failure not only undermines public trust but also jeopardizes the rights of vulnerable citizens relying on these services, while taxpayers are left without assurance that their contributions are being used responsibly. Such circumstances warrant a thorough investigation into record-keeping practices, potential misconduct, and whether federal and constitutional obligations have been violated.\" \nDavid Medeiros\n\n.....\nHeres a detailed and comprehensive explainer designed to educate the public on what happened, highlighting the systemic failures, the impact on Medicaid ABI Waiver consumers and taxpayers, and the broader implications for transparency, accountability, and justice:\n\nWhat Happened?\nDavid Medeiros, a whistleblower and advocate for people with brain injuries, filed a Freedom of Information Act (FOIA) request with the U.S. Department of Health and Human Services (HHS). He sought detailed records about the Connecticut Medicaid Acquired Brain Injury (ABI) Waiver Program, a publicly funded program that provides essential services to individuals with brain injuries. The requested records spanned from January 1, 2012, to the present and included communications, funding details, policy analysis, and compliance oversight.\n\nDavid's goal was clear: to ensure transparency and accountability in how taxpayer dollars are managed and spent in this program, especially given his role as a whistleblower advocating for improvements and protections for vulnerable populations.\n\nThe Systems Response: A Breakdown\nInitial FOIA Request (October 30, 2024):\n\nDavid submitted his FOIA request to HHS's Office of the Secretary (OS), which acknowledged receipt of the request and forwarded it to the Centers for Medicare and Medicaid Services (CMS) for further processing.\nCMS is responsible for overseeing Medicaid programs, making them the appropriate agency to handle this request.\nCMSs Final Response (November 12, 2024):\n\nCMS issued a \"final response\" stating they were unable to locate any records related to the request.\n\nThis means that CMS could not provide any documents about:\n\nThe management of the ABI Waiver program.\nHow funding was allocated or spent.\nPolicies or oversight measures ensuring compliance with federal laws.\nWhy this is a problem: The ABI Waiver Program is federally funded, meaning CMS and the state of Connecticut are required to document how these funds are used. A complete lack of records raises serious questions about record-keeping practices, oversight, and program integrity.\n\nDavids Appeal (November 1, 2024):\n\nDavid immediately filed an appeal, raising critical concerns about the handling of his request:\nContinuity: Ensuring the transfer of his request to CMS didnt result in delays or information being lost.\nTransparency: Asking for clear documentation of the transfer process, including contact points and assigned tracking numbers.\nAccessibility: Requesting that all responses include full details within email bodies (rather than as inaccessible attachments), recognizing his memory disability and brain injury.\nHHS OSs Closure of the Appeal (January 7, 2025):\n\nThe Office of the Secretary closed Davids appeal, stating that because CMS had issued a final response (claiming no records exist), the matter was resolved.\nThey did not address Davids concerns about procedural flaws, accessibility, or the systemic implications of CMSs inability to locate records.\n\nWhat Went Wrong?\nFailure to Locate Records:\n\nCMSs inability to find any records for a federally funded Medicaid program spanning over a decade is deeply concerning.\n\nPossible causes:\n\nPoor record-keeping practices.\nNegligence or systemic mismanagement.\nIntentional suppression or destruction of records to avoid accountability.\n\nWhy this matters:\n\nMedicaid programs are funded by taxpayers and must adhere to strict federal regulations, including documentation of funding, policies, and compliance oversight.