                            UNITED STATES DISTRICT COURT
                            FOR THE DISTRICT OF COLUMBIA
_____________________________________
                                          )
MERCY GENERAL HOSPITAL, et al.,           )
                                          )
               Plaintiffs,                )
                                          )
       v.                                 )  Civil Action No. 16-99 (RBW)
                                          )
ALEX M. AZAR II, in his official capacity )
as Secretary of the United States         )
Department of Health and Human Services, )
                                          )
               Defendant.                 )
_____________________________________ )

                                        MEMORANDUM OPINION

         The plaintiffs, eighty-one acute care hospitals located in California, seek judicial review

of the final decision of the defendant, the Secretary of the United States Department of Health

and Human Services (the “Secretary”), denying their claims for reimbursement of deductible and

coinsurance payments that were not paid to the hospitals by Medicare beneficiaries. See

Complaint (“Compl.”) ¶¶ 1–2. Currently before the Court is the Plaintiffs’ Motion for

Reconsideration and Renewal of Motion for Summary Judgment and Objections; or, in the

Alternative, Motion for Scheduling Order and Retention of Jurisdiction (“Pls.’ Mot.” or the

“motion for reconsideration”), which seeks, inter alia, reconsideration of the Court’s prior

decision issued on September 29, 2018 (the “September 29, 2018 decision”) pursuant to Federal

Rule of Civil Procedure 59(e), or alternatively, pursuant to Rule 60(b). See Pls.’ Mot. at 2.

Upon consideration of the parties’ submissions, 1 the Court concludes that it must grant in part

and deny in part the plaintiffs’ motion for reconsideration.


1
 In addition to the filings already identified, the Court considered the following submissions in rendering its
decision: (1) the Defendant’s Response to Plaintiffs’ Motion for Reconsideration and Renewal of Motion for
                                                                                                       (continued . . .)
                                        I.        BACKGROUND

        The Court previously described the relevant statutory and regulatory framework and

factual background in detail, see Mercy Gen. Hosp. v. Azar, 344 F. Supp. 3d 321, 326–33

(D.D.C. 2018) (Walton, J.), and therefore will not reiterate these topics in full again.

        The Court will, however, discuss the procedural posture pertinent to the resolution of the

pending motion. As the Court previously explained, see id. at 328, if Medicare patients fail to

pay the deductible and coinsurance payments that they owe to providers, the providers may seek

reimbursement from the Centers for Medicare & Medicaid Services (“CMS”) for these unpaid

amounts, known as “bad debts,” see 42 C.F.R. § 413.89(e). To obtain reimbursement for these

bad debts, providers must demonstrate that the debt satisfies four criteria:

        (1)      The debt must be related to covered services and derived from deductible
                 and coinsurance amounts.

        (2)      The provider must be able to establish that reasonable collection efforts
                 were made.

        (3)      The debt was actually uncollectible when claimed as worthless.

        (4)      Sound business judgment established that there was no likelihood of
                 recovery at any time in the future.

Id. Chapter 3 of CMS’s Provider Reimbursement Manual (“PRM”) provides further instruction

regarding the requirements for bad debt reimbursement.




(. . . continued)
Summary Judgment and Objections; or, in the Alternative, Motion for Scheduling Order and Retention of
Jurisdiction (“Def.’s Opp’n”); (2) the Plaintiffs’ Reply in Support of Plaintiffs’ Motion for Reconsideration and
Renewal of Motion for Summary Judgment and Objections; or, in the alternative, Motion for Scheduling Order and
Retention of Jurisdiction (“Pls.’ Reply”); (3) the Objections to the Magistrate Judge’s Proposed Findings and
Recommendations (“Pls.’ Objs.”); (4) the Reply in Support of Objections to the Magistrate Judge’s Proposed
Findings and Recommendations (“Pls.’ Reply Objs.”); (5) the Written Response to the Court’s Queries Pursuant to
February 16, 2018 Order (“Pls.’ Resp.”); (6) the Plaintiffs’ Memorandum of Points and Authorities in Support of
Motion for Summary Judgment (“Pls.’ Summ. J. Mem.”); (7) the Notice and Clarification (“Pls.’ Not.”); and (8) the
Administrative Record (“AR”).



                                                        2
          Here,

          the [CMS] Administrator [(the “Administrator”)] denied the plaintiffs’ claims for
          Medicare reimbursement of unpaid deductibles and coinsurance pursuant to the
          Secretary’s “must-bill policy,” which requires providers seeking Medicare
          reimbursement for bad debts associated with dual eligible[] [patients][2] to (1) bill
          the state Medicaid program (the “billing requirement”) and (2) obtain and submit
          to the [Medicare] intermediary [(the “intermediary”)] a remittance advice from
          the state Medicaid program (the “remittance advice requirement”).[3] The
          Administrator denied the plaintiffs’ claims for failing to satisfy the remittance
          advice requirement. In opposition to this conclusion, the plaintiffs argue[d] that
          (1) “[t]he Secretary’s purported must-bill policy . . . was not in place prior to
          August 1, 1987, and therefore violates the [Bad Debt] Moratorium,” [(the
          “Moratorium”)][4] or, alternatively, even if the must-bill policy is lawful; (2) “the
          Secretary should be ordered to accept the alternative documentation the
          [p]laintiffs submitted” under “PRM [§] 1102.3L, which clearly provided that
          providers could submit proper alternative documentation in lieu of billing the
          State[] . . . and which was applicable to the [p]laintiffs’ cost years at issue”; and
          (3) the plaintiffs’ “EDS[5] [reports] were the equivalent of remittance advices
          from the State, and[, therefore,] rejecting them was improper,”


2
  As the Court previously explained, see Mercy Gen. Hosp., 344 F. Supp. 3d at 327–28, dual eligible patients are
patients that “are eligible for both Medicare and Medicaid.” Grossmont Hosp. Corp. v. Burwell, 797 F.3d 1079,
1081 (D.C. Cir. 2015). Although “Medicare is the primary payor” in this situation, “[s]tate Medicaid plans often
mandate that the state Medicaid agency pay for part or all of the Medicare deductibles and coinsurance amounts
incurred in connection with treating these dual eligible[] [patients].” Id.
3
 As the Court previously noted in its September 29, 2018 decision, see Mercy Gen. Hosp., 344 F. Supp. 3d
at 335 n.9, the Administrator’s description of the must-bill policy as having two components is consistent with the
Secretary’s description of the policy expressed in Grossmont Hospital Corp. See 797 F.3d at 1082 (describing the
Secretary’s policy as requiring a hospital to “bill[] the state Medicaid agency (‘must[-]bill policy’) and obtain[] a
determination from the state of its payment responsibility (‘mandatory state determination’)”).
4
    The Bad Debt Moratorium provided:

          In making payments to hospitals under [the Medicare program], the Secretary . . . shall not make
          any change in the policy in effect on August 1, 1987, with respect to payment under [the Medicare
          program] to providers of service for reasonable costs relating to unrecovered costs associated with
          unpaid deductible and coinsurance amounts incurred under [the Medicare program] (including
          criteria for what constitutes a reasonable collection effort).

