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Home / Opinion Digests / Agency Was ‘Arbitrary’ in Pulling Medicaid Pay (access required)

Agency Was ‘Arbitrary’ in Pulling Medicaid Pay (access required)

A decision by the Virginia Department of Medical Assistance Services retracting $190,111.71 in payment from plaintiff Sentara Medical Equipment for provision of enteral nutrition supplements to Virginia Medicaid beneficiaries is reversed; the Norfolk Circuit Court says the agency’s interpretation of its regulations to require a physician’s signature of the forms submitted by Sentara is “arbitrary ...