\nA lack of records undermines public trust and raises the possibility of fraud, misuse of funds, or failure to comply with federal laws.\nLack of Procedural Transparency:\n\nDavids appeal highlighted serious flaws in how HHS handled his request:\n\nDelays caused by transferring his request between offices.\nA lack of clear communication about the status of his request.\nFailure to accommodate his disability by providing accessible responses.\nThese issues reflect a systemic disregard for procedural transparency, which is vital to ensuring government accountability.\n\nWhistleblower Retaliation and Intimidation:\n\nAs a documented whistleblower, David has faced systemic barriers to accessing information, raising the possibility of retaliation.\nBy stonewalling his FOIA request and failing to address his appeal meaningfully, HHS risks sending a message that whistleblowers will not be supported in holding the government accountable.\nHarming Medicaid ABI Waiver Consumers and Taxpayers:\n\nFor Medicaid Consumers:\n\nThe ABI Waiver Program serves individuals with brain injuries who rely on these services for their independence and quality of life.\nLack of transparency in how the program is managed puts their rights and access to care at risk.\n\nFor Taxpayers:\n\nMedicaid programs are funded by public dollars. Without proper oversight, theres no way to ensure these funds are being spent responsibly and effectively.\nMismanagement or misuse of funds harms not only program beneficiaries but every taxpayer who contributes to the system.\nBroader Implications\n\nSystemic Failures in Oversight:\n\nIf CMS cannot produce records for a program it oversees, this suggests a deeper issue in how Medicaid programs are monitored and documented.\nSuch failures could allow fraud, abuse, or noncompliance with federal laws to go undetected.\nErosion of Public Trust:\n\nFOIA is a vital tool for holding the government accountable. When agencies fail to respond transparently or adequately, it undermines public confidence in their ability to serve the people.\nChilling Effect on Whistleblowers:\n\nBy failing to support whistleblowers like David, the government risks discouraging others from coming forward to report wrongdoing or advocate for accountability.\nWhat Needs to Change?\nIndependent Investigation:\n\nConduct an independent audit to determine why CMS could not locate records for the ABI Waiver Program and whether this reflects broader systemic issues.\nImproved Record-Keeping and Oversight:\n\nImplement stricter policies to ensure Medicaid programs maintain comprehensive and accessible records in compliance with federal laws.\nSupport for Whistleblowers:\n\nStrengthen protections for whistleblowers and ensure their FOIA requests are prioritized and handled with transparency.\nAccountability to Taxpayers and Consumers:\n\nDemand full transparency about how taxpayer dollars are used to support Medicaid programs, ensuring these funds directly benefit the people they are meant to serve.\n\nWhy This Matters to You\nIf you rely on government programs: This failure puts services for vulnerable populationslike the ABI Waiver Programat risk, affecting peoples quality of life.\nIf youre a taxpayer: Your money funds programs like Medicaid. Without oversight, theres no guarantee its being used properly.\nIf you care about accountability: This case highlights the importance of transparency and the need for robust systems to hold the government accountable.