Legal Opinion

Multicare Health System v. Department of Social & Health Services

Court of Appeals of Washington

Decided January 29, 2013No. 42567-0-IIPublished

1Opinion of the CourtPenoyak, J.

¶1 — Medicaid regulations provide a formula to determine what portion of medical bills the patients are responsible to pay. This case concerns the effect of that determination on the amount that Medicaid providers are paid for their services. Following an audit, a hearing officer and the Board of Appeals concluded that Multicare Health System, doing business as Mary Bridge Children’s Hospital (Hospital), had been overpaid by the Department of Social and Health Services (Department) in 52 Medicaid claims for people qualified in the Medically Needy (MN) program. The hearing officer and the…

2Cases cited17 opinions

  1. Schweiker v. Gray PanthersSupreme Court of the United States · 1981
  2. City of Redmond v. Central Puget Sound Growth Management Hearings BoardWashington Supreme Court · 1998
  3. Hillis v. Department of EcologyWashington Supreme Court · 1997
  4. Hillis v. State, Dept. of EcologyWashington Supreme Court · 1997
  5. State v. KalakoskyWashington Supreme Court · 1993

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