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GRANE HOSPICE v. DEPT. OF PUBLIC WELFARE

No. 1354 C.D. 2012

72 A.3d 322 (2013)

GRANE HOSPICE CARE, INC., Petitioner v. DEPARTMENT OF PUBLIC WELFARE, Respondent.

Commonwealth Court of Pennsylvania.

Decided July 25, 2013.

Attorney(s) appearing for the Case

Patrick M. Connelly , Pittsburgh, for petitioner.

Gene K. Cuccarese , Senior Counsel, Pittsburgh, for respondent.

BEFORE: PELLEGRINI, President Judge, and LEADBETTER, Judge (P.), and LEAVITT, Judge.

OPINION BY Judge LEAVITT.

Grane Hospice Care, Inc. petitions for review of an adjudication of the Department of Public Welfare ordering it to reimburse the Department for payments it received to provide hospice care services to T.L. (Patient), who was enrolled in Medical Assistance. The Department found that these services were not medically necessary and were not documented in accordance with the applicable regulation. Grane...

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