Paladin Commty Mntl Hlth Ctr, et al. v. Sebelius, et al., No. 11-50682 (5th Cir. 2012)
Annotate this CaseThis appeal involved a challenge to the 2011 Medicare payment rate set by the Secretary of Health and Human Services for partial hospitalization services. Paladin claimed that the Secretary's use of both hospital-based and community mental health center cost data in establishing and adjusting the 2011 relative payment weights and ultimate payment rate was in excess of her statutory authority. Paladin filed suit in district court without first presenting an administrative claim, alleging jurisdiction was proper under 28 U.S.C. 1331. The court found that Congress expressly precluded judicial review of the Secretary's determinations and that her actions were not a facial violation of a clear statutory mandate. Accordingly, the court affirmed the district court's dismissal for lack of subject matter jurisdiction.
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