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Home / Opinion Digests / 4th Cir.: Medicaid payment-adjustment policy invalid (access required)

4th Cir.: Medicaid payment-adjustment policy invalid (access required)

A U.S. Department of Health & Human Services policy for “payment adjustment” calculations by hospitals serving disproportionately needy populations is legislative in nature and should have been promulgated through notice-and-comment rulemaking. Thus, the policy cannot be enforced against a Virginia hospital that otherwise faced $19 million in overpayment liability. Background Plaintiff-Appellee Children’s Hospital of the King’s Daughters ...