Your essential DAB Tracker for effortless legal navigation.

Welcome to the Feldesman HHS Departmental Appeals Board (DAB) Tracker. Our team of federal grants attorneys are at the forefront of monitoring and dissecting DAB cases related to federal grant compliance, providing an invaluable tool for individuals navigating the intricacies of these legal matters.

Designed with user convenience in mind, our tracker is meticulously organized as a sortable list. This allows users to access information based on date, case particulars, and specific topics. Whether you are delving into insights on a specific case or exploring recurring issues before the DAB, our user-friendly interface ensures a streamlined and efficient review process.

If you have questions, please contact Phillip A. Escoriaza at pescoriaza@feldesman.com or Mindy B. Pava at mpava@feldesman.com.

DAB Case NumberDecision DateAppellantRespondent Operating DivisionFederal ProgramCase TypeIssue & ResultSource of Questioned CostsYear Costs Originally Incurred
3066 (R)Oct 27, 2023Texas Health and Human Services CommissionCenters for Medicare & Medicaid Services (CMS)MedicaidDisallowance
$16,287,695
Issue: Request for reconsideration

Result: Denied for failure to meet Board standard of “clear error of fact or law”
Issue: Random Moment in Time Study (RMTS) adequacy

Result: Declined to consider new arguments regarding accuracy and adequacy of supporting documentation
OIG2011
3110Sep 12, 2023Idaho Department of Health and WelfareAdministration for Children and Families (ACF)SSA, Title IV-B and E (Child and Family Services)Withholding
$935,712
Issue: Funds withheld on asserted failure to accomplish certain performance improvement plan goals

Result: Upheld on grounds of appellant not contesting factual or legal basis for withholding
Issue: Appellant arguments based on equity

Result: Denied on grounds that Board is to simply apply law and facts to determine whether Operating Division action was proper
ACFN/A
3108Aug 23, 2023Virginia Department of Medical Assistance ServicesCenters for Medicare & Medicaid Services (CMS)MedicaidDisallowance
$57,972,975
Issue: Validity of Medicaid claims at certain Institutions for Mental Disease (IMD)

Result: Upheld based upon agreement with CMS regarding certain facility survey and certification prerequisites to payment eligibility
OIG2006-2010
3099May 31, 2023California Department of Health Care ServicesCenters for Medicare & Medicaid Services (CMS)MedicaidDisallowance
$30,492,805
Issue: Disallowance of cost-based claims for federal financial participation

Result: Upheld on grounds that State’s cost-based approach using a carryforward methodology did not reflect actual costs in current year
Issue: Definition of “cost-based” for Medicaid federal financial participation

Result: Cost based means, and only means, actual cost in the covered period
Issue: Appellant argument of prejudice caused by delay of disallowance

Result: Delay in CMS making a disallowance determination, even if possibly prejudicial, does turn and unallowable cost into an allowable cost
Issue: Appellant argument of prejudice caused by delay of disallowance

Result: Medicaid statute and regulations contain no deadline or statute of limitations for disallowance determinations
CMS2003-2010
3095May 8, 2023Centro de Servicios a la Juventud, Inc.Administration for Children and Families (ACF)Head StartTermination Issue: Termination for failure to timely correct governance “deficiencies” as defined in Head Start Act

Result: Upheld termination based upon occurrence of various similar circumstances suggesting underlying governance failures after the deadline set for correction of deficiencies
N/AN/A