Legal Opinion

Massachusetts General Hospital v. Commissioner of the Division of Medical Assistance

Massachusetts Appeals Court

Decided June 8, 2006No. 05-P-642PublishedCited by 1 opinion

1Opinion of the CourtGraham, J.

On June 13, 2003, after an adjudicatory hearing, a hearing officer of the Division of Medical Assistance (Division1) denied the plaintiff, Massachusetts General Hospital (MGH), *486reimbursement for inpatient services it provided to three Medicaid patients. The denial was based on a determination that the provision of inpatient services was not “medically necessary,” as required by the regulations governing Medicaid reimbursement. MGH sought review in the Superior Court pursuant to G. L. c. 30A, § 14(7), and moved for judgment on the pleadings to vacate the Division’s decision. A judge of the…

2Cases cited15 opinions

  1. Connally v. General Construction Co.Supreme Court of the United States · 1926
  2. Smith v. GoguenSupreme Court of the United States · 1974
  3. Boyce Motor Lines, Inc. v. United StatesSupreme Court of the United States · 1952
  4. Consolidated Cigar Corp. v. Department of Public HealthMassachusetts Supreme Judicial Court · 1977
  5. Caswell v. Licensing Commission for BrocktonMassachusetts Supreme Judicial Court · 1983

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3Cited by1 opinion

  1. L.B. v. Comm'r of the Dep't of Developmental Servs.Massachusetts Appeals Court · 2018

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