Medicaid Reimbursement Case Moves To Supreme Court


Healthcare Finance News reports the “U.S. Supreme Court has agreed to hear a case brought by Idaho providers over an issue that has split many lower courts: whether Medicaid providers have a Constitutional right to sue states to enforce Medicaid funding regulations.”

This “case stems from a 2009 lawsuit brought by Idaho rehabilitation service providers, who eventually convinced an appeals court that the state Department of Health and Welfare was obligated to increases its rates with inflation as outlined by department methodology — even though the legislature had not allocated the extra funding.”

The providers say they had to resort to litigation “to compel the state to keep Medicaid reimbursement at sustainable levels.”

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