for particular state administrative enforcement mechanisms in the Medicare Act. While no court has apparently addressed whether there is a state administrative remedy exhaustion requirement before bringing suit under § 1983 for violations of the Medicare Act, the Eleventh Circuit has addressed the exhaustion of state administrative remedies in the context of the Medicaid Act and § 1983 suits. See Alacare, 785 F.2d at 967-69. In Alocare, the Eleventh Circuit held, in accordance with Patsy, that plaintiffs asserting violations of the Medicaid Act pursuant to § 1983 do not have to exhaust their state administrative remedies prior to doing so. See id. In holding against an exhaustion requirement, the Alacare court rejected the notion that the existence of a fede . 81, 85 (D.Conn. 1985) (<HOLDING>); St. Joseph Hosp. v. Electronic Data Sys.
holding that there is an exhaustion requirement in  1983 suits asserting violations of the medicaid act holding no exhaustion requirement in  1983 suit alleging violations of the medicaid act holding exhaustion requirement inapplicable when requiring exhaustion would be futile holding that the ideas exhaustion requirement applies to claims asserted under  1983 recognizing that issue exhaustion requirement and requirement exhaustion of remedies are different