Crista Senior Community v. Department of Social & Health Services

Crista Senior Community (hereinafter Crista) and Beverly Enterprises-Washington, Inc. (hereinafter Beverly), two nursing facilities, appeal nursing services cost lids imposed on their Medicaid reimbursement rates. The facilities contend Washington State’s Department of Social and Health Services (hereinafter DSHS) should compute nursing cost on an hourly basis, in addition to the patient per day and gross cost comparisons utilized. Crista also contends DSHS improperly compared nursing costs against a national medical care index (MC-CPI), rather than a regional index, when limiting Crista’s…