St. John Medical Center v. Department of Social & Health Services

— This fee dispute between St. John Medical Center, a medical service provider, and the State Depart*55ment of Social and Health Services (DSHS) raises a question of contract interpretation. We conclude that the fee-for-service agreement at issue was a unilateral contract and that statutes, rules, and regulations adopted after the parties entered into the agreement but before St. John performed modified the agreement. Consequently, it did not cover the services St. John provided to managed care patients at the request of a managed care organization. Thus, we reverse the trial court’s grant of…