St. James Nursing Home v. Axelrod

OPINION OF THE COURT

Kane, J. P.

Petitioner, a residential health care facility, participates in the Medicaid program whereby it receives reimbursement through a combination of Federal and State funds for the care it renders to its covered patients. The State Department of Health is responsible for determining Medicaid reimbursement rates for facilities such as petitioner’s. To determine petitioner’s reimbursement rate for the period commencing January 1, 1983, petitioner was required to file a "DMS-1” form for each of the patients it treated during the period of October 1, 1981 through…