Cooke v. Arizona Department of Economic Security

302 P.3d 666, 232 Ariz. 141, 660 Ariz. Adv. Rep. 4, 2013 WL 1970953, 2013 Ariz. App. LEXIS 97
CourtCourt of Appeals of Arizona
DecidedMay 14, 2013
DocketNo. 1 CA-UB 12-0095
StatusPublished
Cited by6 cases

This text of 302 P.3d 666 (Cooke v. Arizona Department of Economic Security) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cooke v. Arizona Department of Economic Security, 302 P.3d 666, 232 Ariz. 141, 660 Ariz. Adv. Rep. 4, 2013 WL 1970953, 2013 Ariz. App. LEXIS 97 (Ark. Ct. App. 2013).

Opinion

OPINION

PORTLEY, Judge.

¶ 1 Carolyn Cooke, the mother of ten-year-old Michael Cooke, challenges the Appeals Board’s conclusion that the Arizona Department of Economic Security (“ADES”), Division of Developmental Disabilities (“DDD”) properly determined that her son was not eligible for disability benefits and services. For the following reasons, we reverse the determination.

FACTUAL AND PROCEDURAL BACKGROUND

¶2 Michael has Apert’s Syndrome, a genetic defect that causes premature fusing of skull bones and often hinders normal brain development. He received developmental disability services until June 15, 2010, when DDD concluded that he lacked a qualifying diagnosis that would make him eligible to continue to receive services.

¶3 Ms. Cooke requested a hearing. At the hearing, child psychologist Dr. Michael Lavoie testified on Michael’s behalf. He stated that Michael’s scores on the Weschler Intelligence for Children test were: Verbal Comprehension — 79, Perceptual Reasoning— 71, Working Memory — 83, Processing Speed — 65, Full Scale — 69. Accordingly, Dr. Lavoie concluded that Michael “met the diagnostic criteria for ... Mild Mental Retardation” because his full scale intelligence quotient score was 69.

¶ 4 Robert Klaehn, M.D., DDD’s medical director, however, testified that Michael’s benefits were properly terminated because Michael’s full scale Weschler score was mis[143]*143leading because the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (“DSM-IV”) provides that significant differences in sub-test scores tend to result in misleading cumulative scores. Moreover, he testified that Michael does not have a cognitive disability under § 502.5 of the Arizona Department of Economic Security — Division of Developmental Disabilities, Policy and Procedures Manual (“DDD Policy and Procedures Manual”)1 because three of his sub-test scores were not two or more standard deviations below the mean.

¶ 5 The Administrative Law Judge (“ALJ”) ruled that the DDD properly terminated Michael’s benefits. Although the ALJ found that Michael’s full scale IQ was 69, “which is two standard deviations below the mean,” he also found that § 502.5.1(f) of the DDD Policy and Procedures Manual “indicates that the diagnosis of cognitive disability is not supported when subscale scores fall outside the range associated with cognitive disability.” Ms. Cooke appealed the ruling to the ADES Appeals Board.

¶ 6 The Appeals Board reviewed the record, made independent findings of fact and conclusions of law, and two of the three members found that Michael had not demonstrated a cognitive disability. Specifically, the majority found “that the ‘Full Seale’ IQ number, taken alone, cannot explain [Michaelj’s ability to score well above two standard deviations on all but one of the component factor subtests.” Additionally, the majority endorsed DDD’s policy requiring a conclusion that an applicant is not cognitively disabled if his or her “sub-scale scores fall outside the range associated with cognitive disability.” DDD Policy and Procedures Manual § 502.4(A)(6). The majority then determined that DDD properly denied Michael’s DDD eligibility.

¶ 7 The Appeals Board’s dissenting member argued that the majority “misinterpreted the definition of ‘subaverage general intellectual functioning’” under Arizona Revised Statutes (“AR.S.”) section 36-551(40), which “[i]n layman’s terms ... means that a person must score below 70 on an IQ test.” Despite Dr. Klaehn’s testimony, the dissenter found that Michael’s IQ of 69 satisfied the definition of “subaverage general intellectual functioning” and therefore the first requirement of cognitive disability. He then argued that the evidence supported a finding that Michael’s subaverage general intellectual functioning exists concurrently with deficits in adaptive behavior. As a result, he concluded that Michael has a developmental disability attributable to a cognitive disability as defined in AR.S. § 36-551(17) and stated that the denial of Michael’s eligibility to receive DDD services should be reversed.

¶ 8 Ms. Cooke unsuccessfully requested review of the Appeals Board’s decision. This timely appeal followed.

DISCUSSION

¶ 9 Ms. Cooke contends that the Appeals Board erred when it affirmed the determination that her son was not eligible for disability benefits and services. Specifically, she asserts that the Appeals Board failed to adhere to the statutory definition of cognitive disability by following the stricter requirement set forth in the DDD Policy and Procedures Manual. She also argues that the Appeals Board abused its discretion when it declined to take additional evidence regarding the calculation of Michael’s full scale IQ.

¶ 10 We review the Appeals Board’s findings of fact for an abuse of discretion and determine whether the findings are arbitrary and capricious or, alternatively, are supported by substantial evidence. Munguia v. Dep’t of Econ. Sec., 159 Ariz. 157, 158-59, 765 P.2d 559, 560-61 (App.1988). Moreover, we view the evidence “in a light most favorable to upholding the decision of the appeals board and will affirm that decision if it is supported by any reasonable interpretation of the record.” Prebula v. Ariz. Dep’t of Econ. Sec., 138 Ariz. 26, 30, 672 [144]*144P.2d 978, 982 (App.1983). However, we “are free to draw our own legal conclusions in determining if the appeals board properly interpreted the law.” Munguia, 159 Ariz. at 159, 765 P.2d at 561.

1. DDD’s Interpretation of A.R.S. § 36-551(40)

¶ 11 Eligibility for developmental disability benefits is determined by statutory requirements in A.R.S. § 36-559 (West 2013) and the guidelines stated in the Arizona Administrative Code (“A.A.C.”) R6-6-302. The statute provides that a person seeking benefits must be an Arizona resident and must be developmentally disabled. A.R.S. § 36-559(A)(l)-(2); A.A.C. R6-6-301(A). A developmental disability can be established by proof that a person has a “severe, chronic disability” attributable to a cognitive disability, cerebral palsy, epilepsy or autism that presents before the age of eighteen, that is likely to continue indefinitely, and that results in substantial functional limitations in three or more defined areas of major life activity. A.R.S. § 36-551(18)(a)-(d). “Cognitive disability” is defined as “a condition that involves subaverage general intellectual functioning, that exists concurrently with deficits in adaptive behavior manifested before age eighteen and that is sometimes referred to as intellectual disability.” A.R.S. § 36-551(13).

¶ 12 Here, Ms. Cooke established that her son has a full scale IQ of 69 and argued that he has a cognitive disability. The majority of the Appeals Board, however, discounted the score because Dr.

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302 P.3d 666, 232 Ariz. 141, 660 Ariz. Adv. Rep. 4, 2013 WL 1970953, 2013 Ariz. App. LEXIS 97, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cooke-v-arizona-department-of-economic-security-arizctapp-2013.