Maryland Department of Health & Mental Hygiene v. Centers for Medicare & Medicaid Services

OPINION

KEELEY, District Judge:

In this case, we consider the Maryland Department of Health & Mental Hygiene’s (“Maryland”) petition for review of a final decision of the Centers for Medicare & Medicaid Services (“CMS”) 1 that disapproved an amendment to Maryland’s State Medicaid Plan (the “SPA”). That SPA sought to eliminate deductions for uncovered medical expenses Medicaid recipients incurred before becoming eligible for benefits. Maryland’s petition asserts that CMS’s rejection of its SPA is based on an unreasonable interpretation of congressional intent regarding the calculation of a…