Madigan Ex Rel. Department of Healthcare & Family Services v. Yballe

920 N.E.2d 1112, 397 Ill. App. 3d 481, 336 Ill. Dec. 522, 2009 Ill. App. LEXIS 1229, 2009 WL 4827849
CourtAppellate Court of Illinois
DecidedDecember 14, 2009
Docket1-08-0404
StatusPublished
Cited by18 cases

This text of 920 N.E.2d 1112 (Madigan Ex Rel. Department of Healthcare & Family Services v. Yballe) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Madigan Ex Rel. Department of Healthcare & Family Services v. Yballe, 920 N.E.2d 1112, 397 Ill. App. 3d 481, 336 Ill. Dec. 522, 2009 Ill. App. LEXIS 1229, 2009 WL 4827849 (Ill. Ct. App. 2009).

Opinion

JUSTICE PATTI

delivered the opinion of the court:

Defendant and third-party plaintiff, Sonia Yballe, appeals an order of the trial court dismissing the third-party complaint that she filed against third-party defendant Pediatric Center of Chicago, Ltd. (PCC), as well as an order granting summary judgment in favor of plaintiff, Lisa Madigan, Attorney General of Illinois. For the reasons that follow, we affirm the judgment of the trial court.

In 1992, Sonia Yballe, a licensed physician with the Illinois Department of Financial Aid and Professional Regulation, became an employee and shareholder of PCC. At that time, she was also a vendor of medical services to patients who received public assistance under the Medical Assistance Program of the State of Illinois (Medicaid), which was administered and overseen by the Illinois Department of Public Aid, the predecessor of the Illinois Department of Healthcare and Family Services. 1 On March 21, 1992, Yballe signed and returned an “Alternate Payee Agreement” form to the Department. Pursuant to the provisions contained in the form, Yballe agreed to permit PCC to submit to the Department bills for services that she provided to Medicaid patients and directed the Department to send any Medicaid reimbursements otherwise payable to Yballe directly to PCC. The agreement specified that “Bills submitted will only be for direct patient care rendered or supervised by that practitioner, i.e., services for which the practitioner assumes full responsibility as specified in Provider Handbooks.” Nonetheless, the agreement also stated: “The practitioner retains full responsibility for any bills submitted in his name to the Department of Public Aid even though an alternate payee has been designated. This responsibility includes liability to repay any overpayment made by the Department.” In March 1996, the Department conducted an audit of Yballe’s business and professional records for the period of February 1, 1994, through July 31, 1995, and discovered numerous billing irregularities. According to the results of its audit, the Department initially determined that Yballe received overpayments amounting to $1,596,541.66, but it later reduced the overpayment amount to $957,147.79. Accordingly, on September 15, 1997, the Department served Yballe with a notice of intent to terminate her as a vendor of medical services to Medicaid patients and to recover the overpayments.

On September 29, 1997, Yballe, in turn, requested an administrative hearing regarding the Department’s findings. Thereafter, on December 2, 1997, PCC filed a motion to intervene in the Department’s action, and Administrative Law Judge Donnenberg granted PCC’s motion on January 7, 1998. In its motion, PCC indicated that it sought intervention because it would be affected by any adverse judgment rendered in the cause. The hearing commenced on January 26, 1997, and continued over several years. On June 5, 2000, PCC moved to withdraw from the proceedings. The Department consented to PCC’s withdrawal and Judge Donnenberg granted PCC’s motion. On September 7, 2000, Judge Donnenberg upheld the decision of the Department to terminate Yballe’s eligibility to participate in the Medicaid program and to seek repayment from her in the amount of $957,147.79. Thereafter, on October 19, 2000, Ann Patla, director of the Department, formally adopted Judge Donnenberg’s decision that the Department was entitled to recover $957,147.79 from Yballe. In a written letter, Patla informed Yballe that “[ujnless satisfactory arrangements are made for the payment of this sum *** the Department will initiate legal action to recover it.” The letter also informed Yballe that its decision was final and binding, but that she could appeal the decision by filing a complaint within 35 days.

Yballe did not seek judicial review of the Department’s administrative decision, nor did she make any payments to the Department. Accordingly, on December 5, 2005, the Attorney General, on behalf of the Department, filed a complaint seeking to enforce the Department’s final administrative decision and recoup payment of $957,147.79 plus statutory interest from Yballe. On April 21, 2006, Yballe filed her answer to the Attorney General’s complaint, acknowledging the final administrative decision. Yballe did not assert any affirmative defenses against the Attorney General; however, she did file a motion for leave to file a third-party complaint against PCC.

The trial court granted Yballe leave to file her third-party complaint on May 8, 2006, and she filed her pleading on May 16, 2006. In her complaint, Yballe alleged that at all relevant times, she was party to an alternate payee agreement with PCC, and that pursuant to the terms of that agreement, PCC submitted claims for services to the Department under Yballe’s vendor identification number and received all of the payments made by the Department in satisfaction of claims submitted by PCC under her number. Yballe alleged that she never personally received payment from the Department for claims submitted by PCC under her vendor identification number. Yballe’s third-party complaint sought relief pursuant to three counts: breach of contract, implied contractual indemnity, and declaratory judgment. Yballe ultimately sought a judgment against PCC to recover the costs she incurred in defending herself in the underlying lawsuit.

PCC responded on January 22, 2007, by filing a motion to dismiss Yballe’s third-party complaint pursuant to sections 2—615 and 2—619 of the Code of Civil Procedure (Code) (735 ILCS 5/2—615, 2—619 (West 2006)), arguing in pertinent part that the claims advanced in Yballe’s complaint were time-barred by the two-year statute of limitation for contribution and indemnification actions set forth in section 13—204 of the Code (735 ILCS 5/13—204 (West 2006)). Specifically, PCC argued that all three claims raised in Yballe’s complaint were essentially disguised indemnification claims and that the statute of limitations began running either on September 29, 1997, when Yballe requested a formal hearing on the Department’s decision, January 29, 1999, the first hearing date of the Department’s recovery action, or at the very latest, on October 19, 2000, the date the final administrative order was entered. PCC also asserted that collateral estoppel barred Yballe’s claims because the Department had already determined that Yballe was solely liable for the Medicaid over billings and further argued that Yballe’s claims were also barred by laches as Yballe delayed bringing her indemnity claims against PCC until April 2006.

Thereafter, on March 1, 2007, the Attorney General filed a motion for summary judgment, arguing that there was no genuine issue of material fact that Yballe was liable for $957,147.79 and that judgment in the Attorney General’s favor was required as a matter of law.

Yballe filed responses to both motions. In response to PCC’s motion to dismiss, Yballe contended that her third-party complaint was not time-barred. Yballe asserted that she raised three distinct causes of action and that none of the claims accrued until the Attorney General filed the enforcement action on December 5, 2005, and accordingly, Yballe’s third-party complaint, filed May 16, 2006, was timely.

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Bluebook (online)
920 N.E.2d 1112, 397 Ill. App. 3d 481, 336 Ill. Dec. 522, 2009 Ill. App. LEXIS 1229, 2009 WL 4827849, Counsel Stack Legal Research, https://law.counselstack.com/opinion/madigan-ex-rel-department-of-healthcare-family-services-v-yballe-illappct-2009.