United States Third Circuit

Summary judgment for defendants in a challenge to defendant-Secretary's approval of a 2008 amendment to Pennsylvania's state plan for administering its Medicaid program, which adjusted Pennsylvania's method for determining Medicaid reimbursement rates to private nursing facilities for the 2008-09 fiscal year without considering quality of care, is: 1) affirmed in part, where the State defendant is immune from plaintiffs' requested relief under the Eleventh Amendment; and 2) reversed in part, as to the federal Defendants, where, by approving the amendment without any assurance that the amended plan would produce payments that are consistent with quality of care, the defendant-Secretary arbitrarily and capriciously, and the Administrative Procedures Act requires that the approval be set aside.

Appellate Information

• Decided 09/19/2013
• Published 09/19/2013

Judges

• JORDAN

Court

• United States Third Circuit

Counsel