Frances Lynch v. Bedford County DSS & VA Dept. of Medical Assistance Services

CourtCourt of Appeals of Virginia
DecidedJune 11, 2019
Docket1437183
StatusUnpublished

This text of Frances Lynch v. Bedford County DSS & VA Dept. of Medical Assistance Services (Frances Lynch v. Bedford County DSS & VA Dept. of Medical Assistance Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frances Lynch v. Bedford County DSS & VA Dept. of Medical Assistance Services, (Va. Ct. App. 2019).

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Humphreys, Chafin and AtLee UNPUBLISHED

Argued at Lexington, Virginia

FRANCES LYNCH MEMORANDUM OPINION* BY v. Record No. 1437-18-3 JUDGE RICHARD Y. ATLEE, JR. JUNE 11, 2019 BEDFORD COUNTY DEPARTMENT OF SOCIAL SERVICES AND VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES

FROM THE CIRCUIT COURT OF BEDFORD COUNTY James W. Updike, Jr., Judge

Kathleen C. Morris (sb2 inc., on briefs), for appellant.

Michelle A. L’Hommedieu, Assistant Attorney General (Mark R. Herring, Attorney General; Cynthia V. Bailey, Deputy Attorney General; Kim F. Piner, Senior Assistant Attorney General/Section Chief; on brief), for appellee Virginia Department of Medical Assistance Services.

No brief or argument for appellee Bedford County Department of Social Services.

Appellant Frances Lynch1 challenges the Circuit Court of Bedford County’s ruling that

Lynch’s Medicaid Authorized Representative, Oakwood Health and Rehabilitation Center

(“Oakwood”), did not have standing to appeal the Department of Medical Assistance Services’

(“DMAS’s”) administrative decision to the circuit court. For the following reasons, we affirm.

* Pursuant to Code § 17.1-413, this opinion is not designated for publication. 1 Lynch granted her son, Clyde Lynch, power of attorney, and he acted on her behalf during the course of agency proceedings and subsequent litigation. I. BACKGROUND

On appeal, we view the evidence in the light most favorable to the appellees, who

prevailed before the circuit court. Surles v. Mayer, 48 Va. App. 146, 156 (2006). So viewed, the

evidence is as follows.

Lynch is a resident at Oakwood, which provides her with full time medical care and

assistance. She applied for Medicaid coverage and appointed Oakwood as her Medicaid

Authorized Representative. The Bedford County Department of Social Services (“DSS”) denied

Lynch’s application for Medicaid coverage. Lynch, through Oakwood, appealed DSS’s decision

to DMAS, which affirmed. Lynch then appealed DMAS’s ruling to the circuit court. It is

undisputed that Lynch was the sole appellant throughout the proceedings. DMAS filed a plea in

bar requesting that the circuit court dismiss the case for lack of standing because counsel from

sb2 represented Oakwood, not Lynch, and Oakwood was not a named party. The circuit court

granted the plea in bar and dismissed the case, noting that “this appeal was not duly perfected by

Lynch or by counsel on her behalf.” This appeal followed.

II. ANALYSIS

The parties raise a number of arguments concerning how this Court ought to interpret 42

CFR § 435.9232 with regard to legal proceedings following agency (in this case, DSS and

2 In pertinent part, this section outlines the procedure for designating, and the responsibilities or powers of, an authorized representative. It allows “applicants and beneficiaries to designate an individual or organization to act responsibly on their behalf in assisting with the individual’s application and renewal of eligibility and other ongoing communications with the agency.” 42 CFR § 435.923(a)(1). Under this section,

[a]pplicants and beneficiaries may authorize their representatives to— (1) Sign an application on the applicant’s behalf; (2) Complete and submit a renewal form; (3) Receive copies of the applicant or beneficiary’s notices and other communications from the agency; (4) Act on behalf of the applicant or beneficiary in all other matters with the agency.

-2- DMAS) review. Because we find that the pleadings before the circuit court were not signed by

either Lynch or an attorney representing her as required under Virginia law, the appeal of the

agency decision to the circuit court was not perfected. Thus, we rule solely on those grounds and

decline to construe the federal regulation’s application to an authorized representative’s authority

in judicial proceedings subsequent to the agency’s review. See Sanders v. Commonwealth, 64

Va. App. 734, 742 n.3 (2015) (“An appellate court decides cases on the best and narrowest

ground.” (quoting Luginbyhl v. Commonwealth, 48 Va. App. 58, 64 (2006) (en banc))).

A. Signature Requirements for Pleadings in Virginia

Code § 8.01-271.13 and Rule 1:4(c)4 require either a litigant, if pro se, or her

Virginia-admitted attorney to sign documents in judicial proceedings. Here, all of Lynch’s

pleadings were signed by an attorney from sb2, who before both the trial court and this Court

explained that they represented Oakwood, not Lynch.

In Richmond Ass’n of Credit Men v. Bar Ass’n of City of Richmond, 167 Va. 327

(1937), the Supreme Court addressed an analogous set of facts involving vicarious

42 CFR § 435.923(b). Lynch argues that this regulation permits counsel retained by an authorized representative to appear on behalf of the Medicare applicant in court proceedings despite there being no direct attorney-client relationship between counsel and the applicant. Absent more explicit language, we cannot say that this regulatory language creates a fiduciary relationship with the broad scope appellant contemplates. We also disagree that this federal regulation, as written, serves to supersede or modify established rules of pleading and practice in Virginia. 3 With some exceptions that are inapplicable here, “every pleading, written motion, and other paper of a party represented by an attorney shall be signed by at least one attorney of record in his individual name . . . . A party who is not represented by an attorney . . . shall sign his pleading, motion, or other paper . . . .” Code § 8.01-271.1. 4 “Counsel or an unrepresented party who files a pleading shall sign it and state his address.” Rule 1:4(c); see also Rule 1:5.

-3- representation. It found that a credit union was engaged in the unauthorized practice of law5

when it retained attorneys to litigate claims on behalf of its members while maintaining control

over those attorneys. Id. at 334. The Court did not agree with the credit union’s assertion that it

was merely acting as an “intermediary” for those members, as no attorney-client relationship

existed between the named litigants (the members) and the attorneys signing pleadings and

purportedly appearing on their behalf. Id. The Court noted that the credit union selected the

attorneys, the members did not communicate with or supervise their purported legal counsel, and

the credit union retained control over the attorneys’ compensation and employment. Id. at

336-38. The Court held that “[a] lawyer’s relation to his client should be personal, and the

responsibility should be direct to the client. Charitable societies rendering aid to the indigent are

not deemed such intermediaries.” Id. at 339 (quoting Va. State Bar Ass’n Reports (1935),

volume XLVII, page 350). This requirement of a direct relationship between attorneys and their

clients is further reflected in the Virginia Bar’s Rules of Professional Conduct, which notes that

although a third party may fund litigation, there may be “no interference with the . . .

client-lawyer relationship . . . .” Rules of Professional Conduct Rule 1.8(f)(2).

B. Evidence of Lynch’s Relationship to Counsel

The circuit court here concluded that the appeal from the DMAS decision was not

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Related

Philip Surles v. Kristan Mayer and Marty Cullen, Jr.
628 S.E.2d 563 (Court of Appeals of Virginia, 2006)
Luginbyhl v. Commonwealth
628 S.E.2d 74 (Court of Appeals of Virginia, 2006)
RICH. ASS'N OF MEN v. Bar Ass'n
189 S.E. 153 (Supreme Court of Virginia, 1937)
Andre Eugene Sanders v. Commonwealth of Virginia
772 S.E.2d 15 (Court of Appeals of Virginia, 2015)

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