GAB Decision 592
November 7, 1984
New Jersey Department of Human Services;
Ford, Cecilia; Garrett, Donald Settle, Norval
Docket No. 84-212
The New Jersey Department of Human Services appealed a decision by
the Health Care Financing Administration disallowing $296,798 in federal
financial participation claimed by the State under Title XIX of the
Social Security Act. The claim, included on the State's expenditure
report for the quarter ended March 31, 1984, was for inpatient
psychiatric services provided to individuals between the ages of 22 and
64. The services were rendered during the month the individual was
admitted to or discharged from an institution for mental diseases, or
during the month after the month of admission.
In its notice of appeal, the State indicated that this appeal
involves the same issue as that decided by the Board in Joint
Consideration: IMD Admission/Discharge Issue, Decision No. 436, May 31,
1983. Upon receiving the notice, the Board consulted with the parties,
who agreed that separate proceedings in this case were unnecessary and
that the Board should proceed to decision based on the parties'
presentations in the cases leading to Decision No. 436. Accordingly,
for the reasons stated in Decision No. 436, which is incorporated here
by reference, we uphold this disallowance of $296,798, subject to
reduction under the same conditions as the disallowances in Decision No.
436.
MARCH 19, 1985