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PINNACLE HEALTH SYSTEM v. DPW

942 A.2d 189 (2008)

PINNACLE HEALTH SYSTEM, Petitioner v. DEPARTMENT OF PUBLIC WELFARE, Respondent.

Commonwealth Court of Pennsylvania.

Decided January 16, 2008.

Reargument Denied March 14, 2008.

Attorney(s) appearing for the Case

Richard C. Seneca, Etters, for petitioner.

Peter J. Garcia, Asst. Counsel, Harrisburg, for respondent.

BEFORE: LEADBETTER, President Judge, McGINLEY and PELLEGRINI, Judges.

OPINION BY Judge PELLEGRINI.

Pinnacle Health System (Pinnacle) appeals a determination of the Bureau of Hearings and Appeals (BHA) denying Medicaid reimbursement for service rendered to patients in Pinnacle's inpatient psychiatric unit because that care fell below accepted medical treatment standards because those patients were not examined daily by a psychiatrist.

Pinnacle is a hospital system that includes an acute inpatient psychiatry unit. Physicians are...

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