Missouri Department of Social Services, Division of Medical Services v. Alexian Bros. of St. Louis, Inc.

ELLIS, Judge.

The Missouri Department of Social Services Division of Medical Services (“DMS”) brings this appeal challenging an order entered by the Circuit Court of Cole County awarding monetary relief to Alexian Brothers of St. Louis, Inc. d/b/a Alexian Brothers Hospital (“Alexian Brothers”). Adopting findings of the Administrative Hearing Commission (“AHC”), the circuit court found the DMS cap on Medicaid reimbursement for psychiatric services violated the “reasonable costs” provision of § 208.152.11 and violated procedural and substantive provisions of federal Medicaid law.

Prior to January…