Omnibus Budget Reconciliation Act (OBRA) of 1987, Pub. L. No. 100–203, § 4008(c), 101 Stat. 1330, 1330–55
(codified at 42 U.S.C. § 1395f note (Continuation of Bad Debt Recognition for Hospital Services)).
5
 As the Court previously explained, see Mercy Gen. Hosp., 344 F. Supp. 3d at 331, the plaintiffs represent that they
contracted with EDS Corporation (“EDS”) in 2007 “to produce reports to submit . . . [to the intermediary] as [ ]
alternative documentation to the State remittance advices” (the “EDS reports”). AR at 12–13; see also AR at 34
(explaining that the plaintiffs retained EDS “in order to . . . generate certain reports ‘for the purposes of identifying
outpatient and inpatient bad debt payable by the Medicare program’”).



                                                            3
Mercy Gen. Hosp., 344 F. Supp. 3d at 335 (tenth, fourteenth through seventeenth, nineteenth,

and twentieth alterations in original) (citations omitted).

       The Court, in its September 29, 2018 decision, partially granted the plaintiffs’ summary

judgment motion and

       conclude[d] that the Administrator’s finding that the Secretary’s remittance
       advice requirement predated the Moratorium [was] not supported by substantial
       evidence, and thus, based on the administrative record before the Secretary,
       application of such a requirement to the plaintiffs’ claims violated the
       Moratorium. Therefore, the Court [could not] affirm the Secretary’s denial of the
       plaintiffs’ claims on the basis that the plaintiffs failed to provide remittance
       advices to support their claims. Moreover, because the Administrator did not find
       that the plaintiffs failed to bill the state for all of the claims at issue, the Court
       [could not] affirm the Administrator’s decision denying all of the plaintiffs’
       claims on the alternative ground that the plaintiffs failed to satisfy any billing
       requirement.

Id. at 354. Accordingly, the Court vacated the Administrator’s decision and remanded the case

to the Secretary for further proceedings. See Order at 1 (Sept. 29, 2018), ECF No. 49.

Thereafter, on October 25, 2018, the plaintiffs filed their motion for reconsideration of the

Court’s September 29, 2018 decision, see Pl.’s Mot. at 1, which is the subject of this

Memorandum Opinion.

                            II.        STANDARDS OF REVIEW

A.     Rule 59(e) Motion for Reconsideration

       Federal Rule of Civil Procedure 59(e) permits a party to file “[a] motion to alter or amend

a judgment” within “[twenty-eight] days after the entry of the judgment.” Fed. R. Civ. P. 59(e).

“Motions to alter or amend a judgment under Federal Rule of Civil Procedure 59(e) lie within the

discretion of the Court.” AARP v. U.S. Equal Emp’t Opportunity Comm’n, 292 F. Supp. 3d

238, 241 (D.D.C. 2017) (citing Ciralsky v. Cent. Intelligence Agency, 355 F.3d 661, 671

(D.C. Cir. 2004)). However, motions under Rule 59(e) are “disfavored,” and the moving party

bears the burden of establishing “extraordinary circumstances” warranting relief from a final


                                                  4
judgment. E.g., Niedermeier v. Office of Baucus, 153 F. Supp. 2d 23, 28 (D.D.C. 2001) (citing

Anyanwutaku v. Moore, 151 F.3d 1053, 1057 (D.C. Cir. 1998)). “Rule 59(e) motions need not

be granted unless the district court finds that there is an intervening change of controlling law,

the availability of new evidence, or the need to correct a clear error or prevent manifest

injustice.” Anyanwutaku, 151 F.3d at 1057–58 (citation and internal quotation marks omitted).

B.      Rule 60(b) Motion for Reconsideration

        Rule 60(b) provides that “‘upon such terms as are just, the [C]ourt may relieve a party . . .

from a final judgment, order, or proceeding’ for any of several specified reasons.” Twelve John

Does v. District of Columbia, 841 F.2d 1133, 1138 (D.C. Cir. 1988) (quoting Fed. R. Civ. P.

60(b)). Clause (b)(6) of Rule 60 “grants federal courts broad authority to relieve a party from a

final judgment ‘upon such terms as are just,’ provided that the motion is made within a

reasonable time and is not premised on one of the grounds for relief enumerated in clauses (b)(1)

through (b)(5)” of the Rule. Salazar ex rel. Salazar v. District of Columbia, 633 F.3d 1110, 1116

(D.C. Cir. 2011) (quoting Liljeberg v. Health Servs. Acquisition Corp., 486 U.S. 847, 863

(1988)); see Fed. R. Civ. P. 60(b)(6) (permitting courts to “relieve a party . . . from a final

judgment, order, or proceeding” for “any other reason that justifies relief”). “The Rule does not

particularize the factors that justify relief, but . . . provides courts with authority ‘adequate to

enable them to vacate judgments whenever such action is appropriate to accomplish justice.’”

Liljeberg, 486 U.S. at 863–64 (quoting Klapprott v. United States, 335 U.S. 601, 614–15

(1949)). Although the Court “enjoys a large measure of discretion in deciding whether to grant

or deny a [Rule] 60(b)[(6)] motion,” Randall v. Merrill Lynch, 820 F.2d 1317, 1320 (D.C. Cir.

1987), the Supreme Court has held that Rule 60(b)(6) applies only in “extraordinary

circumstances,” Ackermann v. United States, 340 U.S. 193, 202 (1950), and “this [Circuit] has




                                                   5
cautioned that Rule 60(b)(6) ‘should be only sparingly used,’” Twelve John Does, 841 F.2d

at 1140 (quoting Good Luck Nursing Home. Inc. v. Harris, 636 F.2d 572, 577 (D.C. Cir. 1980)).

                                     III.        ANALYSIS

A.      Whether Reconsideration is Appropriate

        The plaintiffs argue that reconsideration of the Court’s September 29, 2018 decision and

Order pursuant to Rule 59(e) is necessary “to correct a clear error or prevent manifest injustice,”

Pls.’ Mot. at 9 (internal quotation marks omitted), “because the [decision] awards summary

judgment to [the] [p]laintiffs with too limited a touch,” id. at 1. Specifically, they argue that “the

Court’s analysis that the remittance advice component of the must bill policy violates the

Moratorium applies equally to the billing component,” id. at 9, and thus, the Court committed

clear error “by effectively find[ing] [that the] [p]laintiffs are entitled to relief from [both

components of] the must bill policy . . . but only grant[ing] relief as to the remittance advice

requirement,” id. at 8. The plaintiffs further argue that the Court’s narrow ruling is “manifestly

unfair” because “the [p]laintiffs likely will have to wait several more years for the [ ]

Administrator either to recognize that the must bill component is meaningless without the

remittance advice requirement or to deny reimbursement simply on the basis that the [p]laintiffs

did not bill the State and force the [p]laintiffs to then seek judicial review of the Moratorium

issue again.” Id. at 10. The plaintiffs further argue that the Court erred because it “did not rule

on whether . . . []PRM[] [§] 1102.3L applied to [the] [p]laintiffs . . . [or] whether the EDS reports

submitted by [the] [p]laintiffs effectively satisfied any valid billing requirement.” Id. at 1.

Alternatively, the plaintiffs bring their motion for reconsideration pursuant to Rule 60(b) based

on the same grounds on which Rule 59(e) relief is requested. See Pls.’ Mot. at 2. The

“[d]efendant agrees that [the] [p]laintiffs’ [m]otion raises a substantial issue requiring resolution




                                                   6
by this Court, and this Court wields discretion to decide that issue at this juncture.” Def.s’ Opp’n

at 1.