\n\nIn Conclusion:\n\nDavid Medeiros sought the truth about how a critical Medicaid program is managed. Instead, he encountered a system that failed to locate essential records, dismissed his concerns, and closed the door on accountability. This isnt just about one program or one personits about ensuring our government serves the people with integrity, transparency, and fairness. \n\n**** David Medeiros is a TBI survivor and survivors are survivors for a reason and will continue to advocate with an appeal and report Alesia Y Williams' letter to the the FBI and DOGE. \n\nAdditionally Alesia Y. Williams Director, FOIA Appeals and Litigation FOI/Privacy Acts Division provided a file that would not be easily accessible to David or the public: \n\nFROM: DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Assistant Secretary for Public Affairs Washington, D.C. 20201 Case No. 2025-00032-A-PHS (Original Appeal No. 2025-00032-A-OS) January 7, 2025 David Medeiros MuckRock News, DEPT MR 174592 263 Huntington Avenue Boston, MA 02115 174592-18623438@requests.muckrock.com Dear Mr. Medeiros: On October 30, 2024, you submitted a Freedom of Information Act (FOIA) request to the Department of Health and Human Services, Office of the Secretary (OS). Your request sought access to all records from January 1, 2012, to the present related to communications, funding, agreements, policy analysis, and compliance oversight involving Connecticuts Medicaid programs, particularly focusing on the Acquired Brain Injury (ABI) Waiver Program. The OS FOIA Office assigned your request tracking number 2025-00455-FOIA-PHS. On October 31, 2024, the OS FOIA Office issued a final response to your initial request. This response informed you that your request had been re-routed to the Centers for Medicare and Medicaid Services (CMS) for review and a direct response to you. This response further informed you that CMS would log-in your request and issue you a new tracking number for your reference. In a letter dated November 1, 2024, you appealed the OS FOIA Offices response to your October 30, 2024, FOIA request. Your appeal stated that th[e] transfer to CMS for a separate logging and tracking process should include assurance of continuity, protection from delays, and accessibility in response. You further asked that the full language of future responses be included within the body of emails rather than solely as attachments and that the OS FOIA Office confirm the transfer details of [your] request to CMS, including contact points and the assigned tracking number. OS FOIA Office re-routed your original October 30, 2024, request in accordance with 45 C.F.R. 5.25(a) of the HHS FOIA Regulations. This provision requires FOIA Requester Service Centers to route requests to the proper Operating Division or Staff Division within HHS. Based on the subject matter of your request, the OS FOIA Office determined that CMS was the proper Operating Division within HHS to process your request. Following the submission of your November 1, 2024, appeal, the OS FOIA Office reached out to the CMS FOIA Office to obtain an update on the status of your re-routed request. The CMS FOIA Office informed the OS FOIA Office that it had received the same request directly from you, had logged-in your request under control number 110620247022, and had acknowledged your request on November 7, 2024. In addition, the CMS FOIA Office stated that it had issued a final response to your request on November 12, 2024. This final response indicated that CMS was unable to locate any records responsive to your request and included appeal rights. Because CMS has issued a final response to your request, the OS FOIA Office considers this matter to be closed and is administratively closing your appeal. If you need further assistance with the processing of your original request, you may contact CMSs FOIA Public Liaison. This individual can assist you in reducing delays in the processing of your request, increasing transparency and understanding of the status of your request, and assisting to resolve any FOIA disputes. CMSs FOIA Public Liaison can be reached using the following contact information: Desiree Gaynor CMS FOIA Public Liaison E-mail: desiree.gaynor@cms.hhs.gov You may also seek