The CACCB is an association of community-centered boards that provide state-funded home and community-based services either through small host homes (serving one to three people) or slightly larger group homes (serving four to eight people).
The Tenth Circuit also rejected the CACCB claim that the State pays for Medicaid services for individuals with a developmental disability at rates that are too low to meet a statutory requirement of sufficient payments as established under 42 U.S.C.
The court concluded that because service providers are mentioned in the Medicaid law only as indirect beneficiaries enlisted as subordinate partners in the administration of Medicaid services, and individual recipients of these services are referred to only in the aggregate as members of the general population, the CACCB and the individual plaintiffs had not been provided with an enforceable private right to a sufficient payment rate under Medicaid.