        As an initial matter, the Court must decide whether reconsideration is appropriate

pursuant to Rule 59(e) or Rule 60(b). “A motion for reconsideration is generally treated as a

[Rule] 59(e) motion if it is filed within [twenty-eight] days of entry of the challenged order and

as a Rule 60(b) motion if filed thereafter.” Middlebrooks v. Godwin Corp., 279 F.R.D. 8, 10 n.3

(D.D.C. 2011) (citing McManus v. District of Columbia, 545 F. Supp. 2d 129, 133

(D.D.C. 2008)). Because the plaintiffs filed their motion for reconsideration on

October 25, 2018, see Pls.’ Mot. at 1, within twenty-eight days of the entry of the Court’s

September 29, 2018 final decision, see Order at 1 (Sept. 29, 2018), ECF No. 49, the Court will

treat the plaintiffs’ motion as a Rule 59(e) motion only.

        However, there is a question as to whether Rule 59(e) is the appropriate means for

reconsidering its September 29, 2018 decision. Rule 59(e) “applies only to final judgments” of

the Court. Shvartser v. Lekser, 330 F. Supp. 3d 356, 360 (D.D.C. 2018). Despite this limitation,

the plaintiffs claim that the Court’s prior decision “d[id] not resolve the bulk of the controversy .

. . properly before th[e] Court.” Pls.’ Mot. at 11. And, as this Circuit has instructed, orders that

“le[ave] the ‘core dispute unresolved’ . . . [are] not [ ] final order[s].” Limnia, Inc. v. U.S. Dep’t

of Energy, 857 F.3d 379, 385 (D.C. Cir. 2017) (quoting Am. Haw. Cruises v. Skinner, 893 F.2d

1400, 1403 (D.C. Cir. 1990); see id. at 383–85 (concluding that an order remanding a case to an

administrative agency was not final because it “did not clarify what the parties were required to

do on remand”). Thus, if the Court accepts the plaintiffs’ position that its prior

September 29, 2018 decision failed to resolve key issues, the Court could only reconsider its

order pursuant to Rule 54(b). See Fed. R. Civ. P. 54(b) (permitting a court to “revise[] at any




                                                  7
time” an “order or other decision[] . . . that adjudicates fewer than all the claims or the rights and

liabilities of fewer than all the parties”). However, it is not necessary for the Court to determine

whether Rule 54(b) or Rule 59(e) applies because it concludes that the plaintiffs have satisfied

“even the more stringent standards of Rule 59(e).” AARP v. U.S. Equal Emp. Opportunity

Comm’n, 292 F. Supp. 3d 238, 241 n.1 (D.D.C. 2017) (despite observing that “[i]t [wa]s not

entirely clear whether Rule 59(e) [wa]s, in fact, the correct vehicle for [a] motion” for

reconsideration of an order remanding agency action, concluding that “the Court need not

determine which Federal Rule govern[ed] [ ], because it f[ound] that [the movant] c[ould] meet

even the more stringent standards of Rule 59(e)”).

       For the reasons explained in Part III.B of this Memorandum Opinion, infra, the Court

disagrees with the plaintiffs that the Court committed “clear error” by “effectively finding [that

the] [p]laintiffs are entitled to relief from [both components of] the must bill policy” but granting

relief only as to the remittance advice requirement. Pls.’ Mot. at 8; see Lardner v. Fed. Bureau

of Investigation, 875 F. Supp. 2d 49, 53 (D.D.C. 2012) (“[F]inal judgment must be ‘dead wrong’

to constitute clear error.”). Additionally, the Court cannot agree with the plaintiffs that any

further delay in the resolution of this case caused by the Court’s order remanding to the Secretary

necessarily qualifies as “manifest injustice” to the plaintiffs. Messina v. Krakower, 439 F.3d

755, 758 (D.C. Cir. 2006); see Slate v. Am. Broad. Cos., 12 F. Supp. 3d 30, 35 (D.D.C. 2013)

(observing that “manifest injustice is an exceptionally narrow concept in the context of a

Rule 59(e) motion” and “does not result merely because a harm may go unremedied”).

       Nonetheless, the Court finds it appropriate to partially reconsider its September 29, 2018

decision pursuant to Rule 59(e). As the Court previously observed, “[I]t may be certain that the

Administrator w[ill] again deny any claims he f[inds] h[ave] not been billed” and again find “that




                                                  8
the plaintiffs [do] not qualify for an exception to the billing requirement under the terms set forth

in § 1102.3L.” Mercy Gen. Hosp., 344 F. Supp. 3d at 353. And, if that happens, presumably the

plaintiffs will “then seek judicial review of the Moratorium issue again,” as well as raise the

PRM § 1102.3L issue. Pls.’ Mot. at 10. This sequence of events would result in piecemeal

judicial review of these issues, as the several issues would have to be resolved by the courts on

two separate occasions, which is generally disfavored. Cf. Osterneck v. Ernst & Whinney, 489

U.S. 169, 177 (1989) (treating “a postjudgment motion for discretionary prejudgment interest

[a]s a Rule 59(e) motion . . . [to] further the important goal of avoiding piecemeal appellate

review of judgments”). Moreover, it is notable that the defendant agrees with the plaintiffs that

reconsideration of the Court’s September 29, 2018 decision to address the billing requirement is

appropriate. See Def.’s Opp’n at 6 (“The Secretary agrees that the Court should have [ ]

analyzed the must-bill and remittance-advice policies.” (emphasis added)). Additionally,

although the parties rely on arguments that they have already raised in their summary judgment

briefs and objections, this is not a case in which the parties seek to relitigate issues already

decided by the Court, as the Court declined to decide the issues on which the plaintiffs now seek

a ruling. Cf. SmartGene, Inc. v. Advanced Bio. Labs, SA, 915 F. Supp. 2d 69, 72 (D.D.C. 2013)

(explaining that Rule 59(e) motions are “not simply an opportunity to reargue facts and theories

upon which a court has already ruled”); cf. also Oceana, Inc. v. Evans, 389 F. Supp. 2d 4, 8

(D.D.C. 2005) (Rule 59(e) is “not intended to allow a second bite at the apple”).

       For these reasons, the Court finds it appropriate to exercise its discretion and reconsider

its September 29, 2018 decision based on the specific circumstances of this case. See AARP v.

U.S. Equal Emp’t Opportunity Comm’n, 292 F. Supp. 3d 238, 242 (D.D.C. 2017) (finding “good

reasons to reexamine the Court’s prior holding” remanding case to the agency but declining to




                                                   9
vacate an agency rule, including that “vacatur [i]s the usual remedy when an agency fails to

provide a reasoned explanation for its regulations” and that the “Rule 59 motion [ ] allowed both

parties to air their positions on the remedial question, thereby helping the Court to make a fully

informed decision”); see also Judicial Watch, Inc. v. U.S. Dep’t of State, 282 F. Supp. 3d 338,

344–45 (D.D.C. 2017) (considering an argument that the agency “fail[ed] to raise [a] [Freedom

of Information Act] Exemption [ ] at the outset of the proceedings” because the failure “resulted

from human error, because disclosure of the information [at issue] would [have] pose[d] a

significant risk to national security, and because the agency ha[d] taken steps to ensure that it

d[id] not make the same mistake again”). Accordingly, the Court will reconsider its

September 29, 2018 decision in order to address the validity of the billing requirement and the

Administrator’s refusal to apply PRM § 1102.3L to the plaintiffs’ claims.

