52(a). 3 . Although there has been some discussion of a Circuit split regarding the definition of "medical assistance” in cases involving claims under 42 U.S.C. § 1983, it does not bear upon this Court’s conclusion. To illustrate: section 1396n(g)(2), which authorizes reimbursement for case management services, allows states to provide targeted assistance in gaining access to medical, educational or social services. Two interpretations of section 1396n(g)(2) are possible: (1) the case management statute provides either that states must assist eligible individuals in gaining access to actual medical, social, or educational services, or (2) it provides that states must provide access to payment for such services. Compare Bruggeman v. Blagojevich, 324 F.3d 906, 910 (7th Cir.2003) (<HOLDING>); Mandy R. ex rel. Mr. & Mrs. R. v. Owens, 464
holding a claim for medicaid assistance provided to the decedent was not proven by the state and the estate was not required to present any evidence to defeat the states claim holding that defendant may raise claim of ineffective assistance of counsel on direct appeal only if ineffective assistance is conclusive from the record holding that plaintiffs medicaid claim failed because medicaid is a payment scheme not a scheme for stateprovided medical assistance and that the statutory reference to assistance appears to have reference to financial assistance rather than to actual medical services holding that a defendant must show actual prejudice to succeed on an ineffective assistance of counsel claim recognizing a constitutional claim for ineffective assistance of counsel