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063263P.pdf   07/31/2007  State of Minnesota  v.  Centers for Medicare
   U.S. Court of Appeals Case No:  06-3263
   Department of Health & Human Services   
   [PUBLISHED] [Bright, Author, with Wollman and John R. Gibson,
   Circuit Judges]
Civil case - Medicaid. Medicaid Services' request for additional information regarding state's request for an increase in the annual Supplemental Medical Assistant payments made by the federal Medicaid program to county-owned nursing homes was not a new substantive rule subject to notice and comment requirements; increased scrutiny of the plan amendment, including the request for additional information, was consistent with the Secretary's authority in an individual adjudication; denial of the amendment was not arbitrary, capricious, an abuse of discretion, unsupported by substantial evidence or contrary to law.