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PRIMARY CHILDREN'S HOSP. v. UTAH DEPT. OF HEALTH

No. 981709-CA.

993 P.2d 882 (1999)

1999 Utah Ct. App. 348

PRIMARY CHILDREN'S HOSPITAL and Sean Daugaard, Petitioners, v. UTAH DEPARTMENT OF HEALTH, DIVISION OF HEALTH CARE FINANCING, Respondent.

Court of Appeals of Utah.

December 2, 1999.

Attorney(s) appearing for the Case

Merrill F. Nelson, Kirton & McConkie, Salt Lake City, for Petitioners.

Jan Graham, Atty. Gen., and Jean P. Hendrickson, Asst. Atty. Gen., Salt Lake City, for Respondent.

Before WILKINS, P.J., BENCH and DAVIS, JJ.

OPINION

DAVIS, Judge:

¶ 1 Primary Children's Hospital (Primary) petitions this court for review of a final agency decision denying Medicaid reimbursement for failure to obtain prior authorization for services. We reverse.

FACTS

¶ 2 In March of 1997, five-year-old Sean Daugaard was admitted to Primary and later diagnosed with Acute Lymphoblastic Leukemia. Chemotherapy was unsuccessful, and Sean's physician concluded that a bone...

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