B.      Whether the Billing Requirement Violates the Moratorium

        The “[p]laintiffs ask this Court to hold that both components (billing and remittance

advice) of the must bill policy violated the Moratorium.” Pls.’ Mot. at 2. They argue that “[t]he

Court’s reasoning [in its prior decision] that the remittance advice component of the must bill

policy violates the Moratorium applies equally to the billing component, . . . [as] [t]he[]

components are inextricably intertwined as part of the same must bill policy.” Id. at 5. The

Secretary responds that the must-bill policy “only demonstrates that the Administrator’s decision

must be affirmed[.]” Def.’s Opp’n at 6. The Secretary argues that “[a]lthough the Court found

there was no express pre-[M]oratorium reference in the Secretary’s guidance to a

remittance-advice requirement, several courts have noted that the must-bill policy began long

before the bad debt moratorium, and the Court should have reached that issue in its decision.”

Id. at 10 (citation omitted).




                                                 10
        The Court agrees with the plaintiffs that the relevant PRM provisions do not constitute

evidence of the billing requirement’s existence prior to the Moratorium for some of the same

reasons that they did not support a remittance advice requirement. As previously explained,

“§ 310 of the PRM, which addresses the ‘reasonable collection efforts’ requirement for bad debt

reimbursement under 42 C.F.R. § 413.89(e), provides that ‘a reasonable collection effort . . .

must involve the issuance of a bill on or shortly after discharge or death of the beneficiary to the

party responsible for the patient’s personal financial obligations.’” Mercy Gen. Hosp.,

344 F. Supp. 3d at 338. However, “§ 312, read literally, exempts providers from complying with

that section when seeking reimbursement for dual eligible patients.” 6 Id. at 340; see PRM § 312

(“Once indigence is determined and the provider concludes that there ha[s] been no improvement

in the beneficiary’s financial condition, the debt may be deemed uncollectible without applying

the § 310 procedures.” (emphasis added)).

        Additionally, PRM § 312.C’s requirement that a “provider must determine that no source

other than the patient would be legally responsible for the patient’s medical bill,” PRM § 312.C,

does not constitute evidence of a billing requirement either. As previously explained, “the plain

language of § 312 renders § 312.C literally inapplicable to Medicaid patients.” Mercy Gen.

Hosp., 344 F. Supp. 3d at 341 (internal quotation marks omitted). Moreover, § 312.C does not

provide any instructions for how a provider should “determine that no source other than the

patient would be legally responsible for the patient’s medical bill,” PRM § 312.C, let alone

mandate that the only way to make such a determination is to bill the state, see Mercy Gen.


6
  As the Court previously explained in its September 29, 2018 decision, see Mercy Gen. Hosp., 344 F. Supp. 3d
at 327–28, dual eligible patients are patients that “are eligible for both Medicare and Medicaid.” Grossmont Hosp.
Corp. v. Burwell, 797 F.3d 1079, 1081 (D.C. Cir. 2015). Although “Medicare is the primary payor” in the
circumstances presented to the Court in this case, “[s]tate Medicaid plans often mandate that the state Medicaid
agency pay for part or all of the Medicare deductibles and coinsurance amounts incurred in connection with treating
these dual eligible[] [patients].” Id.



                                                        11
Hosp., 344 F. Supp. 3d at 341 (“[Section] 312.C . . . nowhere states that a provider must receive

a remittance advice from a state Medicaid program in order to ‘determine that no source other

than the patient would be legally responsible for the patient’s medical bill.’”). And, any

insistence by the Administrator that billing the state is the only way to determine who is

responsible for payment is undermined by the Secretary’s adoption of PRM § 1102.3L, which

provided other means of establishing responsibility for payment. See id.

       Finally, PRM “§ 322 does not explicitly impose” a billing requirement. Id. at 342.

Additionally, the Court again cannot agree with “the Administrator’s conclusion that [PRM]

§ 322’s reference to the amount that the State ‘does not pay,’ ‘presumes that the State has been

billed as all responsible parties are expected to be billed,’” id. (first quoting PRM § 322; then

quoting AR at 8), however, for slightly different reasons. As the plaintiffs previously noted, the

phrase “does not pay” could be “read to mean the amount that the State does not pay according

to its State plan and [prescribed] rate schedule.” Pls.’ Summ. J. Mem. at 31. This reading finds

support in the principle of statutory construction that “the present tense generally does not

include the past.” Carr v. United States, 560 U.S. 438, 448 (2010) (citing 1 U.S.C. § 1). Thus,

the Court cannot conclude that the relevant PRM provisions constitute evidence of a billing

requirement for providers seeking reimbursement for dual eligible patients.

       Moreover, much of the remaining evidence cited by the Administrator as support for a

billing requirement does not support the existence of that requirement prior to the Moratorium

for the same reasons that it did not support the existence of a remittance advice requirement. As

the Court previously recognized, “because neither [of the post-Moratorium] decision[s] w[ere]

issued until long after August 1, 1987[,] . . . neither represents the Secretary’s policy ‘in effect’

as of that date.” Mercy Gen. Hosp., 344 F. Supp. 3d at 347. The Court applies the same logic to




                                                  12
JSM-370, a CMS memorandum which “was not issued until August 10, 2004,” id. (citing

AR at 1607), and various letters from intermediaries “dated in November or December of 1989,”

id. (citing AR at 604, 610, 612).

       However, the Court cannot conclude that the pre-Moratorium Provider Reimbursement

Review Board (“PRRB” or the “Board”) decisions cited by the Administrator—Concourse

Nursing Home v. Travelers Insurance Co., PRRB Dec. No. 83-D152 (Sept. 27, 1983); and

St. Joseph Hospital v. Blue Cross & Blue Shield Ass’n, PRRB Dec. No. 84-D109

(Apr. 16, 1984)—do not support a billing requirement. The Court previously concluded that

neither of these decisions supported a remittance advice requirement because “neither decision

refers to a remittance advice or any other documentation of the state’s response to a claim, let

alone a requirement that providers must obtain from the state and submit such documentation in

order to receive Medicare reimbursement.” Mercy Gen. Hosp., 344 F. Supp. 3d at 344–45.

However, the Court cannot reach the same conclusion with respect to the billing requirement

because the Board’s decision in St. Joseph Hospital explicitly requires at least an “attempt to

bill.” See AR at 1551 (denying bad debt reimbursement because “the provider did not attempt to

bill the State of Georgia for its Medicaid patients”). Moreover, the Board’s decision in

Concourse Nursing Home, although it does not explicitly refer to any requirements to bill or

attempt to bill, supports at least a requirement that providers make “actual collection efforts”

before seeking reimbursement for bad debts. See AR at 1544 (denying bad debt reimbursement

because the provider failed to “furnish[] [ ] documentation which would support its contentions

that it had established collection policies and procedures or that actual collection efforts were

made to obtain payments from the patients or the Medicaid authorities before an account balance

was considered an uncollectible bad debt”).




