DEPARTMENTAL GRANT APPEALS BOARD
Department of Health and Human Services
SUBJECT: Ohio Department of Human Services
Docket No. 86-188
Decision No. 805
DATE: November 7, 1986
DECISION
The Ohio Department of Human Services appealed a decision by the
Health
Care Financing Administration disallowing $4,968,255, in
federal
financial participation claimed by the State under Title XIX of
the
Social Security Act for the quarters ended September 30, 1983
and
September 30, 1985. The State's claims were for inpatient
psychiatric
services provided by State institutions for mental diseases
(IMDs) to
Medicaid patients aged 22 to 64 during the months the patients
were
admitted to the institutions.
The issues are those addressed by the Board in Joint Consideration:
IMD
Admission/Discharge Issue, Decision No. 436, May 31, 1983;
Ohio
Department of Public Welfare, Decision No. 486, December 13, 1983;
and
Ohio Department of Public Welfare, Decision No. 659, June 18, 1985.
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 previous cases. Accordingly, for the
reasons
stated in Decision Nos. 436, 486 and 659, which are incorporated here
by
reference, we uphold this $4,968,255 disallowance, subject to
reduction
under the conditions stated in Decision No. 436.
________________________________ Cecilia Sparks Ford
________________________________ Donald F. Garrett
________________________________ Judith A. Ballard
Presiding
Board