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. 

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.

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