DBHDD properly utilized standard methodology in determining reduction of skilled nursing hours
Topic: Medicaid Eligibility, Decided by: Judge Langston
Docket Number: 0000000 , Decision Date: September 5, 2023
Attachment: Click here to download the decision.
Docket Number: 0000000 , Decision Date: September 5, 2023
Attachment: Click here to download the decision.
In upholding the reduction of a NOWCOMP recipient’s skilled nursing service hours, the Court concluded that the Department of Behavioral Health and Developmental Disabilities (DBHDD) abided by its standardized methodology for calculating the hours. Moreover, there was insufficient evidence that more hours were medically necessary.
Update as of 2/2/2024: On appeal before the Superior Court of Muscogee County.