GAB Decision 540
Docket No. 84-115
July 10, 1984
New York State Department of Social Services;
Ford, Cecilia; Garrett, Donald Settle, Norval
The New York State Department of Social Services appealed a decision
by the Health Care Financing Administration disallowing $4,292,653 in
federal financial participation claimed by the State under Title XIX of
the Social Security Act. The claim was for the period October 1 to
December 31, 1983, 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 $4,292,653 disallowance,
subject to reduction under the same conditions as the disallowances in
Decision No. 436.
NOVEMBER 14, 1984