Hillsides Home for Children v. California
Plaintiff and appellant Hillsides Home for Children provides mental health care services to children in Los Angeles, including children who are eligible for Medi-Cal. Hillsides provided services to 28 patients and submitted claims for reimbursement under Medi-Cal, but the claims were denied. Hillsides, alleging that the claims were denied based on an improper finding that the patients were ineligible for Medi-Cal, filed a petition for writ of mandate, naming as respondents the State of California, the California Department of Health Services and the California Department of Mental Health (collectively, the State). After a hearing, the trial court denied the petition for writ of mandate. The court found that when Hillsides submitted the claims for reimbursement, it failed to provide to the State the patients correct Medi-Cal beneficiary identification numbers. The court also found that Hillsides failed to identify the claims adequately for which it was seeking reimbursement. Substantial evidence does not, however, support these findings. We therefore reverse the judgment and remand this matter.
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