Broadacres Skilled Nursing Facility v. Ingraham

This action, originally brought as an article 78 proceeding, sought a review of the action of the Commissioner of Health fixing the 1974 Medicaid reimbursement rate for appellant’s facility and declaratory judgment determining that the commissioner enacted certain arbitrary and capricious regulations in violation of the authority granted by the Public Health Law.

Subdivision 3 of section 2807 of the Public Health Law established certain guidelines for Medicaid reimbursement to be used by the State and mandated, inter alia, that the commissioner consider "the elements of cost”. The commissioner…