CHANDLER, Justice, for the Court.
¶ 1. The Mississippi Division of Medicaid (DOM) amended its regulations, known as the "State Plan," to reduce the reimbursement rate applicable to private nursing facilities for the severely disabled (PNFSDs). Specifically, State Plan Amendment 2006-006 (SPA 2006-006) placed a ceiling on the Medicaid reimbursement of a PNFSD for its administrative and operating costs. The only PNFSD in Mississippi is the Methodist Specialty Care...
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