                                                 13
       These two decisions, although not overwhelming evidence of the existence of a billing

requirement prior to the Moratorium, constitute substantial evidence supporting the

Administrator’s conclusion. As this Circuit has instructed, the substantial evidence standard

requires only “such relevant evidence as a reasonable mind might accept as adequate to support

[an] agency’s finding.” United Steel, Paper & Forestry, Rubber, Mfg., Energy, Allied Indus. &

Serv. Workers Int’l Union v. Pension Ben. Guar. Corp., 707 F.3d 319, 325 (D.C. Cir. 2013). The

Court must therefore conclude that these decisions represent “more than a scintilla” of evidence,

which is all the substantial evidence standard requires. Fla. Gas Transmission Co. v. Fed.

Energy Regulatory Comm’n, 604 F.3d 636, 645 (D.C. Cir. 2010).

       The plaintiffs argue on numerous grounds that the two pre-Moratorium decisions cited by

the Administrator provide inadequate evidence of the existence of a billing requirement prior to

the Moratorium. However, the Court does not find any of these arguments persuasive. First, the

plaintiffs argue that these decisions are irrelevant because “CMS administrative decisions do not

and cannot set policy for the Secretary,” Pls.’ Reply Objs. at 9, as they “are [not] precedential

and binding,” Pls.’ Summ. J. Mem. at 21 (quoting Marion Gen. Hosp. Provider v. Blue Cross &

Blue Shield Ass’n, PRRB Dec. No. 2007-D8 (Feb. 12, 2007)). However, as the 1988

Conference Report regarding the Bad Debt Moratorium makes clear, the Secretary’s “policy”

includes the Secretary’s “regulations, PRRB decisions, manuals, and issuances in effect prior to

August 1, 1987.” H.R. Rep. No. 100–1104, at 25 (1988) (Conf. Rep.), reprinted in 1988

U.S.C.C.A.N. 5048, 5337 (emphasis added); see also Cmty. Health Sys., Inc. v. Burwell,

113 F. Supp. 3d 197, 220 (D.D.C. 2015); Winder HMA LLC v. Burwell, 206 F. Supp. 3d 22, 37

(D.D.C. 2016) (explaining that “the Secretary’s policy in 1987 included . . . [Board] decisions”)

(quoting Detroit Receiving Hosp. v. Shalala, No. 98-1429, 1999 WL 970277, at *11 (6th Cir.




                                                 14
Oct. 15, 1999)). Therefore, regardless of whether Board decisions are binding on the Secretary

in other contexts, they are relevant to defining the Secretary’s policy prior to the Moratorium,

because, as stated in the 1988 Conference Report, Board decisions become the policies of the

Secretary. See Winder HMA, 206 F. Supp. 3d at 37 (rejecting the plaintiff’s identical argument

because Board decisions “reveal the Secretary’s bad-debt reimbursement policy prior to

August 1, 1987”).

        The plaintiffs next argue that the two pre-Moratorium decisions are distinguishable on

different grounds, including that they are “not bad debt decisions at all,” Pls.’ Objs. at 16,

because “Medicaid had sole and complete responsibility . . . for payment,” id. at 15, and

“because . . . they were instances where Medicaid did have the responsibility to pay, very much

unlike in th[is] [ ] case,” see id. at 16, where “the provider[s] [ ] determine[d] . . . that the State

[wa]s not the responsible payor,” Pls.’ Reply Objs. at 7. First, the Court is perplexed by the

plaintiffs’ argument that these decisions were “not bad debt decisions,” Pls.’ Objs. at 16, given

that the Board in each case applied the criteria for bad debt reimbursement under § 413.89(e) and

denied reimbursement for failure to satisfy those criteria, see AR at 1544, 1550–51. Second,

neither of the decisions contains language compelling the Court to conclude that the requirement

that there be an “attempt to bill,” AR at 1551, or to make “actual collection efforts,” AR at 1544,

must be applied only to the specific factual circumstances presented. In any event, even

assuming the plaintiffs’ narrow reading of these decisions is plausible, their interpretation would

not give the Court license to question the Administrator’s equally plausible interpretation that

they support at least a requirement to “attempt to bill,” AR at 1551, as “the possibility of drawing

two inconsistent conclusions from the evidence does not prevent an administrative agency’s

finding from being supported by substantial evidence,” GCI Health Care Ctrs., Inc. v.




                                                   15
Thompson, 209 F. Supp. 2d 63, 73–74 (D.D.C. 2002) (quoting Consolo v. Fed. Mar. Comm’n,

383 U.S. 607, 619–20 (1966)). Thus, the Court cannot agree with the plaintiffs that the two

pre-Moratorium decisions are inadequate evidence of a billing requirement simply because they

are factually distinguishable from this case.

       Finally, the plaintiffs argue that the Administrator’s position that the two Board decisions

constitute evidence of a pre-Moratorium billing requirement “is illogical” because “neither . . .

decision[] cite[s] to the purported must[-]bill policy . . . [or] to the PRM or any other policy

guidance.” Pls.’ Reply Objs. at 8. To further explain their position, the plaintiffs analogize to a

situation where “a district court issues a decision and reaches a certain result, with no citation to

any authority whatsoever,” asserting that such a “decision [cannot be] ‘evidence’ of a

pre-existing rule of law from its Circuit Court of Appeals.” Pls.’ Objs. at 15. This analogy

misses the point. Although the two decisions do not explicitly cite a “must-bill policy” or all of

the relevant PRM provisions, they do cite and apply the requirements of § 413.89(e), upon which

the PRM provisions are based, see AR at 1544 (concluding that the provider’s failure to make

“actual collection efforts . . . to obtain payments from . . . the Medicaid authorities” precluded

the provider from “consider[ing] [its claims] uncollectible”); see also AR at 1551 (concluding

that the provider’s failure to “attempt to bill the State . . . for its Medicaid patients” compelled

the conclusion that its “collection efforts were not adequate”), and St. Joseph Hospital cites

PRM § 310, see AR at 1550. Therefore, the Board decisions cannot be fairly analogized to cases

“with no citation to any authority whatsoever.” Pls.’ Objs. at 15. And, although the decisions do

not explain exactly how the Board interpreted the relevant PRM provisions to support a billing

requirement, the plaintiffs concede, as they must, that the PRM provisions do not foreclose a

requirement to bill the state. See Grossmont Hospital Corp. v. Burwell, 797 F.3d 1079, 1085




                                                  16
(D.C. Cir. 2015) (upholding as “sensible” the Secretary’s interpretation of the bad debt

regulation and § 310 to require that providers bill the state Medicaid program). Thus, it is not

“illogical” to conclude that these two Board decisions constitute evidence that the Secretary

interpreted § 413.89(e) and the relevant PRM provisions to require billing the state for debts

associated with dual eligible patients.

        Thus, the Court concludes that the Administrator’s determination that the billing

requirement does not violate the Bad Debt Moratorium is supported by substantial evidence.

