Costs Don't Have To Affect Medicaid Rates: Calif. Court

Law360, New York (March 27, 2012, 3:53 PM EDT) -- The Medicaid Act doesn't generally require states to consider provider costs in setting reimbursement rates, a California appeals court found Monday in a dispute over rates for home health services, despite a contrary ruling by the Ninth Circuit on a similar matter.

The California Association for Health Services at Home argued that the state Department of Health Care Services didn't comply with federal and state legislation when it set Medicaid-reimbursable home health care rates for the years 2001 through 2005, and a lower court ordered the...
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