B. Davis v. DHS

CourtCommonwealth Court of Pennsylvania
DecidedMarch 18, 2019
Docket691 C.D. 2018
StatusUnpublished

This text of B. Davis v. DHS (B. Davis v. DHS) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
B. Davis v. DHS, (Pa. Ct. App. 2019).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Belinda Davis, : Petitioner : : No. 691 C.D. 2018 v. : : Submitted: January 11, 2019 Department of Human Services, : Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge HONORABLE PATRICIA A. McCULLOUGH, Judge HONORABLE ELLEN CEISLER, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE McCULLOUGH FILED: March 18, 2019

Belinda Davis petitions for review, pro se, of the March 15, 2018 final administrative action order of the Pennsylvania Department of Human Services (Department), Bureau of Hearings and Appeals (BHA), affirming a decision of an administrative law judge (ALJ), which ruled that the Child Care Information Services of Delaware County (CCIS) had correctly calculated an overpayment in child care benefits received by Davis. In February 2008, Davis was deemed eligible for and began receiving child care subsidy benefits through CCIS. (ALJ Finding of Fact (F.F.) No. 1.) In April 2010, CCIS sent mail to Davis at her address of record, which was “return[ed] to sender.” (F.F. No. 2.) On October 21, 2010, CCIS submitted a referral to the Office of Inspector General (OIG) requesting that the OIG investigate Davis’s current address and household income. (F.F. No. 3.) The OIG investigation revealed that Davis’s household was receiving unreported income from the following sources: supplemental security income for Davis’s child, unemployment compensation for Davis’s husband, and self-employment income. (F.F. No. 4.) The OIG investigation also revealed that Davis had not been living at her reported Pennsylvania address since 2007. (Certified Record (C.R.) Item No. 3.C-2.) On December 23, 2010, CCIS terminated Davis’s subsidized child care benefits. (F.F. No. 5.) Thereafter, based on the results of the OIG investigation, CCIS sent a confirmation notice advising Davis that she owed an overpayment amount of $18,625.00 for the period of time from February 7, 2008, through December 23, 2010, due to her failure to report income from self-employment and social security benefits. (C.R. Item No. 3.C-2.) Davis filed an appeal. Id. (F.F. No. 6.) An ALJ conducted a hearing. Following the hearing, the ALJ concluded that although CCIS correctly established an overpayment of child care benefits, the overpayment was incorrectly calculated. (F.F. No. 6; C.R. Item No. 3.C-2.) Specifically, the ALJ determined that CCIS’s overpayment was based on its erroneous belief that Davis was still residing in Delaware County, Pennsylvania and, therefore, was eligible to receive some child care subsidy benefits, and its misconception that the overpayment resulted from the fact that Davis’s co-payment would have increased because of her higher, unreported income. (C.R. Item No. 3.C-2.) However, in actuality, because Davis had been living in New Jersey as of November 28, 2008, she was not eligible to receive any child care benefits from November 28, 2008, until December 23, 2010. Id. Thus, the ALJ determined that for this time period, “the overpayment should have been calculated as a full overpayment of benefits received, rather than an overpayment based upon an increase in copayment.” Id. The ALJ denied, in part, Davis’s appeal because it determined CCIS was correct in establishing

2 an overpayment, but sustained, in part, the appeal because the overpayment was incorrectly calculated. Id. The ALJ directed CCIS to reassess Davis’s overpayment amount and issue a new confirmation notice. (F.F. No. 7.) On March 22, 2017, BHA issued a final administrative action order affirming the ALJ’s decision. On March 30, 2017, CCIS issued Davis a new confirmation notice with an overpayment amount of $27,865.94 in child care benefits from February 7, 2008, to December 23, 2010. (F.F. No. 8.) On April 12, 2017, Davis appealed the BHA March 22, 2017 final administrative action order to this Court. Moreover, on April 25, 2017, Davis appealed CCIS’s March 30, 2017 confirmation notice to BHA. However, Davis’s appeal of the March 22, 2017 final administrative action order to this Court stayed any further action on Davis’s appeal of the March 30, 2017 confirmation notice. On appeal to this Court, Davis argued that CCIS failed to follow applicable regulations and that she should not be responsible for any claims of overpayment. Davis v. Department of Human Services (Davis I) (Pa. Cmwlth., No. 604 C.D. 2017, filed January 18, 2018), slip op. at 5. We explained that under the Department’s applicable regulations, a parent may be required to repay an overpayment resulting from the following: fraud; failure to comply with regulations concerning subsidized child care eligibility; and a subsidy continuation pending an appeal when the parent or caretaker did not win the appeal. Id., slip op. at 6 (citing 55 Pa. Code §3041.181). We also noted that the Department’s regulations require CCIS to consider the income of family members to determine eligibility for subsidized child care, and that the family receiving subsidized child care must reside in the Commonwealth. Id. (citing 55 Pa. Code §§3041.32, 3041.42(a)). Ultimately, this Court concluded that there was substantial evidence in the record to support BHA’s findings that Davis received household income that had not

3 been reported and that Davis was not residing at her address of record in Pennsylvania, but instead, lived in New Jersey. Id., slip op. at 7. Thus, we held that “[t]he fact that Davis was receiving subsidized child care for a period of time in which she had unreported income and for a period of time in which she did not reside in Pennsylvania support[ed] the finding of an overpayment.” Id. We also held that “Davis’s failure to reside in Pennsylvania and to verify her address, as well as her failure to report income, all constitute[d] violations of [the Department’s regulations], thereby serving as grounds for CCIS to seek reimbursement of an overpayment.” Id. Finally, we noted that “to the extent Davis raises any issues concerning the calculation and the amount of the overpayment, those issues [were] not before us. The BHA ordered CCIS to recalculate the overpayment and issue a new notice with a new overpayment amount.” Id., slip op. at 9. Thus, we affirmed the March 22, 2017 order. Id. Following our decision, an ALJ convened a new hearing on February 8, 2018, regarding the overpayment calculation as determined in the March 30, 2017 confirmation notice. (F.F. No. 14.) The ALJ found that from February 7, 2008, to December 23, 2010, Davis was undercharged for co-payments in the amount of $505.00 and received $27,360.94 in unreimbursed child care benefits for her children, which resulted in a total child care subsidy overpayment of $27,865.94. (F.F. Nos. 15- 23.) The ALJ found there was no evidence in the record to demonstrate that the overpayment calculations were incorrect. (F.F. No. 24.) The ALJ concluded that “CCIS correctly calculated [Davis]’s overpayment of CCIS benefits” and that Davis “at no point in her submissions or testimony addressed the issue of the calculation of the overpayment,” which was the sole issue before the ALJ. (ALJ adjudication, 3/15/18, at 5.) The ALJ also explained that Davis “focused solely on the issue of residence,” but that it had “been found as

4 fact in prior proceedings that [Davis] did not reside at her claimed Pennsylvania addresses and instead lived in New Jersey, rendering her ineligible for Pennsylvania CCIS child care benefits.” Id. at 5-6. The ALJ determined that “CCIS correctly calculated the overpayment of $27,865.94” and that “CCIS [had] provided substantial evidence to support its calculations.” Id. at 6. Accordingly, the ALJ held that the overpayment amount was correct and denied the appeal. Id. On March 15, 2018, BHA issued a final administrative action order affirming the decision of the ALJ.

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Bluebook (online)
B. Davis v. DHS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/b-davis-v-dhs-pacommwct-2019.