At 1:30 the Miss.S.Ct. will hear the case of Crossgates River Oaks Hospital, et al v. Mississippi Division of Medicaid et al.
This involves Medicaid’s decision in 2010 to retroactively adjust the Appellant Hospitals’ Medicaid outpatient rates for fiscal year 2001. The Hospitals challenged the adjustment and lost and appealed to the Hinds Chancery Court which affirmed the Division of Medicaid’s decision. The Hospitals argue that Medicaid’s decision to include a portion of laboratory and radiology charges in the denominator of the cost-to-charge ratio was arbitrary, capricious and/or in violation of Attachment 4.19-B of the Mississippi State Plan for Medical Assistance where the State Plan expressly provided, and the Division admitted, that all radiology and laboratory charges must be excluded from the formula.
Watch the argument here