6th Circ. Denies Hospital's Bid For $6M Medicaid Waivers

Law360, Los Angeles (April 22, 2013, 9:19 PM EDT) -- The U.S. Department of Health and Human Services doesn't owe a Tennessee hospital $6 million in Medicaid waivers, because the agency wasn't required to reimburse the hospital for treating patients in a state program covering those ineligible for Medicaid, the Sixth Circuit ruled Monday.

The ruling means hospitals can't claim that a Medicaid Act clause that reimburses hospitals for treating low-income patients requires HHS to retroactively reimburse them for treating patients in the state Medicaid expansion program.

Affirming a lower-court decision, the Sixth Circuit said that...
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