However, the Court must nonetheless affirm its previous decision to remand this case for the

Administrator to evaluate whether the plaintiffs billed the state for the claims at issue. As the

Court previously explained, the Administrator denied the plaintiffs’ claims solely on the ground

that the plaintiffs failed to satisfy the remittance advice requirement and “did not make any

factual finding ‘that the record [ ] supports a conclusion that the[] claims [at issue] . . . were not

billed.” Mercy Gen. Hosp., 344 F. Supp. 3d at 352 (quoting Grossmont Hosp. Corp., 797 F.3d at

1086). “To the contrary, the Administrator acknowledged that ‘[t]he p[laintiffs] testified [at the

Board hearing] that they billed for some of the dual eligible patients.’” Id. (alterations in

original) (quoting AR at 12 n.13). Nonetheless, the Secretary insists that the Court must affirm

the Administrator’s decision on the ground that the plaintiffs’ failed to satisfy the billing

requirement because “[t]he Court will look in vain at the 8,173-page Administrative Record for a

single page reflecting an attempt to submit a bill.” Def.s’ Opp’n at 7–8. However, this is

precisely the sort of task that the Court must leave to the Administrator. Cf. Seafarers Int’l

Union of N. Am. v. Pena, 891 F. Supp. 641, 650 (D.D.C. 1995) (declining to address an issue not

raised by the plaintiffs before the Maritime Administrator because the Court required his

“expertise and development of a factual record . . . [to] enable[] proper judicial review”).




                                                  17
C.      Whether the Administrator Should Have Applied PRM § 1102.3L

        Because the Court concludes that the Administrator’s finding that the billing requirement

does not violate the Moratorium is supported by substantial evidence, and because the plaintiffs

concede that they did not bill many, if not all, of the claims at issue, see Pls.’ Resp. at 1, the

Administrator likely will apply the billing requirement to reject many of the plaintiffs’ claims on

remand. And, the plaintiffs will likely again argue that they satisfied the requirements for an

exception to the billing requirement pursuant to PRM § 1102.3L. Thus, to ensure the efficient

resolution of this dispute, the Court finds it appropriate to review the Administrator’s conclusion

that § 1102.3L could not be applied to the plaintiffs’ claims.

        The plaintiffs “ask th[e] Court to hold that . . . PRM [§] 1102.3L applied to [them], and

remand [this case] to the Secretary to determine within sixty days for which claims [the]

[p]laintiffs’ documentation sufficed under . . . [that provision].” Pls.’ Mot. at 2.

        Even if the plaintiffs are correct that PRM § 1102.3L did not violate the Moratorium and

therefore continued to apply to the plaintiffs’ claims during the cost years at issue, the Court

cannot conclude on the record before it that the Administrator erred in declining to apply this

provision of the PRM to the plaintiffs’ claims. In addition to concluding that § 1102.3L violated

the Bad Debt Moratorium, see AR at 16, the Administrator concluded that he could not apply the

provision to the plaintiffs’ claims because

        [§] 1102.3L needs to be read to require documentation reflecting ‘data available
        from the [providers’] basic accounts, as usually maintained[’] (42 C.F.R.
        [§] 413.26(a))[].     In this case, the [plaintiffs] have not maintained
        ‘contemporaneous documentation in the ordinary course of business to support
        their claims[,]’ which in fact, the State remittance advices represent.

AR at 16–17.

        The Court previously concluded that this rationale could not support the Administrator’s

decision because the Administrator “appeared to take the position that only a remittance advice


                                                  18
could satisfy th[e] [contemporaneous documentation] requirement.” Mercy Gen. Hosp.,

344 F. Supp. 3d at 353 n.21. The Court reasoned that “[b]ecause th[e] [Administrator’s] position

effectively imposes a remittance advice requirement, which the Court has rejected, it also could

not provide a basis for the Administrator’s denial of the claims on remand.” Id. However, upon

further consideration of the Administrator’s decision, the Court concludes that it is not clear that

the Administrator rejected the plaintiffs’ documentation as not contemporaneous only because

the plaintiffs did not provide remittance advices, as the Administrator observed in his analysis of

§ 1102.3L that the plaintiffs’ proffered documentation was “created many years after the cost

years at issue.” AR at 17. Thus, the Court must revise its previous conclusion that “the

Administrator’s decision does not purport to rely on [ ] reasons” other than a remittance advice

requirement in concluding that the plaintiffs failed to satisfy a contemporaneous documentation

requirement. Mercy Gen. Hosp., 344 F. Supp. 3d at 353 n.21. Accordingly, the Court finds it

appropriate to further analyze the Administrator’s application of the contemporaneous

documentation requirement as the basis for rejecting the plaintiffs’ claims. 7

         The Administrator’s determination that “[§] 1102.3L needs to be read to require

documentation reflecting ‘data available from the [providers’] basic accounts, as usually

maintained[’] (42 C.F.R. [§] 413.26(a))[,]” AR at 16, constitutes an interpretation of the


7
  The Court previously declined to address the contemporaneous requirement because the Administrator’s decision
did not purport to rely on those reasons, and therefore, the Court found that the Secretary’s position constituted an
impermissible post-hoc rationalization. Mercy Gen. Hosp., 344 F. Supp. 3d at 353 n.21. Upon further
consideration, however, the Court finds it appropriate to now consider the contemporaneous requirement. While the
Secretary does not appear to directly respond to the plaintiffs’ arguments regarding the contemporaneous
requirement, the Court declines to treat these arguments as conceded. “Although courts have discretion to treat
unanswered arguments as conceded, doing so is not a requirement.” Beach TV Props., Inc. v. Solomon, 254 F.
Supp. 3d 118, 130 n.3 (D.D.C. 2017) (first citing Mason v. Geithner, 811 F. Supp. 2d 128, 178 (D.D.C. 2011), aff’d,
492 F. App’x 122 (D.C. Cir. 2012), then citing United States ex rel. Rockefeller v. Westinghouse Elec. Co., 274 F.
Supp. 2d 10, 13 (D.D.C. 2003), aff’d sub nom. Rockefeller ex rel. United States v. Wash. TRU Sols. LLC, No. 03-
7120, 2004 WL 180264 (D.C. Cir. Jan. 21, 2004)). Given the significance of the contemporaneous requirement to
the Court’s review of the Administrator’s decision, the Court will consider these arguments.




                                                         19
Secretary’s own regulations, specifically, an interpretation of 42 C.F.R. § 413.26(a), cf. Miller v.

Cal. Speedway Corp., 536 F.3d 1020, 1028 (9th Cir. 2008) (concluding that “guidance provided

in [a] technical assistance manual [wa]s an interpretation of [an agency’s] regulation”). As the

Supreme Court has recently instructed, courts must “defer[] to agencies’ reasonable readings of

genuinely ambiguous regulations.” Kisor v. Wilkie, __ U.S. __, __, 139 S. Ct. 2400, 2408

(2019). The deference owed is “substantial,” and “the agency’s interpretation must be given

‘controlling weight unless it is plainly erroneous or inconsistent with the regulation.’” Thomas

Jefferson Univ. v. Shalala, 512 U.S. 504, 512 (1994) (quoting Bowles v. Seminole Rock & Sand

Co., 325 U.S. 410, 414 (1945)).

