GAB Decision 739
April 9, 1986
Pennsylvania Department of Public Welfare;
Docket No. 86-47
Ford, Cecilia S.; Garrett, Donald F. Ballard, Judith A.
The Pennsylvania Department of Public Welfare appealed a decision by
the Health Care Financing Administration disallowing $6,895,470 in
federal financial participation claimed by the State under Title XIX of
the Social Security Act. The claim was for the period September 1, 1984
to March 31, 1985, and involves inpatient psychiatric services rendered
to individuals between the ages of 22 and 64 during the months they were
admitted to or discharged from institutions for mental diseases.
In its notice of appeal, the State indicated that the issues in
this
appeal are identical to those decided by the Board in
Joint
Consideration: IMD Admission/Discharge Issue, Decision No. 436,
May 31,
1983. The parties agreed that separate proceedings in this case
were
unnecessary and that the Board could 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 $6,895,470
disallowance,
subject to reduction under the same conditions as the
disallowances in
Decision No. 436.