assistance from the HHS FOIA Public Liaison. This individual can be reached using the following contact information: Paula Formoso HHS FOIA Public Liaison U.S. Department of Health and Human Services Office of the Assistant Secretary for Public Affairs E-mail: HHS_FOIA_Public_Liaison@hhs.gov Finally, you may seek assistance with the processing of your requests from the Office of Government Information Services (OGIS). OGIS serves as the Federal FOIA ombudsman and assists requesters and agencies to prevent and resolve FOIA disputes through mediation. Using OGIS services does not affect your right to pursue litigation. You may contact OGIS via email at ogis@nara.gov. CONCLUSION: Your administrative appeal, 2025-00032-A-PHS, is hereby administratively closed. Sincerely, Alesia Y. Williams Director, FOIA Appeals and Litigation FOI/Privacy Acts Division \n\n\n\n\n\n\nDate: January 7, 2025\nFrom: David Medeiros, Founder, ABI Resources\n\nTo : ALL \n\nAlesia Y. Williams Director, \nFOIA Appeals and Litigation FOI/Privacy Acts Division \nDEPARTMENT OF HEALTH & HUMAN SERVICES \n Office of the Secretary Assistant Secretary for Public Affairs Washington, D.C. 20201 \n\nDesiree Gaynor \nCMS FOIA Public Liaison E-mail: desiree.gaynor@cms.hhs.gov\n\nPaula Formoso\nHHS FOIA Public Liaison \nU.S. Department of Health and Human Services Office of the Assistant Secretary for Public Affairs\nE-mail: HHS_FOIA_Public_Liaison@hhs.gov \n\nTO: All Key Stakeholders and Oversight Authorities\nFederal Oversight Authorities\nMerrick Garland\nTitle: Attorney General\nU.S. Department of Justice\nEmail: doj.oag@usdoj.gov\nPhone: (202) 514-2000\n\nKristen Clarke\nTitle: Assistant Attorney General, Civil Rights Division\nU.S. Department of Justice\nEmail: civilrights.justice@usdoj.gov\nPhone: (202) 514-4609\n\nMichael E. Horowitz\nTitle: Inspector General\nDOJ Office of the Inspector General\nEmail: oig.hotline@usdoj.gov\nPhone: (202) 514-3435\n\nPriscilla Jones\nTitle: Supervisory Administrative Specialist, Office of Information Policy (OIP)\nEmail: oip.foia@usdoj.gov\nPhone: (202) 514-3642\n\nAlina M. Semo\nTitle: Director\nOffice of Government Information Services (OGIS)\nEmail: ogis@nara.gov\nPhone: (202) 741-5770 | Toll-Free: 1-877-684-6448\n\nChiquita Brooks-LaSure\nTitle: Administrator\nCenters for Medicare & Medicaid Services (CMS)\nEmail: FOIA_Request@cms.hhs.gov\nPhone: (410) 786-3000\n\nXavier Becerra\nTitle: Secretary\nU.S. Department of Health and Human Services (HHS)\nEmail: HHS_FOIA@hhs.gov\nPhone: (202) 690-7000\n\nLisa J. Pino\nTitle: Director\nOffice for Civil Rights (OCR), HHS\nEmail: ocrmail@hhs.gov\nPhone: (800) 368-1019\n\nCongressional Oversight Committees\nJames Comer\nTitle: Chair, House Committee on Oversight and Accountability\nEmail: oversightpress@mail.house.gov\nPhone: (202) 225-5074\n\nGary Peters\nTitle: Chair, Senate Committee on Homeland Security and Governmental Affairs\nEmail: committee@hsgac.senate.gov\nPhone: (202) 224-2627\n\nJamie Raskin\nTitle: Chair, House Subcommittee on Civil Rights and Civil Liberties\nEmail: civilrights@mail.house.gov\nPhone: (202) 225-5341\n\nDick Durbin\nTitle: Chair, Senate Judiciary Committee\nEmail: judiciary@senate.gov\nPhone: (202) 224-2152\n\nRosa DeLauro\nTitle: Ranking Member, House Appropriations Committee\nEmail: appropriations@mail.house.gov\nPhone: (202) 225-3661\n\nBernie Sanders\nTitle: Chair, Senate Health, Education, Labor, and Pensions Committee\nEmail: helpcommittee@senate.gov\nPhone: (202) 224-5141\n\nState Oversight Authorities\nWilliam Tong\nTitle: Attorney General of Connecticut\nEmail: attorney.general@ct.gov\nPhone: (860) 808-5318\n\nAndrea Barton Reeves\nTitle: Commissioner, Connecticut Department of Social Services (DSS)\nEmail: andrea.bartonreeves@ct.gov\nPhone: (860) 424-5053\n\nNed Lamont\nTitle: Governor of Connecticut\nEmail: governor.lamont@ct.gov\nPhone: (860) 566-4840\n\nConnecticut