New Jersey Primary Care Ass'n v. New Jersey Department of Human Services
Court of Appeals for the Third Circuit
1Opinion of the Court
OPINION OF THE COURT
BARRY, Circuit Judge.
Under the federal Medicaid statute, 42 U.S.C. § 1396 et seq., states participating in Medicaid and implementing a managed care environment are obligated to make, at least every fourth month, supplemental payments (known as “wraparound payments”) to federally-qualified health centers (“FQHCs”) in an amount equal to the difference between a predetermined rate set by the Medicaid statute multiplied by the number of Medicaid patient encounters, and the amount paid to FQHCs by managed care organizations (“MCOs”) 1 for all Medicaid-covered patient…
2Cases cited20 opinions
- Pennhurst State School and Hospital v. HaldermanSupreme Court of the United States · 1984
- Skidmore v. Swift & Co.Supreme Court of the United States · 1944
- Gonzaga University v. DoeSupreme Court of the United States · 2002
- Christensen v. Harris CountySupreme Court of the United States · 2000
- Harris v. McRaeSupreme Court of the United States · 1980
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3Cited by17 opinions
- Community Health Care Ass'n v. ShahCourt of Appeals for the Second Circuit · 2014
- Linda Migliori v. Lehigh County Board of ElectionsCourt of Appeals for the Third Circuit · 2022
- Saint Anthony Hospital v. Elizabeth M. WhitehornCourt of Appeals for the Seventh Circuit · 2025
- Alameda Health Sys. v. Ctrs. for Medicare & Medicaid Servs.District Court, N.D. California · 2017
- Saint Anthony Hospital v. Elizabeth M. WhitehornCourt of Appeals for the Seventh Circuit · 2024
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