Laura Baker School Ass'n v. Department of Human Services

393 N.W.2d 364, 37 Educ. L. Rep. 334, 1986 Minn. LEXIS 874
CourtSupreme Court of Minnesota
DecidedSeptember 19, 1986
DocketNo. C8-85-833
StatusPublished

This text of 393 N.W.2d 364 (Laura Baker School Ass'n v. Department of Human Services) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Laura Baker School Ass'n v. Department of Human Services, 393 N.W.2d 364, 37 Educ. L. Rep. 334, 1986 Minn. LEXIS 874 (Mich. 1986).

Opinion

COYNE, Justice.

We have granted the petition of the Minnesota department of human services for review of the court of appeals’ decision that Laura Baker School Association may apply to the department of health for certification as an intermediate care facility for the mentally retarded without first securing a determination of need from the department of human services, 377 N.W.2d 465. We reverse the decision of the court of appeals and reinstate the decision of the commissioner of human services that a determination of need is prerequisite to certification as an intermediate care facility for the mentally retarded (ICF/MR) and that its refusal or failure to determine that there was need for certification of Laura Baker School as such a facility was not unreasonable.

Laura Baker School has operated as a residence for the mentally retarded in Northfield since 1897. For as long as Minnesota has licensed such facilities, Laura Baker School has been licensed by the department of health as a supervised living facility and its program for the mentally retarded has been licensed by the department of human services. The School has not, however, been certified as an intermediate care facility for the mentally retarded (ICF/MR) eligible to receive Title XIX Medical Assistance or Medicaid. 42 U.S.C. § 1396 (1982). Operating costs, to the extent neither residents nor their families could pay them, were paid by Rice County. In fact, until the completion in 1983 of a five-year, $1.2 million project for the renovation of its physical plant, funded by charitable donations and accomplished without the prior approval of the department of human services, Laura Baker School was not eligible for certification as an ICF/MR.

In 1979, at the suggestion of the Rice County Welfare Board, the School decided to seek certification as an ICF/MR so that it would be eligible for Medical Assistance reimbursement. The school did not apply immediately to the commissioner of human services for a determination of need; instead, it waited to make application until [366]*366April 27, 1983, after the completion of the improvement project. The application proposed a change from a 73 bed supervised living facility to a 73 bed ICF/MR. Accompanying the application was a letter dated November 9, 1982, from the Rice County director of social services to the executive director of Laura Baker School expressing the welfare board’s support for the building improvements and hope that necessary requirements for Title XIX were being met. The department of human services accepted the letter as evidence of the county board’s approval of the building improvements but, pursuant to Minn.Rules 9525.-0080, subp. 6, requested the county board’s comment on the application and proposed programmatic change to an ICF/MR. On May 19, 1983, the department of human services received Rice County’s letter approving the School’s program plan and supporting certification as an ICF/MR.

On June 10, 1983, a statutory prohibition on the issuance of a determination of need or a license for any new intermediate care facility for mentally retarded persons became effective. Act of June 9, 1983, ch. 312, art. 9,1983 Minn.Laws 1778,1868. On September 21, 1983, citing the statutory moratorium, the department formally notified Laura Baker School of the denial of its request for change of status to ICF/MR.

On appeal pursuant to the Administrative Procedure Act, the administrative law judge recommended that Laura Baker School be certified as an ICF/MR. The commissioner of human services denied certification. On review by certiorari the court of appeals held that the School was not required to obtain a determination of need, but could apply directly to the department of health for certification as an ICF/MR. The court of appeals also ruled that the department of health should treat the application as if it had been made on April 27, 1983, the date of the original application for a determination of need.

Over the last several years Minnesota has shifted its emphasis away from maintenance of the mentally retarded in state institutions in favor of the development of community based services. Much of the cost of community based services is borne by the county in which the facility is located. Thus, for example, those operating costs of Laura Baker School which neither the residents nor their families can pay are paid by Rice County. Services provided, however, by an intermediate care facility are covered by Medical Assistance. An intermediate care facility (ICF) is an institution which (1) provides health-related care and services to persons who do not require hospitalization but who are determined, in accordance with Title XIX of the Social Security Act, to require care and services (above the level of room and board) that can be made available to them only through institutional facilities and (2) which meet the standards of safety and sanitation and for the proper provision of care as prescribed by federal regulations. Minn.Rules § 9500.1070, subp. 3(B) (1983). An intermediate care facility for mentally retarded persons (ICF/MR) is an institution whose physical facility is licensed by the department of health under Minn.Stat. §§ 144.50-144.56 (1984), whose residential program is licensed by the department of human services under Minn.Stat. §§ 245.-781-245.812 and § 252.28 (1984), and whose overall program is certified by the department of health as meeting the federal standards set in 42 C.F.R. §§ 442.400-442.516. Minn.Rules § 9500.1070, subp. 3(B). The cost of Medical Assistance reimbursement of an ICF/MR is met by combined federal, state, and county funding, with the county contributing less than five percent of the total cost.

In June of 1982 concern over the suitability of the variety of services for mentally retarded persons and over the cost of providing those services prompted the Legislative Audit Commission to authorize a study of community programs for the mentally retarded. In his Evaluation of Community Residential Programs for Mentally Retarded Persons issued February 11, 1983, the legislative auditor documents problems in the planning and regulation of residential services provided mentally retarded persons. The Evaluation is sharply crit[367]*367ical of the type of community residential program provided by ICFs/MR and similar facilities:

[T]his report’s most important conclusion is that Minnesota has continued to place too much emphasis on long-term residential care. To reduce the population of state hospitals, the state has encouraged development of community residential facilities that are too restrictive and expensive. At the same time, Minnesota has not adequately developed alternative services that could enable retarded persons to live more independently.

Program Evaluation Division, Office of the Legislative Auditor, State of Minnesota, Evaluation of Community Residential Programs for Mentally Retarded Persons, Preface, February 11, 1983.

The legislative auditor pointed out that the development of ICFs/MR continued at a rapid pace even though the projected needs for 1987 had already been exceeded in 1982. Furthermore, these new facilities do not meet the state’s need, identified in the Welsch v. Noot1

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Related

Contested Case of Laura Baker School Ass'n v. Department of Human Services
377 N.W.2d 465 (Court of Appeals of Minnesota, 1985)

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Bluebook (online)
393 N.W.2d 364, 37 Educ. L. Rep. 334, 1986 Minn. LEXIS 874, Counsel Stack Legal Research, https://law.counselstack.com/opinion/laura-baker-school-assn-v-department-of-human-services-minn-1986.