Freedom of Information Commission (FOIC)\nEmail: foi@ct.gov\nPhone: (860) 566-5682\n\nTransparency and Advocacy Organizations\nAmerican Civil Liberties Union (ACLU)\nEmail: info@aclu.org\nPhone: (212) 549-2500\n\nGovernment Accountability Project (GAP)\nEmail: info@whistleblower.org\nPhone: (202) 457-0034\n\nNational Whistleblower Center (NWC)\nEmail: info@whistleblowers.org\nPhone: (202) 342-1903\n\nPublic Citizen\nEmail: action@citizen.org\nPhone: (202) 588-1000\n\nOpen The Government\nEmail: info@openthegovernment.org\nPhone: (202) 332-6736\n\nKey Individuals Related to Medicaid Oversight\nMichelle A. James\nTitle: Medicaid Oversight Official, CMS\nEmail: michelle.james@cms.hhs.gov\nPhone: (410) 786-3033\n\nEmmett Nicholson\nTitle: Senior Medicaid Compliance Official, CMS\nEmail: emmett.nicholson@cms.hhs.gov\nPhone: (410) 786-7623\n\nI. Constitutional Rights Violations\nLegal Basis:\n\nFirst Amendment: Guarantees the right to petition the government for redress of grievances and access public records.\nFifth Amendment: Protects due process in administrative actions and access to public records.\nFourteenth Amendment: Mandates equal protection and prohibits discriminatory practices.\nDocumented Violations:\n\nFOIA Non-Compliance:\nSignificant delays and lack of responsiveness violate FOIAs statutory timelines (5 U.S.C. 552).\nObstructed access to public records impedes oversight of Medicaid ABI Waiver program operations.\nDenial of ADA Accommodations:\nNon-compliance with accessible communication methods (e.g., email-only responses, screen-reader-compatible PDFs, simplified summaries) restricts equitable participation.\nDemands:\n\nDOJ investigation into systemic violations of transparency and accessibility.\nImmediate compliance with FOIA deadlines and ADA accommodation requirements, including release of requested records.\nKey Case Law:\n\nRichmond Newspapers, Inc. v. Virginia, 448 U.S. 555 (1980): Establishes public access to government proceedings.\nTennessee v. Lane, 541 U.S. 509 (2004): Enforces ADA compliance under the Fourteenth Amendment.\nII. Whistleblower Protections\nLegal Basis:\n\nWhistleblower Protection Act (5 U.S.C. 2302(b)(8)): Protects individuals disclosing government misconduct.\nFalse Claims Act (31 U.S.C. 3729): Safeguards whistleblowers exposing misuse of federal funds.\nDocumented Violations:\n\nRetaliatory actions, including delays and suppression of complaints, jeopardizing transparency in Medicaid ABI Waiver program management.\nObstruction of whistleblower disclosures, preventing accountability for systemic failures.\nDemands:\n\nDOJ and OIG investigations into retaliation and suppression of whistleblower claims.\nFull enforcement of whistleblower protections with acknowledgment of agency failures.\nKey Case Law:\n\nGarcia v. Department of Homeland Security, 659 F.3d 1176 (2011): Prohibits retaliatory actions against whistleblowers.\nIII. Taxpayer Oversight Rights\nLegal Basis:\n\nFederal Funding Accountability and Transparency Act (31 U.S.C. 6101 et seq.): Mandates transparency in government spending.\n42 U.S.C. 1983: Protects federally granted rights from state or federal infringement.\nDocumented Violations:\n\nMismanagement of Medicaid ABI Waiver funds increases fraud and waste risks.\nNon-disclosure of financial audits, budget allocations, and interagency agreements violates public accountability requirements.\nDemands:\n\nGAO forensic audit of Medicaid ABI Waiver expenditures with public release of findings.\nImplementation of corrective measures to restore transparency and taxpayer confidence.\nKey Case Law:\n\nBoard of County Commissioners v. Brown, 520 U.S. 397 (1997): Establishes liability for systemic financial mismanagement.\nIV. ADA Rights Violations\nLegal Basis:\n\nADA Title II (42 U.S.C. 12132): Prohibits discrimination and mandates accommodations in public services.