Rolla Manor v. Missouri Department Social

The Missouri Department of Social Services, Division of Medical Services (the Department), appeals from a judgment holding
that a regulation establishing a new method of calculating amounts to be paid to nursing homes participating in the Missouri
Medicaid program denies equal protection of the law. The respondent, Rolla Manor, Inc., d/b/a Rolla Manor Care Center (Rolla
Manor), operates a nursing home providing long-term care to Medicaid recipients. FACTS