        The regulations that § 1102.3L interprets are “genuinely ambiguous” because they do

“not directly or clearly address [the] issue” presented here, Kisor, __ U.S. at __, 139 S. Ct.

at 2410, specifically, the issue of whether 42 C.F.R. § 413.26(a)’s contemporaneous

documentation requirement applies to § 1102.3L. Section 413.26(a) provides that “the methods

of determining costs payable under Medicare involve making use of data available from the

institution’s basi[c] accounts, as usually maintained.” 42 C.F.R. § 413.20(a). 8 This regulation

purports to address the “principles of cost reimbursement . . . for proper determination of costs

payable under the [Medicare] program,” id., and does not specifically address bad debt

reimbursement or other specific categories of reimbursement. However, the plaintiffs argue that

§ 413.26(a)’s reference to “costs payable” makes clear that § 413.26(a) does not apply to bad

debt reimbursement because bad debts are not “costs payable,” as § 413.89(a) provides that

“[b]ad debts[] . . . are deductions from revenue and are not to be included in allowable cost.”

42 C.F.R. § 413.89(a). However, § 413.89(d) also provides that “the costs attributable to the

8
 The Administrator cited 42 C.F.R. 413.26(a), see AR at 16, but the language he quoted now appears in 42 C.F.R.
§ 413.20(a).



                                                       20
deductible and coinsurance amounts that remain unpaid [—i.e., bad debts—] are added to the

Medicare share of allowable costs.” 42 C.F.R. § 413.89(d). In other words, bad debts are debts

that may ultimately be paid. Thus, the Secretary’s interpretation of § 413.20(a) to apply to

reimbursement for bad debts is plausible given the regulation’s focus on reimbursement

amounts. Additionally, 42 C.F.R. § 413.20 refers to the “cost reports” that “are required from

providers on an annual basis with reporting periods based on the provider’s accounting year,” id.,

and the plaintiffs concede that bad debts are included in cost reports or at least submitted with

cost reports as part of the overall reimbursement process, see Pls.’ Summ. J. Mem. at 36

(referring to “total Medicare bad debts as recorded on the cost report”). Accordingly, § 413.20’s

applicability to bad debt reimbursement is ambiguous.

       Although the plaintiffs are correct that § 413.20 does not contain the word

“contemporaneous,” it does not follow that the regulation is not reasonably interpreted as

requiring contemporaneously-generated documentation to support requests for reimbursement of

bad debts. The Administrator concluded that “[a]s used in the context of the regulation . . . ,

‘maintain’ means that the provider is required to keep ‘contemporaneous’ records and

documentation throughout the cost year and to then make available those records to the

[intermediary] in order to settle the cost report in the normal course of business.” AR at 15.

Interpreting “maintain” to require that documentation supporting bad debts, including a

determination of what amounts, if any, the State owes, be generated contemporaneously does not

appear unreasonable. The Ninth Circuit has also implicitly upheld this interpretation in

Community Hospital of Monterey Peninsula v. Thompson, 323 F.3d 782, 792–93 (9th Cir. 2003)

(upholding the Secretary’s conclusion “that the must-bill policy was necessary in order to

generate contemporaneous documentation that could be ‘maintained’ in the usual course of the




                                                 21
provider’s business as required by § 413.20(a)” as “a reasonable reading of the[] regulations”).

And this Circuit did so, as well, albeit less explicitly and without referring to § 413.20. See

Grossmont Hosp. Corp., 797 F.3d at 1086 (“conclud[ing] that an independent basis for affirming

the Secretary’s disallowance of [the provider]’s claims is the failure of [the provider] to timely

bill Medi-Cal for those claims” (emphasis added)). 9 Additionally, for the reasons explained in

the previous paragraph, the Secretary’s interpretation is not inconsistent with § 413.89, and it is

not apparent to the Court that the Secretary’s interpretation is inconsistent with any applicable

regulation. The Court must therefore defer to the Secretary’s interpretation. See Shalala, 512

U.S. at 512.

        The plaintiffs contend that any contemporaneous requirement is belied by “the nature of

Medicaid eligibility determinations (which one obviously must have in order to claim bad debts

for [ ] dual-eligible [patients])[, and which] is necessarily retrospective,” Pls.’ Objs. at 25 (citing

Pls.’ Summ. J. Mem. at 48–49), referring to their argument raised in the summary judgment

briefing that “the idea that the [p]laintiffs were required to have billed the State and received

remittance advices by the time they filed their cost reports is not only impossible to do but also

inconsistent with CMS policy and practice,” Pls.’ Summ. J. Mem. at 49. Although it is true that

an agency’s “[s]udden and unexplained change, or change that does not take account of

legitimate reliance on prior interpretation may be ‘arbitrary, capricious [or] an abuse of

discretion,’” Smiley v. Citibank, 517 U.S. 735, 742 (1996) (alteration in original), it does not

appear that the plaintiffs have shown that any such change occurred here. The plaintiffs only

claim that the Secretary has “allowed [providers] to submit supporting documentation . . .

9
  The plaintiffs do not appear to challenge the Administrator’s conclusion that § 413.20 applies to documentation
submitted pursuant to PRM § 1102.3L. See AR at 16 (“[S]ection 1102.3L needs to be read to require documentation
reflecting ‘data available from the Institution’s basic accounts, as usually maintained” (citing language from
§ 413.20)).



                                                       22
following the filing of [a] cost report,” Pls.’ Summ. J. Mem. at 49; however, here, it appears that

the plaintiffs did not submit any alternative documentation of the bad debts at issue until 2007 or

thereafter. So, even if the Secretary’s policy is what the plaintiffs claim it is, the Secretary’s

rejection of the plaintiffs’ documentation in this case does not appear inconsistent with that

policy. 10

         However, although the Court must defer to the Administrator’s interpretation that the

agency’s regulations require contemporaneous documentation of bad debts for reimbursements,

the Court cannot uphold the Administrator’s conclusion that the plaintiffs’ documentation failed

to satisfy that requirement because it is not clear to the Court how the Administrator reached that

conclusion. As the Court previously explained, the Administrator’s decision could be construed

as rejecting the plaintiffs’ documentation as not contemporaneous simply because the

documentation did not include remittance advices. See AR at 16–17. However, it could also be

construed as the rejection of the plaintiffs’ documentation because it was “created many years

after the cost years at issue.” AR at 18. 11 Thus, the Court concludes that it must remand this


10
   The plaintiffs also argue that it would be impossible to generate the contemporaneous documentation required
based on the nature of cost reimbursement. Pls.’ Summ. J. Mem. at 49. The plaintiffs appear to assume that
“contemporaneous” necessarily means documentation created prior to or at the time cost reports are submitted.
However, for the reasons explained earlier in this section, see Part C, infra, it is unclear from the Administrator’s
decision what the contours of contemporaneous documentation are. The Court therefore cannot respond to this
argument before the remand in order for the Administrator to provide further explanation on what constitutes
contemporaneous documentation. Additionally, the plaintiffs contend that their documentation was generated using
bad debt lists that were contemporaneously maintained, and it is unclear whether the Administrator considered or
should have considered this documentation. See Pls.’ Objs. at 19; see also Pls.’ Not. at 2–3. Therefore, the Court
finds it inappropriate to consider this issue in the first instance. See Fla. Power & Light Co. v. Lorion, 470 U.S. 729,
744 (1985) (“If the record before the agency does not support the agency action, if the agency has not considered all
relevant factors, or if the reviewing court simply cannot evaluate the challenged agency action on the basis of the
record before it, the proper course, except in rare circumstances, is to remand to the agency for additional
investigation or explanation.”). Even if the Court thought it appropriate to decide whether this documentation was
contemporaneous, because the Administrator did not explain what was meant by use of the term
“contemporaneous,” the Court cannot resolve that issue and remand is therefore necessary.
11
  The Court notes that there also exists some ambiguity about which of the plaintiffs’ documentation constitutes the
“alternative documentation” that the Administrator concluded was “created many years after the cost years at issue.”
AR at 18. Presumably, “alternative documentation” refers to the plaintiffs’ EDS reports, as those reports are the
                                                                                                     (continued . . .)


