Dunlea ex rel. Estate of Sullivan v. Department of Public Welfare/Division of Medical Assistance

12 Mass. L. Rptr. 315
CourtMassachusetts Superior Court
DecidedOctober 30, 2000
DocketNo. CV993551G
StatusPublished

This text of 12 Mass. L. Rptr. 315 (Dunlea ex rel. Estate of Sullivan v. Department of Public Welfare/Division of Medical Assistance) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dunlea ex rel. Estate of Sullivan v. Department of Public Welfare/Division of Medical Assistance, 12 Mass. L. Rptr. 315 (Mass. Ct. App. 2000).

Opinion

Fremont-Smith, J.

This matter was before the Court on September 22, 2000 on cross motions for summary judgment. The defendants, Department of Welfare and Division of Medical Assistance, seek to recover from the estate of John J. Sullivan (“Sullivan”) the cost of medical assistance provided him, whereas the plaintiff seeks a declaration that no amount is owed. For the reasons stated below, plaintiffs motion for summary judgment is ALLOWED and defendant’s cross motion for summary judgment is DENIED.

BACKGROUND

The plaintiff Kristen Dunlea (“Dunlea”) is the administratrix of the estate of her deceased father, John J. Sullivan (“Sullivan”). Dunlea resides in East Bridgewater, Massachusetts, Plymouth County. The defendants are the Department of Public Welfare and the Division of Medical Assistance for the Commonwealth. Prior to July 13, 1993, the Department administered the Medicaid program, when the Legislature transferred this responsibility to the Division (both are hereinafter referred to as “the Division”).

OnApril9, 1992, Sullivan suffered a scalding injury in a bathtub which resulted in severe injury. As a result of this injury, he incurred significant medical bills for treatment, including the eventual amputation of his foot. Due to his lack of health insurance, the Division paid for his medical treatment. In 1993, Sullivan retained the Law Office of Ronald A. Martignetti, which, on May 27, 1993, filed suit against several defendants in Middlesex Superior Court (“the scalding defendants”).2

[316]*316On June 18, 1993 the Division requested information concerning Sullivan’s claims against the scalding defendants. Sullivan completed the Division’s form and submitted it to the Division. In his response, he notified the Division that he had retained legal counsel.

On October 4, 1993 the Division served Notices of Lien on each of the scalding defendants and on Attorney Martignetti, asserting liens under G.L.c. 18, §5G, which then provided:

When any claimant receives payment from a liability or workmen’s compensation insurer or any third party, the claimant shall repay to the department and the division of medical assistant an amount equal to the benefits provided under any program of assistance administered by the department or the division of medical assistance to or on behalf of the claimant . . . but only to the extent that such benefits were provided as a result of the property damage, accident, injury or other loss suffered by the claimant; and the application for and receipt of such benefits shall, after notification has been given to the third party, operate as a lien to secure repayment against monies which may be provided by liability insurance, workmen’s compensation, or any other third party up to the amount of such benefits.

Section 22 also requires a recipient of Medicaid benefits to assign to the Division an amount equal to the benefits from the proceeds of any recovery from a third party.

On May 15, 1997, Sullivan died, with his personal injury lawsuit still pending. In July 1997, Martignetti, who was then also representing Sullivan’s estate, again requested an updated lien from the Department in connection with settlement negotiations regarding the personal injury lawsuit, which was scheduled to go to trial in September 1997.

In August 1997, a petition for administration of Sullivan’s estate was filed in Plymouth Probate Court. Pursuant to G.L.c. 118E, §32(a), the estate forwarded a copy of the probate petition and a copy of the death certificate to the Division via certified mail. The Division did not request any additional information from Dunlea.

On September 16, 1997 the Division issued a Claim Remittance Advice asserting a lien against the estate in the sum of $144,945.21. The decedent’s attorney informed the Division that the parties were negotiating a settlement of the personal injury lawsuit. On September 16, 1997 the Division issued a Conditional Release and Discharge of Liability agreeing to accept $ 100,000 in full satisfaction, if paid within 30 days, based on the proposed settlement of the scalding lawsuit. The estate did not respond to this offer of settlement. On September 18, 1997 the parties in the personal injuiy lawsuit reached a settlement in the amount of $370,000.

On December 22,1997 the Division notified decedent’s counsel that it was filing a Medicaid liens payment claim against the estate, and filed its Notice of Claim in Probate Court. It filed it in Bristol County Probate Court, however, rather than in Plymouth County Probate Court as required by G.L.c. 118E, §32(b)(l). The Notice of claim was for $34,324.60. The Division also notified the estate that it had 60 days to notify the Division if it disputed the claim. In response, the estate pointed out by letter dated February 28, 1998 that the $34,324.60 figure was incorrect, and requested that the Division file corrected papers with “the Bristol Probate Court.”

On June 19, 1998, the estate informed the Division that it “stood ready to reimburse the Division $100,000" upon collection of the anticipated $370,000 settlement. However, the scalding defendants then moved to vacate the $370,000 settlement on the ground that they had not been informed of the death of Sullivan, and the settlement was vacated by a judge of the Superior Court on November 2, 1998.

On June 8, 1999, the personal injury lawsuit against the scalding defendants was finally settled, but for only $155,000, and on June 29, 1999, counsel for the estate notified the Division of its position that the Division had no enforceable claim against the estate because the Division had filed its Notice of Claim in the wrong probate court in contravention of G.L.c. 118E, §32{b)( 1) and had not timely commenced, an action pursuant to G.L.c. 118E, §32(b)(2) and c. 197, §9. On July 26, 1999, the estate filed this lawsuit, seeking a declaration to that effect. The Division bases its opposition to the estate’s motion and its own motion for summary judgment on several different legal and statutory claims, which are discussed below, asserting, inter alia, that its claim was properly filed and was filed within the statute of limitations.

STANDARD OF REVIEW

The court grants summary judgment where there are no genuine issues of material fact and where the summary judgment record entitles the moving party to judgment as a matter of law. Cassesso v. Commission of Correction, 390 Mass. 419 (1983). Accord Massachusetts Bay Transp. Authy. v. Allianz Ins. Corp., 413 Mass. 473 (1992). The moving party bears the burden of demonstrating affirmatively that there is no genuine dispute of material fact on every relevant issue. Pederson v. Time, Inc., 404 Mass. 14, 17 (1989). Where the party opposing summary judgment carries the burden of proof at trial, and the moving party demonstrates that the opposing party has no reasonable expectation of establishing an essential element of his case, summary judgment is appropriate unless the party opposing the motion sets forth specific facts showing a genuine issue for trial. Kourouvacilis v. General Motors Corp., 410 Mass. 706, 716 (1991).3

G.L.c. 118, §32

There is no dispute that the Division received notice of plaintiff s petition in Plymouth Probate Court seeking appointment as administratrix of her father’s estate. Upon notification of Sullivan’s death, the Division, pursuant to G.L.c. 118E, §32(b), was required to,

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Cite This Page — Counsel Stack

Bluebook (online)
12 Mass. L. Rptr. 315, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dunlea-ex-rel-estate-of-sullivan-v-department-of-public-welfaredivision-masssuperct-2000.