M. & A. Gant, H & w v. DHS

CourtCommonwealth Court of Pennsylvania
DecidedDecember 6, 2023
Docket324 M.D. 2021
StatusUnpublished

This text of M. & A. Gant, H & w v. DHS (M. & A. Gant, H & w v. DHS) 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
M. & A. Gant, H & w v. DHS, (Pa. Ct. App. 2023).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Michael and Abadella Gant, : Husband and wife, : Petitioners : : v. : : Department of Human Services, : No. 324 M.D. 2021 Respondent : Submitted: April 28, 2023

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE MICHAEL H. WOJCIK, Judge HONORABLE STACY WALLACE, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COVEY FILED: December 6, 2023

Before this Court are the Department of Human Services’ (Department) Preliminary Objections to Michael and Abadella Gant, husband and wife’s (collectively, the Gants), First Amended Petition for Review (Complaint) (Preliminary Objections). After review, this Court sustains the Department’s first Preliminary Objection and dismisses the Complaint.

Background1 The Gants’ adult daughter Mikeisha Gant (Daughter) suffered from advanced sickle cell anemia, and was bedridden and in need of 24-hour care. See Complaint ¶ 9. Daughter qualified for, and was enrolled in, the Department’s

1 The facts are as alleged in the Complaint. Attendant Care Waiver Program’s (ACWP) Consumer-Directed Model in 2011.2 See id. ¶ 46. Thereunder, Daughter could hire workers to supply personal assistance services for her at home. See id. ¶¶ 12-21, 47; see also id. Ex. A (Department’s Office of Long-Term Living, Act 1503 Program Guidelines, issued May, 2016 (Act 150 Guidelines)). Daughter had chosen the Gants to provide her personal assistance services in exchange for which the Department paid them wages.4 See id. ¶¶ 19, 22, 48. The Gants claim that, under the Act 150 Guidelines, Daughter was their common law employer. See id. ¶ 17.

2 The federal Medicaid program authorizes states “to offer, under a waiver of statutory requirements, an array of home and community- based services that an individual needs to avoid institutionalization.” 42 C.F.R. § 441.300; see also 42 U.S.C. § 1396n(c). Essentially, the federal government “waives” certain regulations for community- based programs under which intermediate care facilities are required to operate. The Commonwealth’s Medical Assistance program is authorized by Article IV of the [Human Services] Code, Act of June 13, 1967, P.L. 31, as amended, 62 P.S. §§ 401-[]93, and must be administered as required by Title XIX of the Social Security Act, 42 U.S.C. § 1396-1396(w-5), and any associated regulations. See 55 Pa. Code § 1101.11(b). Dep’t of Pub. Welfare v. Gant, 142 A.3d 964, 969 n.5 (Pa. Cmwlth. 2016) (Gant I). [The Department’s ACWP] . . . permits Medical Assistance recipients to receive nursing home-type care and services in their homes. . . . Under the Consumer-Directed Model, a [Department] service coordinator [] assists the recipient in developing an individual support plan under which the recipient employs care workers which, oftentimes, are family members. Id. at 968-69 (footnotes omitted). 3 Attendant Care Services Act, Act of December 10, 1986, P.L. 1477, No. 150 (Act 150), 62 P.S. §§ 3051-3058. 4 The Department paid Abadella Gant $11.31 per hour for 24 hours of Daughter’s round- the-clock care. See Complaint ¶ 58. Michael Gant occasionally provided care for Daughter, and was also Daughter’s Power-of-Attorney. See Complaint Ex. C, Gant I. 2 In 2013, the Department of Public Welfare5 filed an emergency action in the Lancaster County Common Pleas Court (Common Pleas Court) seeking to appoint a plenary guardian of Daughter’s person and estate.6 See id. ¶ 6. The Common Pleas Court appointed Department agent Denise Getgen (Getgen) as Daughter’s emergency guardian; however, after Daughter regained her capacity to make her own medical and financial decisions, the Department withdrew the emergency guardianship action. See id. ¶¶ 7-8. Also in 2013, the Department filed an action in the Common Pleas Court seeking to have Daughter declared a medically compromised adult in need of protective services under the Adult Protective Services Act7 and to restrict her eligibility for ACWP services (2013 Common Pleas Court Action). See id. ¶ 10. On December 11, 2013, the Department also terminated Daughter’s ACWP benefits (2013 Administrative Action), and stopped paying the Gants. See id. ¶¶ 11, 23, 49. Pursuant to the Department’s Regulations that required Daughter or her lawful representative to be notified of the Department’s action, the Department served the initial termination notice on Daughter’s emergency guardian, Getgen. See id. ¶¶ 24- 25. In order to maintain eligibility for benefits while an appeal from the 2013 Administrative Action was pending, Daughter or her representative had to have filed an appeal within 10 days from the Department’s administrative action. See id. ¶¶

