HCA Health Services of Kansas, Inc. v. State, Secretary of Kansas Department of Social & Rehabilitation Services

Green, J.:

HCA Health Services of Kansas, Inc., d/b/a HCA Wesley Medical Center (Wesley), appeals the trial court’s judgment in favor of the Kansas Department of Social and Rehabilitation Services (SRS) for reimbursement of overpaid Medicaid claims. Wesley claims the methodology used by SRS in determining the recoupment amount was improper. SRS cross-appeals the trial court’s determination of the effective date of its policy change requiring written referrals. We affirm in part, reverse in part, and remand.

The Kansas Primary Care Network (KPCN) operates under a waiver issued by the Health Care…