This declaratory judgment action has its origins in the establishment by the State Department of Health (hereinafter DOH) in October 1985 of a new method of Medicaid reimbursement to nursing homes called the "Long Term Care Case Mix Reimbursement System" that became effective on January 1, 1986. After a few months of experience with this system, it became apparent that it was generating artificially high reimbursement rates. Accordingly,...
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