\nSection 504 of the Rehabilitation Act (29 U.S.C. 794): Requires equitable access to federally funded programs.\nDocumented Violations:\n\nADA Accommodations Request\nThis request includes explicit ADA accommodations to address cognitive processing challenges resulting from my traumatic brain injury (TBI). These accommodations are legally required under Title II of the ADA (42 U.S.C. 12132) and Section 504 of the Rehabilitation Act (29 U.S.C. 794).\n\nRequested ADA Accommodations\nTo ensure accessibility and compliance with ADA standards (42 U.S.C. 12101 et seq.), I request the following accommodations for all communications and records:\n\nScreen-Reader Compatible Formats\n\nAll documents must be provided in properly labeled PDFs or plain-text files.\nEnsure that the documents are screen-reader compatible and retain clear, accessible formatting.\nExclusive MuckRock Platform Communication\n\nAll communications must occur exclusively via the MuckRock platform.\nDo not send external links, emails, portals, passwords, codes, or require phone calls for access.\nText Embedded in Email Bodies\n\nKey information must be embedded directly in the email body to facilitate comprehension and accessibility.\nSimplified Summaries\n\nProvide plain-language summaries for complex or legal documents to ensure clarity and understanding.\nIdentification of Responsible Officers\n\nInclude the full name, title, and contact information of all responsible officers handling this request.\nNon-Negotiable Compliance\nThese accommodations are non-negotiable and are essential for ensuring equal access to information. Failure to provide the requested accommodations may constitute a violation of the ADA and the Rehabilitation Act. Thank you for ensuring compliance and accessibility in addressing this request.\nExclusionary practices in public forums restrict equitable participation in program oversight.\nDemands:\n\nDOJ Civil Rights Division enforcement of ADA compliance across implicated agencies.\nSystemic adoption of ADA-compliant communication policies and mandatory training for staff.\nKey Case Law:\n\nAlexander v. Choate, 469 U.S. 287 (1985): Ensures meaningful access to public programs for individuals with disabilities.\nV. Civil Rights Violations\nLegal Basis:\n\nCivil Rights Act of 1964 (42 U.S.C. 2000d): Prohibits discrimination in federally funded programs.\nEqual Protection Clause: Mandates nondiscriminatory treatment by public agencies.\nDocumented Violations:\n\nSystemic discrimination in the administration of Medicaid ABI Waiver programs.\nPublic humiliation and unequal treatment of program participants during forums and complaint proceedings.\nDemands:\n\nFederal intervention to eliminate discriminatory practices and restore equitable program access.\nCorrective actions, including public acknowledgment of systemic failures and adoption of equitable practices.\nKey Case Law:\n\nOlmstead v. L.C., 527 U.S. 581 (1999): Requires public entities to avoid discriminatory barriers in service delivery.\nVI. General Remedies Sought\nAccountability Measures:\n\nIdentification and discipline of personnel responsible for documented violations.\nAppointment of independent monitors to oversee corrective actions.\nTransparency Enforcement:\n\nImmediate release of FOIA-requested records in ADA-compliant formats.\nPublic access to audits, interagency agreements, and compliance reviews for Medicaid ABI Waiver programs.\nSystemic Reforms:\n\nComprehensive staff training on FOIA, ADA, and civil rights compliance.\nImplementation of standardized accessibility protocols and accountability frameworks.\nRestorative Justice:\n\nCompensation for harm caused by systemic failures, including emotional distress and reputational damage.\nPublic assurances and policy commitments to prevent recurrence of documented violations.