In re: Subpoena Request of Kathleen McGuiness, Delaware State Auditor of Accounts

CourtSuperior Court of Delaware
DecidedAugust 10, 2022
DocketN21M-08-003 CAK
StatusPublished

This text of In re: Subpoena Request of Kathleen McGuiness, Delaware State Auditor of Accounts (In re: Subpoena Request of Kathleen McGuiness, Delaware State Auditor of Accounts) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re: Subpoena Request of Kathleen McGuiness, Delaware State Auditor of Accounts, (Del. Ct. App. 2022).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

In re: Subpoena Request of : Kathleen McGuiness, :C.A. No. N21M-08-003-CAK Delaware State Auditor of Accounts :

Submitted: July 15, 2022 Decided: August 10, 2022

Upon Motion to Quash by Delaware Department of Health and Social Services

DENIED

MEMORANDUM OPINION AND ORDER

Luke W. Mette, Esquire, Armstrong Teasdale LLP, 300 Delaware Avenue, Suite 210, Wilmington, DE 19801, Christopher P. Lynett, Esquire and Bianca A. Valcarce, Esquire, Armstrong Teasdale LLP, 2005 Market Street, Floor 29, One Commerce Square, Philadelphia, PA 19103, Attorneys for Delaware Office of Auditor of Accounts.

Joanna S. Suder, Esquire, Deputy Attorney General, Carvel State Office Building, 820 North French Street, 6th Floor, Wilmington, DE 19801, Attorney for Delaware Department of Health and Social Services.

KARSNITZ, R.J. I. BACKGROUND

A. Facts and Procedural History

By letter dated May 4, 20211 the Delaware Office of Auditor of Accounts

(“OAOA”) requested that the Delaware Department of Health and Social Services

(“DHSS”) produce a fifteen-point list of items over a three-year period2 from DHSS’s

Division of Medicaid and Medical Assistance (“DMMA”) in connection with a

performance audit of Medicaid eligibility (the “Audit”). OAOA stated the objectives of

the Audit were to determine “whether DMMA is complying with federal and state

requirements, has effective internal controls, and incorporates data integrity throughout

the program.”3

By letter dated June 3, 20214 DHSS requested clarification as to OAOA’s

authority to conduct the type of audit requested. Specifically, DHSS asked the Auditor

to provide the following:

1. the statutory authority under which OAOA can conduct a performance audit of Medicaid eligibility; 2. the statutory authority under which DHSS can share specific Medicaid participant information, and the connection between that authority and 31 Del. C. § 1101;

1 Exhibit B to Motion to Quash Subpoena (Trans. ID. 66865014). 2 Id. 3 Id. 4 Exhibit E to Motion to Quash Subpoena (Trans. ID. 66865014). 2 3. an explanation as to why the annual Statewide Single Audit is insufficient to meet the OAOA request; 4. whether OAOA would be conducting the Audit or hire outside auditors to assist; 5. an explanation as to why Audit & Recovery Management Services (“ARMS”) is insufficient to conduct a performance audit of Medicaid eligibility; and 6. an explanation as to why the Medicaid Integrity Program (“MIP”) unit of DMMA is insufficient to detect fraud and abuse with oversight from the Centers for Medicare & Medicaid Services (“CMS”).5

By letter dated June 22, 2021,6 OAOA responded that it had such authority under

various sections of Title 29, Chapter 29 of the Delaware Code, as more fully discussed

below.

By letter dated July 30, 2021,7 DHSS advised OAOA that, although DHSS did

not believe that OAOA had the statutory authority to compel the release of all the items

requested, DHSS would provide the following:

1. Screenshots from the federal Medicaid Budget and Expenditure System (“MBES”) showing funding and expenditures during the audit period; 2. Copies of the annual Statewide Single Audit, Payment Error Rate Measurement (“PERM”), and Medicaid Eligibility Quality Control (“MEQC”) reports and corrective action plans for the audit period; 3. CMS approved verification plan describing data sources used in eligibility determinations; 4. Organizational charts for DHSS and DMMA;

