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N.J. PRIMARY CARE v. N.J. DEPT. OF HUMAN SERVICES

No. 12-3220.

722 F.3d 527 (2013)

NEW JERSEY PRIMARY CARE ASSOCIATION INC. v. State of NEW JERSEY DEPARTMENT OF HUMAN SERVICES; Jennifer Velez, Esq., in her Official Capacity as Commissioner of the State of New Jersey Department of Human Services; State of New Jersey Department of Human Services, Division of Medical Assistance and Health Services; Valerie Harr, in her Official Capacity as Director of the Division of Medical Assistance and Health Services, Appellants.

United States Court of Appeals, Third Circuit.

Opinion Filed: July 9, 2013.

Attorney(s) appearing for the Case

Caroline M. Brown, Esq. (Argued), Zewen J. Chen, Esq. , Covington & Burling, LLP, Washington, DC, for Appellants.

Khatereh S. Ghiladi, Esq. (Argued), Rupinderjit S. Grewal, Esq. , Feldesman Tucker Leifer Fidell, LLP, Washington, DC, for Appellee.

Before: FUENTES, CHAGARES and BARRY, Circuit Judges.

OPINION OF THE COURT

BARRY, Circuit Judge.

Under the federal Medicaid statute, 42 U.S.C. § 1396 et seq., states participating in Medicaid and implementing a managed care environment are obligated to make, at least every fourth month, supplemental payments (known as "wraparound payments") to federally-qualified health centers ("FQHCs") in an amount equal to the difference between a predetermined rate set by the Medicaid statute multiplied by the...

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