Alexander v. Hill

625 F. Supp. 564, 1985 U.S. Dist. LEXIS 12566
CourtDistrict Court, W.D. North Carolina
DecidedDecember 19, 1985
DocketC-C-74-183-M
StatusPublished

This text of 625 F. Supp. 564 (Alexander v. Hill) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alexander v. Hill, 625 F. Supp. 564, 1985 U.S. Dist. LEXIS 12566 (W.D.N.C. 1985).

Opinion

ORDER

McMILLAN, District Judge.

On August 28, 1974, plaintiffs filed this suit seeking remedial action to improve the way in which North Carolina state and local agencies process applications for Aid to Families with Dependent Children (AFDC) and Medicaid, and to obtain defendants’ compliance with federal regulations requiring the timely processing of such applications. On August 8, 1975, this court ordered defendants to develop and implement a plan for timely processing. Since the issuance of that order, plaintiffs have made numerous motions for further relief in order to obtain full compliance with the terms and the intent of the original order.

On August 30, 1985, plaintiffs filed the current motion for further relief, seeking modifications in the court’s November 4,

1982, order, published at 549 F.Supp. 1355 (W.D.N.C.1982). Plaintiffs seek:

1) Expansion and clarification of the meaning of “without good cause,” the determinant of the timeliness of processing;

2) Development of methods and guidelines to ensure the prompt reception of all public assistance applications on the first day a person attempts to apply for such aid;

3) Authorization of continued monitoring by plaintiffs’ attorneys of defendants’ compliance;

4) Imposition on the state of a $1,000 fine, payable to the Low Income Energy Assistance Program, for each month that more than 3% of cases in a county department are misclassified under the revised “good cause” rules; and

5) Increase from $50 to $100 in the fines imposed on the state for each week or fraction thereof an application is delayed without good cause (if more than 3% of all applications in that county are so delayed).

Plaintiffs seek an award of attorneys’ fees for monitoring activities from May, 1983, to July, 1985. (The award of attorneys’ fees will be addressed by separate order, 625 F.Supp. 567.)

*565 Defendants have filed their own motion for a modification of the November 4,1982, order. Defendants ask that Davie County be exempted from the fine provisions of the previous order.

Davie County has demonstrated perfect compliance with this court’s orders and all applicable state and federal regulations from 1979 to the present.

The parties have reached a negotiated agreement on several of the questions raised by plaintiffs’ motion. The court now adopts the following mutually acceptable modifications of its previous order:

1) ¶ 3(b) of the relief portion of the order, found in 549 F.Supp. at 1359-60, is revised to read:

3(b). The defendants shall not classify a case as overdue with “good cause,” but shall classify it as overdue without “good cause,” unless it appears from the documents in the applicant’s file at the county department of social services that:
(i) The applicant or any other source from whom information is sought was notified in writing within twenty (20) days of the date of application of each specific piece of information needed for processing the application; and
(ii) If the need for additional information subsequently arose, the applicant or any other source from whom information is sought was notified in writing of the specific information needed within five (5) work days of the date on which the need for new and additional information became known to the county;
(iii) In applications where disability is an issue, all necessary information was sent by the county office to the Disability Determination Section within twenty-five (25) days of the date of application, unless circumstances beyond the control of the county agency, documented in the case file at the agency, make it impossible for the county to comply. In that event, the county agency shall send all necessary information to the Disability Determination Section within five (5) work days of when the county agency receives the information necessary to begin processing the disability claim; and
(iv) All necessary information needed to finish processing a re-opened application was requested within five (5) work days after the date an appeal reversal becomes final under N.C.G.S. § 108A-79; any additional information needed was requested within five (5) work days after the need for it became known; and the re-opened application is finally acted upon within five (5) work days after all information is received. A county’s appeal under N.C.G.S. § 108A-79(k) does not stay this requirement unless a court stays the agency’s final decision pursuant to N.C.G.S. § 150-48.
Defendants, however, may reclassify a case covered by the terms of this subparagraph 3(b) as overdue with “good cause” after the delay caused by the applicapt or other sources has exceeded the delay caused by the defendants. For example, if defendants do not notify an applicant or other source of all the information needed to process the application until thirty days after the application is filed (i.e. ten days more than the twenty days allowed by this paragraph), the case shall be classified on the forty-fifth day as overdue without “good cause” even though the applicant or other source has not supplied all necessary information. But if the information has still not been supplied as of the fifty-fifth day (i.e. after ten more days), defendants may reclassify the application as overdue with “good cause.”

2) ¶ 7 of the relief portion of the order, found in 549 F.Supp. at 1360, is revised to read:

7. That defendants shall designate each overdue application pending at the Disability Determination Section as either overdue with “good cause” or overdue without “good cause” as of the sixtieth day after the date of application. Defendants shall limit the concept of “good cause” for delay in processing applications where disability is an issue to cases where the documents in the applicant’s *566 file at the Disability Determination Section show the following:
(a) All additional disability evidence known to be necessary to determine eligibility was requested within the first five (5) work days of receipt of the application by the Disability Determination Section and this information has not yet been received; if, upon receipt of such additional evidence, the DDS determines that further evidence must be obtained from outside the agency to determine eligibility, such further evidence must be requested within seven (7) work days of the date that the previously requested evidence was received; and
(b) The disability decision has been mailed to the county department of social services within seven (7) work days of the receipt by the Disability Determination Section of evidence necessary to determine eligibility, except where the DDS needs an additional medical opinion from within its own agency to determine eligibility, in which event the decision must be mailed to the county within fourteen (14) work days of the receipt of the last item of medical evidence from outside the agency which was necessary to determine eligibility.

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Related

Alexander v. Hill
549 F. Supp. 1355 (W.D. North Carolina, 1982)
Alexander v. Hill
625 F. Supp. 567 (W.D. North Carolina, 1985)

Cite This Page — Counsel Stack

Bluebook (online)
625 F. Supp. 564, 1985 U.S. Dist. LEXIS 12566, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alexander-v-hill-ncwd-1985.