Community Mental Health Services v. Mental Health & Recovery Board

150 F. App'x 389
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 14, 2005
Docket04-3587
StatusUnpublished
Cited by35 cases

This text of 150 F. App'x 389 (Community Mental Health Services v. Mental Health & Recovery Board) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Community Mental Health Services v. Mental Health & Recovery Board, 150 F. App'x 389 (6th Cir. 2005).

Opinion

ROGERS, Circuit Judge.

Plaintiff Community Mental Health Services of Monroe, Belmont, and Harrison Counties, Ohio (“CMHS”) appeals the district court’s decision dismissing its case on the grounds of sovereign immunity and failure to state a claim. CMHS, a nonprofit corporation that provides mental health services to three Ohio counties, *391 principally alleged that the Mental Health and Recovery Board of Belmont, Harrison, and Monroe Counties (“MHRB”) violated CMHS’s due process rights when MHRB unilaterally withheld money from payments owed to CMHS in order to address an alleged overpayment made by MHRB to CMHS several years earlier. 1 We affirm the dismissal of the case because CMHS’s claims are not ripe.

I.

The facts, as ably set out by the district court, are recounted here.

Plaintiff CMHS is a non-profit corporation organized in the State of Ohio whose principal purpose is to provide mental health services to the areas of Belmont, Harrison and Monroe counties. CMHS contracts with the Mental Health Recovery Board (the MHRB) to provide mental health services to both Medicaid and non-Medicaid recipients in the above counties. Pursuant to this contract, CMHS receives reimbursement for the mental health services that it has provided to Medicaid eligible individuals from the combination of federal, state and local matching funds.
Defendant MHRB is a political subdivision of the State of Ohio (defined in Ohio Revised Code § 340.01(B)). The MHRB receives Medicaid and other funds from the Ohio Department of Mental Health (“ODMH”) for purposes of contracting with third parties to provide mental health services to individuals who are eligible for Medicaid as well as individuals who are not Medicaid-eligible in the counties of Belmont, Harrison and Monroe, Ohio (the “District”). The MHRB has been designated to administer the community mental health services Medicaid program (“Community Medicaid Program”) by Defendants Hogan and Hayes. Defendant Pickenpaugh is the Executive Director of MHRB.
Defendant Hayes is the Director of the Ohio Department of Job and Family Services (“ODJFS”), the agency of the State' of Ohio designated as the single state agency to administer Ohio’s Medicaid program. Defendant Hogan is the Director of ODMH, which has been designated by ODJFS to administer the Community Medicaid program.
In the state fiscal year (“SFY”) 1998, the MHRB and the CMHS had a Medicaid contract in place to provide mental health services to both Medicaid and non-Medicaid eligible individuals. In SFY 1998, the CMHS also contracted with the MHRB to provide non-Medicaid services. Submitted with the non-Medicaid contract was a budget which identified the funds available to pay for mental health services that CMHS would provide to Medicaid and non-Medicaid eligible individuals alike. During SFY 1998, the CMHS also had a “Provider Agreement” with ODJFS in place.
In the fall of 1998, MHRB’s auditors audited CMHS for SFY 1998. As part of the audit, the MHRB performed a “reconciliation,” which determines whether a contractor, like CMHS, has *392 provided more units of service than budgeted to Medicaid-eligible individuals and/or others, and whether the contractor’s expenses for those services were less than those projected. Upon the audit and reconciliation, MHRB’s auditors determined that the CMHS should refund Medicaid Federal Financial Participation funds to the MHRB. CMHS repaid those funds. The MHRB audit was subsequently finalized and closed.
After the audit was closed the MHRB demanded that the CMHS re-pay Medicaid matching funds in the amount of $73,166.76 for SFY 1998. In May and June of 2003, the MHRB unilaterally withheld $10,000.00 each month from payments due CMHS from its SFY 2003 contract to repay the alleged Medicaid match overpayment until it received $73,166.67.
Thereafter, Defendant Hogan directed the MHRB to stop withholding payments from CMHS in accordance with the ODJFS’s request. The MHRB returned $20,000.00 to CMHS. Plaintiff submits that Defendant Hayes has threatened to take future action to recover funds paid to CMHS based upon its SF[Y] 1998 audit.
Plaintiff claims that on June 3, 2003, ODMH told CMHS that Hogan withheld approval of the MHRB’s Mutual System Performance Agreement (“MSPA”) because of the number of client grievances against CMHS. Additionally, plaintiff submits 'that on July 8, 2003, not less than six ODMH officials arrived at CMHS and attempted to conduct a search and seizure. Plaintiff further states that ODMH contacted CMHS clients who had not requested such contact.
First, Plaintiff claims that Defendants MHRB, ODMH and ODJFS deprived plaintiff of its rights within the meaning of the Due Process Clause of the Fourteenth Amendment of the United States Constitution (“the Constitution”) when defendants “unilaterally and intentionally misappropriated funds due and owing to plaintiff’ for Medicaid services CMHS provided to the District. Plaintiffs Second Count sets forth a claim against MHRB and ODMH for the violation of plaintiffs due process rights by subjecting plaintiff to “continued harassment and interference with purported client rights investigations.” Count Three of Plaintiffs Second Amended Complaint alleges that ODMH has violated plaintiffs right to be free from unreasonable searches and seizures as guaranteed by the Fourth Amendment of the Constitution when ODMH arrived at plaintiffs facility and demanded access to its premises. Finally, Plaintiff claims that Defendant ] MHRB violated plaintiffs rights pursuant to the Fourth and Fourteenth Amendments by failing to train Defendant Pickenpaugh.

Cmty. Mental Health Servs. v. Mental Health & Recovery Bd., No. C2-03-581, slip op. at 2-5 (S.D.Ohio Apr. 22, 2004).

CMHS originally brought suit in state court against only MHRB and Pickenpaugh. On June 27, 2003, MHRB and Pickenpaugh removed the case to the United States District Court for the Southern District of Ohio. After removal, CMHS filed an Amended Complaint in the district court, which named as defendants for the first time Michael Hogan and Tom Hayes, in addition to the original defendants MHRB and Pickenpaugh. A Second Amended Complaint was subsequently filed. On April 22, 2004, the district court granted the defendants’ motions to dismiss the complaint.

With respect to CMHS’s claimed due process violation in connection with the allegedly misappropriated funds, the district court held that all defendants were entitled to immunity under the Eleventh *393 Amendment. The district court held that Defendants Hogan and Hayes, as directors of ODMH and ODJFS, were state officials. The district court further held that Ex parte Young, 209 U.S. 123, 28 S.Ct. 441, 52 L.Ed. 714 (1908), did not provide an avenue of relief against Hogan and Hayes because there was no evidence of a continuing violation and thus no possibility of prospective relief.

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Bluebook (online)
150 F. App'x 389, Counsel Stack Legal Research, https://law.counselstack.com/opinion/community-mental-health-services-v-mental-health-recovery-board-ca6-2005.