No recoupment of funds where Department coordinator failed to amend ISP.
Petitioner, a personal care home, appealed the decision of the Department of Community Health to recoup a year of payments for services to a Medicaid recipient. The Department’s decision was based upon Petitioner’s failure to adhere to the recipient’s individual service plan (“ISP”). Judge Baxter reversed the recoupment decision, finding that Petitioner provided all of […]
No recoupment of funds where Department coordinator failed to amend ISP. Read More