Grane Hospice Care, Inc. v. Department of Public Welfare

OPINION BY

Judge LEAVITT.

Grane Hospice Care, Inc. petitions for review of an adjudication of the Department of Public Welfare directing it to re-imhurse the Department $71,630.25. This amount represented payments the Department made to Grane Hospice for 18 months of service it provided to R.H. (Patient) who was enrolled in Medical Assistance. The Department ordered this reimbursement because it found that Patient was not at the end of his life and, thus, the hospice services he received in his home were not medically necessary. Grane Hospice counters that it complied with the regulation…