In re the Accounting of Gonzalez

154 Misc. 2d 633, 586 N.Y.S.2d 861, 1992 N.Y. Misc. LEXIS 299
CourtNew York Supreme Court
DecidedJune 2, 1992
StatusPublished
Cited by5 cases

This text of 154 Misc. 2d 633 (In re the Accounting of Gonzalez) is published on Counsel Stack Legal Research, covering New York 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 the Accounting of Gonzalez, 154 Misc. 2d 633, 586 N.Y.S.2d 861, 1992 N.Y. Misc. LEXIS 299 (N.Y. Super. Ct. 1992).

Opinion

[634]*634OPINION OF THE COURT

Eli Wager, J.

This is a petition brought by the New York State Office of Mental Retardation and Developmental Disabilities seeking an order directing the coconservators to (1) establish a burial account in the amount of $1,500 and a patient account in the amount of $3,000; (2) pay the outstanding statutory claim of the State; and (3) file a final account. The coconservators cross petition this court for an order (1) dismissing the State’s petition; (2) directing coconservators to file a final account; and (3) directing the coconservators to transfer the property of the conservatee Anthony Gonzalez into a supplemental needs trust.

BACKGROUND

The conservatee, Anthony Gonzalez (conservatee), is a 21-year-old retarded male presently residing at an Intermediate Care Facility (ICF) located in Suffolk County. Prior to September 1989, the conservatee lived with his parents in their Lindenhurst home. Thereafter, from September 1989 to December 1989, while awaiting placement at an ICF, the conservatee was a resident of Kings Park Psychiatric Center. In December 1989, he was transferred to the Long Island Developmental Center, an ICF owned and operated by the New York State Office of Mental Retardation and Developmental Disabilities (OMRDD), petitioner in this proceeding. Thereafter, since March 1991, the conservatee has been residing in an ICF administered by the Maryhaven Center of Hope and licensed by OMRDD.

The cost of maintaining the conservatee at these facilities has heretofore been borne by the Federal, State and Suffolk County Governments through the Medicaid program. The State, claiming that the conservatee possesses funds rendering him ineligible for Medicaid, now seeks to recoup these expenses on the ground they were incorrectly paid.

In fact, it is undisputed that the total value of the conservatee’s estate exceeds $100,000. These assets were obtained by the 1977 settlement of a medical malpractice action brought on the conservatee’s behalf (Gonzalez v Fuchs & Interboro Hosp.). Pursuant to the infant’s compromise order, Ramiro Gonzalez, as father of Anthony Gonzalez, was paid $62,333.40 for injuries sustained by Anthony at birth. In 1989, after Anthony reached his majority, his parents were appointed [635]*635coconservators of his property (Meade, J., Apr. 18, 1989). By this time, Anthony’s assets had increased through interest payments to $161,146. When the coconservators filed their annual account in 1989, the total value of the estate was $139,000.

In an attempt to avoid the depletion of the conservatee’s assets, the coconservators have cross-petitioned this court to transfer the assets of the conservatee into a supplemental needs trust.

For the reasons stated below, the State’s petition is granted in its entirety and the cross petition brought by the coconservators is dismissed.

Unlike correctly paid medical assistance, which, pursuant to Social Services Law § 369, may not be recovered, incorrectly paid medical assistance, "may be recouped even during the recipient’s lifetime, as it is not subject to the constraints of Social Services Law § 369” (Matter of Rhodes, 148 Misc 2d 744, 747 [Sur Ct, NY County 1990]; see also, Matter of Colon, 83 Misc 2d 344 [Sur Ct, Kings County 1975]).

Contrary to the coconservators’ arguments, the State properly commenced a proceeding pursuant to Social Services Law § 104 to recover what it deemed to be incorrectly paid medical assistance. No formal determination by the agency is required, nor are the coconservators entitled to a fair hearing (18 NYCRR 358-3.1 [¶] [6]). It is for this court to determine whether the medical assistance provided to the conservatee was incorrectly paid, which if found to be incorrectly paid, would allow the State to recoup said incorrectly paid assistance.

As the coconservators note, Medicaid is incorrectly paid if during the period he received Medicaid, the recipient has resources above the limits allowed by law. The coconservators’ attempt to convince this court that the more than $100,000 the coconservators possess for the conservatee were not available or liquid, must fail.

The coconservators’ reliance on Navarro v Sullivan (751 F Supp 349 [ED NY 1990]) is misplaced. That decision did not hold that tort settlements are never "resources”. Rather, in that case, a judicially approved settlement order, made on behalf of a disabled adult specifically provided that the settlement proceeds could not be used for housing costs, upkeep and medical costs or maintenance needs for the disabled adult for which public funds are available. In holding that, in that case, [636]*636the proceeds of the particular settlement were not a resource, Judge Eugene Nickerson noted that the individual in question did not have a right or power to liquidate the funds for support and maintenance.

In contrast, in the case at bar, once the conservatee reached his majority, there were no longer restrictions on the settlement proceeds. As opposed to Navarro v Sullivan (supra), here there is simply no order limiting the conservatee’s use of the money, either presently or during the time he was receiving medical assistance.

Parenthetically, this court must express its strong disagreement with the terms of the compromise order which settled Navarro’s underlying personal injury action in the Supreme Court, Kings County. Customarily, the proceeds of settlement in such cases are delivered to a parent or guardian in joint control with an officer of a bank or banks. Future disposition of the proceeds generally requires the appointment of a conservator or committee, or, at the least, a separate application to the court. In Navarro (supra), the trial court was presented with an order of compromise which also finally distributed the proceeds of settlement.

And unlike Hughes v Physicians Hosp. (149 Misc 2d 661 [Sup Ct, Queens County, Jan. 28, 1991, Kassoff, J.]), where the Hughes court approved the transfer of settlement proceeds awarded to an adult who had been born brain damaged, directly to a supplemental needs trust, here the conservatee has been in possession of the funds all the while he was receiving medical assistance. The Hughes court did not hold that settlement proceeds are never to be considered a resource.

The court also notes that Justice Kassoff in Hughes v Physicians Hosp. (supra, at 665) specifically declined to appoint a conservator or committee stating: "[A] conservator or committee might not be able to fully take advantage of the present rules regarding eligibility for benefits, since a committee or a conservator would be required to use any settlement proceeds of the disabled person for all his needs, and it could be found that they would then have the 'right, authority or power’ to liquidate the assets, thereby making these proceeds 'resources’ ”.

Thus, the court finds the coconservators’ arguments that these assets were unavailable to be without merit. (See also, Himes v Sullivan, 779 F Supp 258, 262 [WD NY 1991], affd [637]*637without opn

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Bluebook (online)
154 Misc. 2d 633, 586 N.Y.S.2d 861, 1992 N.Y. Misc. LEXIS 299, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-accounting-of-gonzalez-nysupct-1992.