SSI Medical Services, Inc. v. State

The opinion of the court was delivered by

HUMPHREYS, J.S.C.

(temporarily assigned).

The New Jersey Division of Medical Assistance and Health Services (“DMAHS”) has a policy of requiring a higher standard of proof of the timely filing of a Medicaid claim than would be required in “general business practice.” The Acting Director of DMAHS applied that policy and rejected a recommendation by Jaynee LaVecchia, Chief Administrative Law Judge (“CALJ”), that certain claims of plaintiff SSI Medical Services, Inc. (“SSI”) be allowed. The Acting Director followed the recommendation of the CALJ that other…