\nPrepared By:\nDavid Medeiros\nFounder, ABI Resources\n\nCC:\n\nDOJ Civil Rights Division\nCenters for Medicare & Medicaid Services (CMS)\nGovernment Accountability Office (GAO)\nOffice for Civil Rights (OCR)\nOffice of Special Counsel (OSC)\nCongressional Oversight Committees\n\n\nCC:\n\nAndrea Barton Reeves, DSS Commissioner\nGovernor Ned Lamont\nAttorney General William Tong\nSenator Richard Blumenthal\nSenator Chris Murphy\nU.S. Department of Justice Civil Rights Division\nConnecticut Freedom of Information Commission (FOIC)\nOffice of Government Information Services (OGIS)\n\nCC List\nFederal Oversight\nMerrick Garland, U.S. Attorney General\nKristen Clarke, Assistant Attorney General, Civil Rights Division\nMichael E. Horowitz, Inspector General, DOJ\nGene L. Dodaro, Comptroller General, GAO\nCongressional Committees\nHouse Committee on Oversight and Accountability\nSenate Committee on Homeland Security and Governmental Affairs\nSenate Judiciary Committee\nAdvocacy Organizations\nOffice of Government Information Services (OGIS)\nTransparency and Civil Rights Watchdogs\n\nCC:\n\nWilliam Tong, Attorney General of Connecticut\nAndrea Barton Reeves, Commissioner, DSS\nAlina M. Semo, Director, OGIS\nAundra Luckey, Chief, FOIA/PA Branch, DOJ\nCMS and OCR Leadership\n\nCC: Congressional Oversight Committees, DOJ Civil Rights Division, OGIS, and relevant stakeholders.\nCopies To:\n\nOffice of the Attorney General, Connecticut\nConnecticut Department of Social Services\nCenters for Medicare & Medicaid Services\nOffice of Government Information Services (OGIS)\n\nCC: Oversight and Accountability Authorities\nRobert F. Kennedy Jr.\nTitle: Secretary of Health and Human Services (HHS) (Nominated)\nEmail: kennedy.robert@hhs.gov\nOffice Address: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Washington, DC 20201\nPhone: (877) 696-6775\n\nKash Patel\nTitle: Director of the Federal Bureau of Investigation (FBI) (Nominated)\nEmail: kash.patel@fbi.gov\nOffice Address: FBI Headquarters, 935 Pennsylvania Avenue, NW, Washington, DC 20535-0001\nPhone: (202) 324-3000\n\nDr. Mehmet Oz\nTitle: Administrator of the Centers for Medicare & Medicaid Services (CMS) (Nominated)\nEmail: dr.oz@cms.hhs.gov\nOffice Address: Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244\nPhone: (800) 633-4227\n\nVivek Ramaswamy\nTitle: Co-Chair, Department of Government Efficiency (DOGE)\nEmail: vivek.ramaswamy@doge.gov\nOffice Address: Department of Government Efficiency, 1600 Pennsylvania Avenue NW, Washington, DC 20500\nPhone: (202) 456-1414\n\nElon Musk\nTitle: Co-Chair, Department of Government Efficiency (DOGE)\nEmail: elon.musk@doge.gov\nOffice Address: Department of Government Efficiency, 1600 Pennsylvania Avenue NW, Washington, DC 20500\nPhone: (202) 456-1414\n\nState of Connecticut\nNed Lamont\nTitle: Governor of Connecticut\nPhone: (860) 566-4840\nEmail: governor.lamont@ct.gov\n\nWilliam Tong\nTitle: Attorney General of Connecticut\nPhone: (860) 808-5318\nEmail: attorney.general@ct.gov\n\nAndrea Barton Reeves\nTitle: Commissioner, Connecticut Department of Social Services (DSS)\nPhone: (860) 424-5053\nEmail: andrea.bartonreeves@ct.gov\n\nConnecticut Freedom of Information Commission (FOIC)\nPhone: (860) 566-5682\nEmail: foi@ct.gov\n\nMatthew S. Antonetti\nTitle: Legal Director, Connecticut Department of Social Services\nPhone: (860) 424-5386\nEmail: matthew.antonetti@ct.gov\n\nU.S. Department of Health and Human Services (HHS)\nXavier Becerra\nTitle: Secretary, U.S. Department of Health and Human Services\nPhone: (202) 690-7000\nEmail: HHS_FOIA@hhs.gov\n\nChiquita Brooks-LaSure\nTitle: Administrator, Centers for Medicare & Medicaid Services (CMS)\nPhone: (410) 786-3000\nEmail: FOIA_Request@cms.hhs.gov\n\nLisa Pino\nTitle: Director, Office for Civil Rights (OCR), HHS\nPhone: (800) 368-1019\nEmail: ocrmail@hhs.gov\n\nEmmett Nicholson\nTitle: Senior Medicaid Compliance Official, Centers for Medicare & Medicaid Services (CMS)\nPhone: (410) 786-7623\nEmail: