County of Ventura v. Kent CA2/2
This case concerns adjustments made by the California Department of Health Care Services (Department) during its audit of four federally qualified health centers (FQHC’s) operated by the County of Ventura (County) for the fiscal year 2011 (FY 2011). According to the County, the audited per-visit rates for three of the FQHC’s are too low because the Department imposed a “productivity standard” that artificially inflated the number of visits for the clinics for FY 2011 that the Department used in the denominator of the calculation to establish the clinics’ “per-visit” rate going forward. For the fourth clinic, the County contends that the Department improperly disallowed its entire building expense for FY 2011, thereby reducing its per-visit rate.
The County appealed the audit findings. After an informal hearing and then a formal hearing before an administrative law judge (ALJ), a final decision was issued by the Department, upholding the audit adjustments.
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