                                                          23
case for the Secretary to provide further explanation of its reasons for finding that the plaintiffs’

documentation was not contemporaneous as required by § 1102.3L. See Fla. Power & Light Co.

v. Lorion, 470 U.S. 729, 744 (1985) (“If the record before the agency does not support the

agency action, if the agency has not considered all relevant factors, or if the reviewing court

simply cannot evaluate the challenged agency action on the basis of the record before it, the

proper course, except in rare circumstances, is to remand to the agency for additional

investigation or explanation.”). 12

D.       Whether the Administrator Should Have Considered the Plaintiffs’ EDS Reports

         The plaintiffs also ask the Court to rule “on whether the EDS reports they submitted

effectively satisfied any valid requirement to bill the State and receive a remittance advice.”

Pls.’ Mot. at 10. However, the Administrator’s decision also suggests that he rejected the EDS

reports on the ground that “the EDS reports are not contemporaneously generated State

documents[] . . . [and] they were not validated, certified[,] or adopted as State documents and do

not qualify as State remittance advices.” AR at 18. Nonetheless, as with the Administrator’s

application of the contemporaneous documentation requirement in analyzing § 1102.3L, the


(. . . continued)
only documentation the Administrator discussed in his decision. See AR at 17–18 & n.19 (as support for the
observation that the plaintiffs’ documentation was created “long after the fact,” noting that the plaintiffs did not
contract with “EDS . . . [until] May 14, 2007”). However, the plaintiffs insist that they submitted additional
documentation that the Administrator failed to consider. See Pls.’ Objs. at 19 (asserting that they made
“contemporaneous efforts to submit alternative documentation which began in 1992 and were continued upon the
release of [§] 1102.3L in 1995”). This issue represents another ambiguity in the Administrator’s decision that the
Secretary must resolve on remand.
12
  The Court does not find it necessary to address the plaintiffs’ arguments that the Secretary “could [not]
retroactively rescind [§] 1102.3L,” Pls.’ Objs. at 20, or that § 1102.3L was not “void ab initio for allegedly violating
the Moratorium,” id. at 22–23, because a finding by the Administrator that the plaintiffs did not satisfy the
requirements of § 1102.3L, even if the provision were applicable, would possibly moot this issue. Moreover, the
scope of the plaintiffs’ challenge to the Administrator’s decision to not apply § 1102.3L is not evident to the Court.
See Pls.’ Resp. at 18 (in response to the Court’s inquiry regarding whether the plaintiffs seek to argue that the
Secretary’s rescission of § 1102.3L was arbitrary and capricious, responding only that the plaintiffs “have
challenged the refusal of the Secretary to apply it as being without legal authority” without citing the applicable
subsection of APA § 706). For these reasons, the Court declines to decide these issues in the first instance.



                                                          24
Administrator’s conclusion that the EDS reports do not satisfy the contemporaneous

documentation requirement could be construed as considering that only a remittance advice

would satisfy that requirement. Thus, the Court must remand to the Secretary for further

explanation of the Administrator’s conclusion that the EDS Reports fail to satisfy the

contemporaneous documentation requirement.

E.      Whether Retention of Jurisdiction Is Appropriate

        Finally, the Court must address the plaintiffs’ “request [that] th[e] Court order a strict

schedule on remand and retain jurisdiction over this case.” Pls.’ Mot. at 2. Although district

courts have “the discretion to retain jurisdiction over a case pending completion of a remand and

to order the filing of progress reports[,] . . . this discretion is typically reserved for cases alleging

unreasonable delay of agency action or failure to comply with a statutory deadline, or for cases

involving a history of agency noncompliance.” Am. Hosp. Ass’n v. Azar, Civ. Action No. 18-

2084 (RC), 2019 WL 3037306, at *2 (D.D.C. July 10, 2019) (quoting Baystate Med. Ctr. v.

Leavitt, 587 F. Supp. 2d 37, 41 (D.D.C. 2008)). Here, the plaintiffs have not alleged that the

Secretary engaged in any such unreasonable delay or noncompliance, and the plaintiffs’

conclusory assertion that, unless the Court retains jurisdiction, there is a “near certainty that the

Secretary will [ ] leave the[ir] claims for reimbursement languishing for more years to come,”

Pls.’ Reply at 3–4, is not persuasive. As another member of this Court has explained, “[t]he

norm is to vacate agency action that is held to be arbitrary and capricious and remand for further

proceedings consistent with the judicial decision, without retaining oversight over the remand

proceedings.” Baystate Med. Ctr., 587 F. Supp. 2d at 41. The plaintiffs have not provided the

Court with a compelling reason to deviate from this norm.




                                                   25
        Thus, the Court declines to exercise its discretion to retain jurisdiction over this case.

Nonetheless, given that the plaintiffs’ claims have now been pending for over ten years, see Pls.’

Reply at 4 (noting that “the administrative appeal was filed more than ten years ago”), the Court

urges the Secretary to resolve this matter as expeditiously as possible. See Portland Cement

Ass’n v. Envtl. Prot. Agency, 665 F.3d 177, 194 (D.C. Cir. 2011) (“urg[ing] the [agency] to act

expeditiously on remand” and observing that “any person may commence a civil action” in

district court “to compel . . . agency action unreasonably delayed”).

                                    IV.         CONCLUSION

        For the foregoing reasons, the Court concludes that the Administrator’s determination

that the billing requirement does not violate the Bad Debt Moratorium is supported by substantial

evidence. However, the Court must nonetheless affirm its prior decision to remand this case to

the agency for the Administrator to evaluate whether the plaintiffs billed the state for the claims

at issue. Additionally, the Court concludes that the Administrator’s interpretation of

42 C.F.R. § 413.20 to require “contemporaneous” documentation of bad debts was not arbitrary

or capricious. However, the Court must also nonetheless remand this case to the agency for the

Administrator to provide further explanation of the reasons for finding that the plaintiffs’

documentation was not contemporaneous as required by § 1102.3L. Moreover, this case is also

remanded for further explanation of the Administrator’s conclusion that the EDS Reports fail to

satisfy the contemporaneous documentation requirement. Finally, the Court declines to exercise

its discretion to retain jurisdiction over this case.




                                                   26
           Accordingly, the Court grants in part and denies in part the plaintiffs’ motion, and

remands this case to the Secretary for further proceedings consistent with this Memorandum

Opinion. 13

           SO ORDERED this 17th day of October, 2019.

                                                                      REGGIE B. WALTON
                                                                      United States District Judge




13
     The Court will contemporaneously issue an Order consistent with this Memorandum Opinion.



                                                        27
