New Jersey Department of Human Services, DAB No. 558 (1984)

GAB Decision 558
Docket No. 84-129

August 10, 1984

New Jersey Department of Human Services;
Ford, Cecilia; Garrett, Donald Settle, Norval


The New Jersey Department of Human Services appealed a decision by
the Health Care Financing Administration disallowing $268,369 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 December 31, 1983, 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 issue 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 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 $268,369, subject to reduction under the
same conditions as the disallowances in Decision No. 436.

JANUARY 08, 1985