ELITE HOME HEALTH CARE, INC. v. N.C. DHHS

No. COA23-122.

896 S.E.2d 630 (2023)

ELITE HOME HEALTH CARE, INC., and Elite Too Home Health Care, Inc., Petitioners, v. N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Division of Medical Assistance, Division of Health Benefits, Respondents.

Court of Appeals of North Carolina.

Filed December 19, 2023.


Attorney(s) appearing for the Case

Ralph Bryant Law Firm, Greenville, by Ralph T. Bryant, Jr. , for petitioners-appellants.

Attorney General Joshua H. Stein , by Assistant Attorney General Adrian W. Dellinger , for the State.


This appeal concerns the definition of a "clean claim" for the purposes of prepayment claims review of Medicaid providers in North Carolina, pursuant to N.C. Gen. Stat. § 108C-7 (2021). After conducting prepayment claims review, Respondent North Carolina Department of Health and Human Services ("DHHS") terminated Petitioners...

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