Jason A. Prescott v. Missouri Department of Social Services

464 S.W.3d 560, 2015 Mo. App. LEXIS 705
CourtMissouri Court of Appeals
DecidedJune 30, 2015
DocketWD77389
StatusPublished
Cited by3 cases

This text of 464 S.W.3d 560 (Jason A. Prescott v. Missouri Department of Social Services) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jason A. Prescott v. Missouri Department of Social Services, 464 S.W.3d 560, 2015 Mo. App. LEXIS 705 (Mo. Ct. App. 2015).

Opinion

Alok Ahuja, Chief Judge

Jason Prescott is a professional counsel- or who specializes in treating ■ Medicaid-eligible mentally ill children. Following an audit, the Department of Social Services determined that Prescott had submitted unsubstantiated claims, and had been overpaid. The Administrative Hearing Commission (the “AHC”) dismissed Prescott’s petition for review of the Department’s decision, finding that his application was untimely. The circuit court affirmed the AHC’s decision, and Prescott now appeals to this Court. We affirm.

Factual Background

Prescott’s primary source of compensation for his counseling services is through the State-administered Medicaid program. In the Fall of 2011, the Department’s Medicaid Audit- and Compliance Unit audited Prescott. Prescott was unable to provide auditors with any supporting documentation for his claims for services performed in 2010, because of a computer failure. As a result, the Department sent a decision letter to Prescott by certified mail on October 31, 2011, finding that he had submitted false claims in the amount of $41,296 (“Decision Letter”). The disallowed claims constituted all of the funds Prescott had received from the Medicaid program in 2010.

Prescott alleges that he did not receiye the Decision Letter- until November 23, 2011. On that date, Prescott asserts that *564 he- found a postal slip in the bushes in front of his home, notifying him that the Postal Service had attempted to deliver a certified letter from the Department. Prescott contacted Toni Davis at the Department, whose name appeared on the slip, and asked her whether the Decision Letter was still available. Davis contacted the Post Office and confirmed that the letter was still available for pickup at Prescott’s local post office. Davis called Prescott back, and informed him that the letter was available. Prescott retrieved the letter later on November 23,2011.

As required by § 621.055, 1 the Decision Letter advised Prescott of his appeal rights. In relevant part, the letter stated:

This is a final decision regarding administration of the medical assistance program in Missouri. Missouri Statute, Section 208.156, RSMo (2000) provides for appeal of this decision.'
If you were adversely, affected by this decision, you may appeal this decision to the Administrative Hearing Commission. To appeal, you must' file a petition within 30 days from the date of mailing or delivery of this decision, whichever is earlier.... If any such petition is sent by registered mail or certified .mail, the petition will be deemed filed on the date it is mailed.

The date on which Prescott received the Decision Letter (November 23, 2011) was the day before 'Thanksgiving. Prescott had a pre-arranged, non-refundable vacation trip scheduled to begin on Thanksgiving Day. Prescott alleges that Davis told him that, “while she could not' give him legal advice, [Prescott] would have 30 days from the date he received; i.e. picked up, the October 31 letter in which to file an appeal.” By affidavit, Davis denied that she said this to Prescott.

Upon return from his vacation, Prescott sent a letter to the Department on December 6, 2011, notifying it of his intention to seek AHC review. He then filed his petition for review with the AHC on December 12,2011.

At some point following his receipt of the Decision Letter, Prescott asserts that he had his computer repaired, and was able to provide the Department with documentation supporting $85,032 of the claims which the Department had disallowed in the Decision Letter.

The Department filed a motion for involuntary dismissal of Prescott’s administrative appeal, alleging that it was untimely under § 208.156.8. The AHC granted the Department’s motion. It found that the Decision Letter was sent by certified mail on October 31, 2011, but that Prescott did not receive it until November 23, 2011. Prescott did not file his petition to appeal with the AHC until December 12, 2011, more than 30 days after the mailing of the Decision Letter. The AHC determined that, under § 208.156.8, it only had jurisdiction to hear appeals of Department decisions if the appeal was commenced within thirty days from the date of mailing of the Department’s decision. As a result, the AHC determined "that Prescott’s petition for review was untimely, and it ordered the petition dismissed.

Prescott filed a petition for judicial review in the Circuit Court of Cole County. The circuit court affirmed the AHC’s decision. Prescott now appeals to this Court.

*565 Standard of Review

On appeal from a circuit court’s review of an AHC decision, this Court reviews the AHC’s decision, not the judgment of the circuit court. Psychare Mgmt., Inc. v. Dep’t of Social Servs., 980 S.W.2d 811, 312 (Mo. banc 1998). “In reviewing the commission’s decision, the Court may not determine the weight of the evidence or substitute its discretion for that of the administrative body; the Court’s function is to determine primarily whether competent and substantial evidence upon the whole record supports the decision, whether the decision is arbitrary, capricious, or unreasonable, and whether the commission abused its discretion.” Id. Questions of law, however, are reviewed by this Court de novo. Albanna v. State Bd. of Registration for Healing Arts, 293 S.W.3d 423, 428 (Mo. banc 2009).

Discussion

I.

Prescott’s first Point raises an issue-of statutory interpretation: he argues that the AHC erred in concluding that his appeal was untimely under § 208.156.8.

Section 208.156.8 states. in pertinent part that a person providing services for which benefit payments are authorized under the Medicaid program

shall have thirty days fi'om the date of mailing or delivery of a decision of the department of social services ... in which to file his petition for review with the administrative hearing commission ....

(Emphasis, added.) As a general proposition, “[t]he failure to comply with the statutory time limitations for appeal from an administrative agency decision, whether to another administrative body or to a circuit court, results.in the lapse of subject matter jurisdiction and the loss of right of appeal.” Fayette No. 1, Inc. v. Mo. Dep’t of Social Servs., 853 S.W.2d 393, 396 (Mo.App.W.D.1993) (citing Cmty. Fed. Sav. & Loan Ass’n v. Dir. of Revenue, 752 S.W.2d 794, 799 (Mo. banc 1988)).

Prescott makes two interrelated arguments to support his Claim that his petition for review was timely under § 208.156.8. He argues: (1) that the Department’s use of certified mail to send the Decision Letter to him did not constitute “mailing,” but instead “delivery,” of the letter; and (2) even if the use of certified mail constituted “mailing,” that his petition for review was timely so long as it was filed either

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Bluebook (online)
464 S.W.3d 560, 2015 Mo. App. LEXIS 705, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jason-a-prescott-v-missouri-department-of-social-services-moctapp-2015.