Julia Ribaudo Senior Services v. Department of Public Welfare

915 A.2d 700, 2007 Pa. Commw. LEXIS 5
CourtCommonwealth Court of Pennsylvania
DecidedJanuary 4, 2007
StatusPublished
Cited by4 cases

This text of 915 A.2d 700 (Julia Ribaudo Senior Services v. Department of Public Welfare) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Julia Ribaudo Senior Services v. Department of Public Welfare, 915 A.2d 700, 2007 Pa. Commw. LEXIS 5 (Pa. Ct. App. 2007).

Opinion

OPINION BY

Judge PELLEGRINI.

Julia Ribaudo Senior Services (Provider) appeals from a final order of the Secretary of the Department of Public Welfare (Department) upholding an order of the Bureau of Hearings and Appeals (Bureau) that Provider’s audit report was untimely and no basis existed to grant a nunc pro tunc appeal.

*702 Provider is a nursing facility enrolled in the Department’s Medical Assistance Program. It filed a cost report with the Department for the fiscal year ending December 31, 2002, and was notified on June 24, 2003, that the report was accepted for audit. The audit would determine Provider’s reimbursement under the Medical Assistance Program. Having not received the December 31, 2002 audit report by March 24, 2004, Provider’s administrator contacted the Department inquiring about its status. She was told that the report was still being processed and that the Department had one year from the date of acceptance of the cost report to issue the audit report. On March 31, 2004, the Department purportedly mailed a transmittal letter and the audit report to Provider stamping “March 31, 2004” as the date on both items. The transmittal letter stated that Provider could appeal the audit report’s findings by filing a written request for a hearing with the Bureau within 33 days of the date of the letter. 1 However, Provider filed no appeal because it alleged that it had neither received the letter nor the report.

By September 2004, Provider’s Chief Financial Officer, Michael Callan (Callan), requested that Robert Sobanski (Sobanski), an accountant at the law firm representing Provider, perform rate estimates for its facility. After reviewing Provider’s files, Sobanski realized that the December 31, 2002 audit report was absent. He contacted Callan and learned that the report had not been received. Sobanski then contacted the Department, was informed that the audit report had been issued, and requested a copy from Ian Cohen (Cohen), the Department’s Chief Rate Analyst. Once Sobanski received the audit report on October 27, 2004, Provider disputed its contents and on December 14, 2004, requested a hearing before the Bureau. Upon learning that its appeal of the audit report was untimely, Provider filed a nunc pro tunc appeal 2 on December 30, 2004, contending that it had not received the December 31, 2002 audit.

A telephone hearing was conducted before the Bureau’s Administrative Law Judge (ALJ). Provider’s Business Office Manager, Patricia Greenwood (Greenwood), testified that she had never received the audit report, and Sobanski was not authorized to act as Provider’s agent for the purposes of receiving the audit from the Department.

In order to demonstrate that the transmittal letter and audit were mailed, Elizabeth Peñaranda (Peñaranda), a clerk typist for the Department, testified that she was directly involved in the mailing of audit reports, and that the December 31, 2002 audit report would have been mailed out on March 31, 2004, in accordance with the Department’s practice and custom. She stressed that around that time, the Department had experienced no problems regarding the mailing of their audit reports, and the report in question was never returned as undeliverable. Similarly, Chief Rate Analyst Cohen testified that the audit report was properly mailed on March 31, 2004, and that it was the Department’s *703 standard practice to stamp the mailing date (March 31, 2004) on a notice the day it was mailed. Cohen also testified that when he personally provided a copy of the report to Sobanski on October 27, 2004, Sobanski stated that he was acting on Provider’s behalf.

Finding the Department’s witnesses credible, the ALJ concluded that the Department properly mailed the audit report on March 31, 2004, but even if it had not, Provider had been personally served a copy of the audit report on October 27, 2004, when it was given to Sobanski. Determining that Provider failed to demonstrate any articulable basis as to why it had not timely appealed the audit report, either when it was mailed or when it was hand-served, the ALJ denied Provider’s request for a nunc pro tunc appeal. The Bureau adopted the ALJ’s recommendations, and Provider requested reconsideration with the Secretary of the Department who upheld the decision in its entirety. This appeal followed. 3

The failure to appeal an administrative agency’s action in a timely fashion is a jurisdictional defect. C.S. v. Department of Public Welfare, 879 A.2d 1274 (Pa.Cmwlth.2005). For entities like Provider enrolled in the Medical Assistance Program, an appeal of an administrative action must be taken within 30 days of the date of the notice of departmental action or within 33 days of the date of the notice if given by mail. 67 Pa.C.S. § 1102. According to the Department’s Standing Practice Order (SPO), Rule 13 Notice of agency actions, regarding the contents of a notice, notices must contain the effective date of the agency action, the basis for the agency action, and the date the notice was deposited into the mail or otherwise served on the provider. 33 Pa. B. 3067 (2003).

Not contesting the Bureau’s finding that the December 31, 2002 audit report had been mailed on March 31, 2004, Provider argues that while the transmittal letter and report were stamped with the “March 31, 2004” date, they were defective because they did not comply with the Department’s SPO Rule 13 requiring that a mailing date be denominated.

When an administrative agency makes service by mail, the date of mailing is required to be listed on the notice of adjudication because that date is “deemed to be the date of entry of the order ...” and the date from which the time for appeal begins to run. 42 Pa.C.S. § 5572. SPO Rule 13. In Sheets v. Department of Public Welfare, 84 Pa.Cmwlth. 388, 479 A.2d 80 (1984), we addressed whether the date on a letter without more satisfied the requirement that a date of mailing be listed on the notice of the adjudication. In that case, the Department’s order bore a typed date and also bore a stamp designating the same date as the “DATE FINAL ADMINISTRATIVE ACTION.” The appeal from that order would have been untimely if either of those markings were legally meaningful. In holding that listing the date in either form was no substitute for denominating the date of mailing so as to constitute the starting date for the appeal period, quoting from Mihordin v. Unemployment Compensation Board of Review, 80 Pa.Cmwlth. 569, 471 A.2d 1334, 1336 (1984), we stated that “because knowledge of a decision mailing date is essential when it commences an appeal period, the administrative agency is *704 obligated to indicate it clearly on the decision notice. Schmidt v. Commonwealth, 495 Pa. 238, 241,

Related

In re Appeal of P-Ville Associates
87 A.3d 898 (Commonwealth Court of Pennsylvania, 2014)
Julia Ribaudo Senior Services v. Department of Public Welfare
969 A.2d 1184 (Supreme Court of Pennsylvania, 2009)
Merlini ex rel. Merlini v. Department of Public Welfare
931 A.2d 768 (Commonwealth Court of Pennsylvania, 2007)

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915 A.2d 700, 2007 Pa. Commw. LEXIS 5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/julia-ribaudo-senior-services-v-department-of-public-welfare-pacommwct-2007.