emmett.nicholson@cms.hhs.gov\n\nMichelle A. James\nTitle: Medicaid Oversight Official, CMS\nPhone: (410) 786-3033\nEmail: michelle.james@cms.hhs.gov\n\nU.S. Department of Justice (DOJ)\nMerrick B. Garland\nTitle: Attorney General, U.S. Department of Justice\nPhone: (202) 514-2000\nEmail: doj.oag@usdoj.gov\n\nKristen Clarke\nTitle: Assistant Attorney General, Civil Rights Division\nPhone: (202) 514-4609\nEmail: civilrights.justice@usdoj.gov\n\nMichael E. Horowitz\nTitle: Inspector General, DOJ Office of Inspector General\nPhone: (202) 514-3435\nEmail: oig.hotline@usdoj.gov\n\nPriscilla Jones\nTitle: Supervisory Administrative Specialist, Office of Information Policy (OIP)\nPhone: (202) 514-3642\nEmail: oip.foia@usdoj.gov\n\nMichael G. Seidel\nTitle: Section Chief, Record/Information Dissemination Section, FBI\nPhone: (202) 324-3000\nEmail: foipaquestions@fbi.gov\n\nAlina M. Semo\nTitle: Director, Office of Government Information Services (OGIS), National Archives and Records Administration (NARA)\nPhone: (202) 741-5770 | Toll-Free: 1-877-684-6448\nEmail: ogis@nara.gov\n\nCongressional Oversight Committees\nJames Comer\nTitle: Chair, House Committee on Oversight and Accountability\nPhone: (202) 225-5074\nEmail: oversightpress@mail.house.gov\n\nGary Peters\nTitle: Chair, Senate Committee on Homeland Security and Governmental Affairs\nPhone: (202) 224-2627\nEmail: committee@hsgac.senate.gov\n\nJamie Raskin\nTitle: Chair, House Subcommittee on Civil Rights and Civil Liberties\nPhone: (202) 225-5341\nEmail: civilrights@mail.house.gov\n\nDick Durbin\nTitle: Chair, Senate Judiciary Committee\nPhone: (202) 224-2152\nEmail: judiciary@senate.gov\n\nRosa DeLauro\nTitle: Ranking Member, House Appropriations Committee\nPhone: (202) 225-3661\nEmail: appropriations@mail.house.gov\n\nBernie Sanders\nTitle: Chair, Senate Health, Education, Labor, and Pensions Committee\nPhone: (202) 224-5141\nEmail: helpcommittee@senate.gov\n\nCatherine Lhamon\nTitle: Chair, U.S. Commission on Civil Rights\nPhone: (202) 376-7533\nEmail: contact@usccr.gov\n\nRichard Blumenthal\nTitle: Senator, Connecticut\nPhone: (202) 224-2823\nEmail: blumenthal@senate.gov\n\nChris Murphy\nTitle: Senator, Connecticut\nPhone: (202) 224-4041\nEmail: murphy@senate.gov\n\nSincerely,\nDavid Medeiros\nFounder, ABI Resources\nDB.42.131.Inf. https://www.ctbraininjury.com/blog/tags/db-42-131-inf\nhttps://x.com/ABIresources/status/1866212331279339765 https://www.youtube.com/@ABI.RESOURCES-CT-ABI-MFP-CARE/videos?view=0&sort=dd&shelf_id=2\n\nReference: OPM ID # 24-85 A-2025-00307 FCC-FOIA-2025-000358-A FIC 2024-0683 R000748-102524 2025-F-01035 R000354-102024 R000737-102024 AD2414036 A-2025-00351 2025-00027-A-PHS A-2025-00395 2025-00434-FOIA-OS A-2025-00393 OPM ID # 24-83 A-2025-00393 2025-00446-FOIA-PHS A-2025-00399 A-2025-00392 25-00142-FOIA PRI-25-023 2025-00032-A-PHS 110620247022 24-86 AD2414644 R000770-110424 2025-F-01651 A-2025-00467 A-2025-00401 2025-00481-FOIA-PHS 112020247009 112020247039 2025-00024-A-OS A-2025-00420 25-00044-F A-2025-00069 A-2025-00469 OPM ID# 24-88 & 89 2025-00638-FOIA-OS AP-2025-001 FOIA-2025-00562 FOIA-2025-00563 EMRUFOIA111524 F-2025-03523 2025-00574-FOIA-PHS 145-FOI-21320 OPM ID #24-94 25-OIG-177 FOIA-2025-01054 FOIA-2025-01052 EMRUFOIA120324-7 FOIA-2025-01053 OPM ID #24-95 FOIA-2025-01056 EMRUFOIA120324-7 FOIA-2025-01055 FOIA-2025-01057 R005487-120324 2025-01079-FOIA-PHS 2025-01078-FOIA-PHS FOIA-2025-056 PRI-25-045 FOIA-2025-01060 FOIA-2025-01059 FOIA-2025-060 FOIA-2025-01203 EMRUFOIA121324 #FOIA-2025-063 11034 539330-JBZ, 539298-RJM, 534659-XGL, 534094-QZH, 534069-BRQ, 534060-HWM, 533252-GXC, 535276-FSL, 532832-MJV, 532674-QMM, 532671-PPV, 532667-DRF, 523966-VSF, 497211-PFB, 490797-TJJ, 489456-MCB, 490814-TPF, 490215-DKH, 478957-DPX, 478956-NSD, 473045-JNW, 452335-DDT, 413343-FZP, 405540-ZXW, 397760-PRZ, 395050-TWW, 392179-NCW, 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