5 Id. 6 Exhibit F to Motion to Quash Subpoena (Trans. ID. 66865014). 7 Exhibit G to Motion to Quash Subpoena (Trans. ID. 66865014). 3 5. Medicaid State Plan and Delaware Social Services Manual (website links) and copies of DHSS/DMMA administrative notices issued during the audit period; and 6. Description of staff training program and copies of staff training materials.8

On August 4, 2021, OAOA filed a Complaint for Issuance of Subpoena (the

“Complaint”) directing DHSS to produce the requested documents.9 The Complaint

asserted that OAOA’s subpoena power to compel production of documents was

provided by statute under 29 Del. C. §2910.10 This Court issued the subpoena (the

“Subpoena”) on August 4, 2021.11

On October 13, 2021, counsel for DHSS informed the Court that the parties had

exchanged communications regarding the basis for various items requested in the

Subpoena.12 After meeting and consulting on October 19, 2021, October 25, 2021, and

October 28, 2021, on November 1, 2021 counsel for DHSS informed the Court that the

parties narrowed the issues to be presented to the Court at a hearing on November 2,

2021 to three:

1. Whether OAOA is legally permitted to receive the Personally Identifiable Information of Medicaid beneficiaries in connection with the proposed Audit;

8 Id. DHSS further advised “We will endeavor to provide these to you by August 31, 2021. We will continue discussions with our legal counsel to evaluate your remaining requests.” 9 Complaint. 10 Complaint ¶ 2. 11 Subpoena Duces Tecum (Trans. ID. 66820467). 12 Letter from Ann C. Cordo, Esquire to the Court (Trans. ID. 67010811). 4 2. Whether OAOA is legally permitted to have two employees receive read only access to the entire State Medicaid system for the purpose of conducting the Audit; and 3. Whether OAOA has legal authority to conduct a performance audit of DHSS in the manner and scope specified in the Subpoena.13

B. Motion to Quash

On August 19, 2021, DHSS filed the Motion to Quash Subpoena (the

“Motion”)14 under the Superior Court Civil Rules.15 On October 26, 2021 OAOA

filed its pro se Response to the Motion to Quash.16 On November 2, 2021, the Court

held a hearing on the three issues described above and took the Motion under

advisement.17 On January 6, 2022 the Court directed that the parties submit

simultaneous briefing on one threshold issue: does OAOA have the authority to

conduct a performance audit of Medicaid eligibility, a question of first impression

in Delaware.18 Specifically, the Court instructed the parties’ briefings to address

the following:

1. statutory construction (given that the term “postaudits” is not defined, and the term “performance audit” does not appear in Title 29); 2. the Ohio statute referenced by DHSS – Section 117.19 in Revised Title 1, and any other relevant Ohio statutes; 3. case law construing/discussing Section 117.19;

13 Letter from Ann C. Cordo, Esquire to the Court (Trans. ID. 67058362). 14 Motion to Quash Subpoena (Trans. ID. 66865014). 15 Super. Ct. Civ. R. 45(c)(3)(A) 16 Response to Motion to Quash Subpoena (Trans. ID. 67046014). 17 See Trans. of Motion to Quash Subpoena (Trans. ID. 67078753). 18 Letter from the Court dated January 6, 2022 (Trans. ID. 67214766). 5 4. statutes in other states addressing or relating to the scope of a State Auditor’s authority and/or definitions of “postaudit” and “performance audit;” and 5. any other authorities supporting the parties’ respective positions on the issue of OAOA’s authority and the scope of the Subpoena.19

DHSS and OAOA, through counsel,20 filed their Opening Briefs on March 25,

2022. DHSS filed its Reply Brief on April 14, 2022. OAOA filed its Answering Brief

on April 14, 2022. On May 27, 2022 counsel for OAOA filed two supplemental exhibits

to its Opening Brief.21 I held oral argument on July 15, 2022. This is my decision on

the Motion.

II. STANDARDS OF REVIEW

A. Quashal

The three rule-based grounds for me to quash the Subpoena are if it:

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In re: Subpoena Request of Kathleen McGuiness, Delaware State Auditor of Accounts, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-subpoena-request-of-kathleen-mcguiness-delaware-state-auditor-of-delsuperct-2022.