AVANTE AT ROANOKE v. Finnerty

McCLANAHAN, Judge.

In this administrative appeal, four affiliated nursing home facilities, Avante at Roanoke, Avante at Lynchburg, Avante at Waynesboro, and Avante at Harrisonburg (collectively “Avante” 1 ), appeal the circuit court’s affirmance of two related decisions of the Virginia Department of Medical Assistance Services (“DMAS”), the state agency responsible for administering Virginia’s Medicaid program. In those decisions, DMAS denied Avante’s claims for additional reimbursement of costs (in the form of year-end settlement adjustments) for respiratory therapy services rendered to…