Manor v. Commissioner of Health

107 A.D.3d 1116, 968 N.Y.S.2d 618
Appellate Division of the Supreme Court of the State of New York·Decided June 6, 2013·Published·Cited by 6 cases

Opinion

Spain, J.

Appeal from a judgment of the Supreme Court [1117]*1117(Cahill, J.), entered January 25, 2012 in Albany County, which, in a combined proceeding pursuant to CPLR article 78 and action for declaratory judgment, granted respondents’ motion to dismiss the petition/complaint.

In June 1991, the Department of Health granted petitioner a certificate of need to construct a 280-bed nursing home. Several years later, petitioner commenced operations, conditioned upon its compliance with a 40-bed phase-in schedule. Pursuant to this process, petitioner contacted the Department when the first 40-bed unit was near full capacity and the Department then certified another 40-bed unit for occupancy; theoretically, this process was to repeat itself until all 280 authorized beds were certified. Revised operating certificates increasing the number of certified beds were issued twice in 1999 and annually in 2000 and 2001, at which time the facility was certified to operate 240 beds. The record does not reflect that petitioner ever requested certification of the remaining 40 beds that it was authorized to operate by its certificate of need.

In March 2011, petitioner submitted a Medicaid rate appeal to the Department which sought, among other things, a recalculation of its Medicaid reimbursement rate based on its actual certified capacity of 240 beds — rather than the 280 authorized beds — for the rate years 2001 through 2010.

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Manor v. Commissioner of Health, 107 A.D.3d 1116, 968 N.Y.S.2d 618 (N.Y. Ct. App. 2013).

107 A.D.3d 1116 (Manor v. Commissioner of Health) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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