in Re Rasmer Estate

CourtMichigan Supreme Court
DecidedJuly 31, 2017
Docket153356
StatusPublished

This text of in Re Rasmer Estate (in Re Rasmer Estate) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
in Re Rasmer Estate, (Mich. 2017).

Opinion

Michigan Supreme Court Lansing, Michigan

Syllabus Chief Justice: Justices: Stephen J. Markman Brian K. Zahra Bridget M. McCormack David F. Viviano Richard H. Bernstein Joan L. Larsen Kurtis T. Wilder This syllabus constitutes no part of the opinion of the Court but has been Reporter of Decisions: prepared by the Reporter of Decisions for the convenience of the reader. Kathryn L. Loomis

In re RASMER ESTATE In re GORNEY ESTATE In re FRENCH ESTATE In re KETCHUM ESTATE

Docket Nos. 153356, 153370, 153371, 153372, and 153373. Argued January 12, 2017 (Calendar No. 2). Decided July 31, 2017.

The Department of Health and Human Services (DHHS) brought separate actions in the Bay County Probate Court, the Huron County Probate Court, the Calhoun County Probate Court, and the Clinton County Probate Court, seeking to recover under the Michigan Medicaid estate- recovery program (MMERP), MCL 400.112g et seq., an amount equivalent to the Medicaid benefits paid on behalf of the decedents. The Bay County Probate Court, Dawn A. Klida, J.; the Calhoun County Probate Court, Michael L. Jaconette, J.; and the Clinton County Probate Court, Lisa Sullivan, J., granted summary disposition in favor, respectively, of Richard Rasmer, personal representative of the estate of Olive Rasmer, Daniel Gene French, personal representative of the estate of William French, and the estate of Wilma Ketchum. Regarding the estate of Irene Gorney, the Huron County Probate Court, David L. Clabuesch, J., dismissed plaintiff’s claim and entered a judgment in favor of the estate after a bench trial. DHHS appealed in each case, and the Court of Appeals consolidated the cases. The Court of Appeals, GLEICHER, J., and CAVANAGH, J. (JANSEN, P.J., concurring in part and dissenting in part), affirmed in part, reversed in part, and remanded the cases to the respective probate courts, concluding that DHHS could pursue its claims for the amounts paid by Medicaid on behalf of the decedents from MMERP’s implementation date, July 1, 2011, but not for the amounts paid from the program’s effective date, July 1, 2010, to the July 1, 2011 implementation date. In re Gorney Estate, 314 Mich App 281 (2016). Relying on In re Keyes Estate, 310 Mich App 266 (2015), the Court of Appeals rejected the estates’ due-process challenge premised on a lack of notice of estate recovery at the time each decedent enrolled in Medicaid. Finally, the Court of Appeals rejected the Ketchum estate’s alternative argument that DHHS’s estate-recovery effort violated MCL 400.112g(4), which precludes DHHS from seeking Medicaid recovery if the costs of recovery exceed the amount of recovery available or if the recovery is not in the best economic interest of the state, and remanded to the Clinton County Probate Court for further proceedings. The Supreme Court granted the Rasmer estate’s and DHHS’s respective applications for leave to appeal. In re Rasmer Estate, 499 Mich 975 (2016). In a unanimous opinion by Justice LARSEN, the Supreme Court held:

DHHS did not violate the statutory or constitutional rights of the decedents or their estates by seeking estate recovery under 2007 PA 74 (the MMERP Act). In each case, DHHS was permitted to pursue estate recovery for Medicaid benefits paid on behalf of the decedents after MMERP’s July 1, 2010 implementation date.

1. In 1993, Congress required states to implement Medicaid estate-recovery programs; in 2007, the Michigan Legislature responded by passing the MMERP Act, which empowered DHHS to establish and operate MMERP. MCL 400.112g(5) of the Act required federal approval of the program before MMERP could be implemented, and MCL 400.112k made it clear that MMERP applied to all persons who began receiving Medicaid long-term care services after September 30, 2007, the date the MMERP Act was enacted and became effective. But MCL 400.112h(a) limits DHHS’s estate recovery to property and other assets included within an individual’s estate subject to probate administration. The federal Centers for Medicare and Medicaid Services (CMS) approved Michigan’s program in May 2011, and DHHS implemented the plan on July 1, 2011. Each decedent began receiving Medicaid benefits after passage of the MMERP Act, but the initial Medicaid applications filed by the decedents, or by their personal representatives, did not contain any information about estate recovery. After MMERP’s implementation, the decedents’ personal representatives submitted, as part of the annual Medicaid redetermination process, form DHS-4574, which contained an acknowledgement provision advising Medicaid applicants that DHHS could seek recovery from the decedents’ estates for services paid by Medicaid. Following each decedent’s death, plaintiff sought to recover an amount equivalent to the Medicaid benefits paid on each decedent’s behalf for long- term care services since July 1, 2010, the date CMS deemed the effective date of MMERP.

2. MCL 400.112g(3)(e) provides that when an individual enrolls in Medicaid for long- term care services, DHHS must provide the individual written materials explaining the process for a waiver from estate recovery due to hardship. In addition, MCL 400.112g(7) requires DHHS to provide written information to individuals seeking Medicaid eligibility for long-term care services describing MMERP and including a statement that some or all of their estates may be recovered. In Keyes, 310 Mich App 266, the Court of Appeals held that MCL 400.112g(3)(e) does not require DHHS to provide notice regarding estate recovery when an individual enrolls in Medicaid because that provision is part of the larger MCL 400.112g(3), which requires DHHS to seek approval from the federal government regarding certain listed items and the estate had not asserted that DHHS had failed to seek federal approval of the timing provision. Keyes accordingly concluded that MCL 400.112g(3)(e) did not require DHHS to provide written materials or timely notice of MMERP. Keyes also concluded that MCL 400.112g(7) did not require DHHS to provide written information about MMERP at enrollment in Medicaid because the provision refers to “eligibility” rather “enrollment.” Keyes erred by severing “eligibility” from “enrollment”; in certain cases MCL 400.112g(7) may require DHHS to provide written information not only when a beneficiary seeks a redetermination of eligibility after enrollment but, contrary to Keyes, also just before enrollment, when eligibility initially is sought. But DHHS was not required to notify the decedents or their personal representatives of MMERP at the time they initially applied for Medicaid long-term care services because, under MCL 400.112g(5), MMERP could not be implemented until the program was approved by the federal government. With regard to the Rasmer estate’s appeal, DHHS had no duty under MCL 400.112g(7) to provide written information to Ms. Rasmer or her personal representative about MMERP until the program was approved and implemented. Further, the written acknowledgment provided by DHHS to Ms. Rasmer in 2013, which informed her of the possibility of estate recovery, complied with the MCL 400.112g(7) requirement to provide written information to individuals seeking Medicaid eligibility for long-term care services describing MMERP and including a statement that some or all of their estates may be recovered.

3. The Court of Appeals erred by concluding that DHHS implemented MMERP before it had federal approval because DHHS did not implement MMERP until after federal approval of the program. The Court of Appeals further erred by analyzing the implementation question as a due-process issue when its conclusion rested on its view that DHHS had failed to comply with the MCL 400.112g(5) restriction. Under federal law, the effective date of changes to a Medicaid state plan may predate approval.

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