5 Effective November 24, 2014, the Department of Public Welfare was officially renamed the Department of Human Services. See Act of June 13, 1967, P.L. 31, as amended, added by Section 2 of the Act of September 24, 2014, P.L. 2458, 62 P.S. § 103(a). 6 The Department averred that Daughter was in a “deplorable physical condition” (presenting with dehydration, malnourishment, and pressure wounds), and was unable to speak for herself. Lancaster Regional Medical Center staff had recommended that she be transferred to Hershey Medical Center for treatment, which the Gants had refused. Complaint Ex. C, Gant I, 142 A.3d at 969. 7 Act of October 7, 2010, P.L. 484, 35 P.S. §§ 10210.101-.103, .301-.309, .501-.507, .701- .704.

3 26-28; see also Ex. A (Act 150 Guidelines) at 22. Despite that Getgen was Daughter’s emergency guardian during the 10-day appeal period, Getgen did not file an appeal. See id. ¶¶ 27-28. The Gants eventually obtained counsel who filed an appeal from the 2013 Administrative Action outside the 10-day window. See id. ¶ 29. The Common Pleas Court and the Department’s Bureau of Hearings and Appeals (BHA) conducted several hearings relative to the 2013 Common Pleas Court Action and the 2013 Administrative Action. See id. ¶ 30. By order issued July 7, 2014 (entered July 8, 2014) (July 2014 Order), the Common Pleas Court prohibited Daughter from engaging in the ACWP Consumer-Directed Model. See id. ¶ 31; see also Complaint Ex. B. Daughter appealed from the Common Pleas Court’s July 2014 Order to this Court, and the BHA stayed its decision on the 2013 Administrative Action, claiming that the Common Pleas Court’s July 2014 Order effectively decided the 2013 Administrative Action (i.e., that Daughter was not eligible for consumer-directed ACWP services). See id. ¶¶ 32-34. On October 22, 2015, Daughter passed away. See id. ¶ 45. On June 29, 2016, this Court vacated the July 2014 Order, reversed the Common Pleas Court’s ruling that Daughter was an adult in need of protective services, and affirmed the remaining portions of the July 2014 Order. See id. ¶ 35; see also id. Ex. C, Dep’t of Pub. Welfare v. Gant, 142 A.3d 964 (Pa. Cmwlth. 2016) (Gant I). The Gants retained new counsel, pursued the 2013 Administrative Action and, after nearly two years, on March 22, 2018, the BHA concluded that the Department unlawfully terminated Daughter’s benefits in 2013. See id. ¶¶ 36-37; see also id. Ex. D. The Department filed a request with the Department’s Secretary (Secretary) for reconsideration (Reconsideration Request), and the Secretary stayed reinstatement of Daughter’s benefits pending the Secretary’s decision on the Reconsideration Request. See id. ¶¶ 38-39.

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Bluebook (online)
M. & A. Gant, H & w v. DHS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/m-a-gant-h-w-v-dhs-pacommwct-2023.