Avante at Lynchburg, Inc. v. Teefey

BUMGARDNER, Judge.

The Director of the Department of Medical Assistance Services (DMAS) refused to pay Avanté at Lynchburg, Inc. for specialized medical care provided to Patient H. 1 Avanté appealed the Director’s refusal to the Circuit Court of the City of Lynchburg. The trial court affirmed the Director’s decision, finding substantial evidence to support the decision that Patient H no longer required specialized care after June 14, 1994.

Patient H was admitted to Avanté’s specialized care facility following release from surgery at Danville Regional Medical Center where a tracheostomy was…