Masters v. Ohio Dept. of Medicaid

CourtOhio Court of Appeals
DecidedMay 28, 2026
Docket25AP-410
StatusPublished

This text of Masters v. Ohio Dept. of Medicaid (Masters v. Ohio Dept. of Medicaid) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Masters v. Ohio Dept. of Medicaid, (Ohio Ct. App. 2026).

Opinion

[Cite as Masters v. Ohio Dept. of Medicaid, 2026-Ohio-1982.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

Amanda Masters et al., :

Plaintiffs-Appellants, : No. 25AP-410 v. : (C.P.C. No. 24CV-2793)

Ohio Department of Medicaid et al., : (REGULAR CALENDAR)

Defendants-Appellees. :

D E C I S I O N

Rendered on May 28, 2026

On brief: Sam G. Caras Co., L.P.A., Sam G. Caras; David M. Deutsch, for appellants. Argued: Sam. G. Caras.

On brief: Dave Yost, Attorney General, V. Alex Miller, and Caitlyn N. Johnson, for appellees. Argued: V. Alex Miller.

APPEAL from the Franklin County Court of Common Pleas

LELAND, J. {¶ 1} Plaintiffs-appellants, Amanda Masters and Bud Masters, appeal from a judgment of the Franklin County Court of Common Pleas granting the motion to dismiss of defendants-appellees, Ohio Department of Medicaid and its director, Maureen M. Corcoran (collectively “ODM”). I. Facts and Procedural History {¶ 2} In April 2010, appellants’ minor child, F.M., was born prematurely, and “her preterm delivery resulted in [F.M.’s] permanent moderate mental retardation along with several physical impairments.” (Compl. at ¶ 2.) ODM paid medical bills related to the premature birth of appellants’ daughter totaling $338,421.70. (Compl. at ¶ 5.) In 2016, appellants filed suit in the Clark County Court of Common Pleas against the obstetricians No. 25AP-410 2

who cared for F.M., and appellants eventually entered into a settlement of their claims against those defendants “for 1.5 million dollars . . . subject to Clark County Common Pleas Court Probate Division approval.” (Compl. at ¶ 8.) {¶ 3} On November 8, 2021, appellants filed a complaint for declaratory judgment against ODM in the Clark County Court of Common Pleas, Probate Division (“Clark County Probate Court”), “challenging the validity, enforceability, and constitutionality of [ODM’s] subrogation rights.” Masters v. Ohio Dept. of Medicaid, 2022-Ohio-3075, ¶ 7 (2d Dist.). On December 9, 2021, ODM filed a motion to dismiss under Civ.R. 12(B)(1) and (6) “based on lack of subject matter jurisdiction.” Id. at ¶ 12. By entry filed January 7, 2022, the Clark County Probate Court dismissed the complaint for lack of jurisdiction. {¶ 4} Appellants appealed from the decision of the Clark County Probate Court, and the reviewing court addressed the issue “whether the trial court lacked subject matter jurisdiction over this case because the Masters were required to pursue the administrative process in R.C. 5160.37.” Id. at ¶ 19. In Masters, the Second District Court of Appeals affirmed the judgment of the Clark County Probate Court. Relying on the Supreme Court of Ohio’s decision in Pivonka v. Corcoran, 2020-Ohio-3476, the Second District held that, “because R.C. 5160.37 provides exclusive subject matter jurisdiction over the matters at issue, the trial court did not err in dismissing the complaint for lack of subject matter jurisdiction.” Id. at ¶ 83. {¶ 5} Appellants also requested an administrative hearing under R.C. 5160.37. On April 25, 2022, a hearing examiner for ODM conducted a hearing on the issue whether the amount of reimbursement of medical assistance paid by ODM should be “different than set forth in R.C. 5160.37.” (ODM Hearing Examiner Decision at 1.) On September 7, 2022, the hearing examiner issued a report and recommendation, concluding that ODM was entitled to recover its medical expenditures in the amount of $338,421.70. The report and recommendation provided notice that, in accordance with Adm.Code 5160-80-09, appellants had the right to request an administrative appeal to the director of ODM. {¶ 6} Appellants “did not make a request for an administrative appeal to the director of [ODM] for review of the hearing decision.” In re F.M., 2023-Ohio-4522, ¶ 8 (10th Dist.). Instead, on September 19, 2022, appellants “filed a notice of appeal with the trial court, pursuant to R.C. 119.12, from the . . . decision of the hearing examiner.” Id. No. 25AP-410 3

ODM subsequently filed a motion to dismiss. By decision and entry filed January 19, 2023, the trial court dismissed the appeal for lack of subject-matter jurisdiction. On further appeal, this court, in F.M., affirmed the judgment of the trial court on grounds R.C. 5160.37 did not authorize appellants’ attempt to appeal directly from the hearing examiner’s decision and because the decision appealed from was not an adjudication from which an appeal could be taken under R.C. 119.12. {¶ 7} On April 5, 2024, appellants initiated the instant action by filing a complaint for declaratory judgment against ODM, “challenging the subject matter jurisdiction and legal validity, enforceability, and constitutionality of the subrogation rights of [ODM] including . . . its interpretation and application of [R.C.] 5160.37.” (Compl. at ¶ 1.) The complaint alleged appellants offered to pay ODM $100,000 “to satisfy any subrogation interests” of ODM following the settlement of appellants’ claims, but that ODM “first demanded total payment of $338,421.70, and last indicated it would accept $200,000 as a firm demand for its subrogation interests.” (Compl. at ¶ 10.) Appellants requested a declaration that R.C. 5160.37 “is an illegal violation” of Ohio and federal substantive law and “conferred no subject matter jurisdiction” of ODM over appellants. (Compl. at ¶ 16.) {¶ 8} On May 9, 2024, ODM filed a motion to dismiss, asserting lack of subject- matter jurisdiction, res judicata, failure to exhaust administrative remedies, and failure to state a claim upon which relief can be granted. In the motion to dismiss, ODM argued appellants had previously filed (on November 8, 2021) a complaint for declaratory judgment in the Clark County Probate Court which that court dismissed for lack of jurisdiction on grounds the administrative review process set forth in R.C. 5160.37 was the exclusive remedy available to appellants; ODM further noted that, following appellants’ appeal of that decision, the Second District Court of Appeals affirmed the judgment of the Clark County Probate Court. ODM argued that, concurrent with the appeal to the Second District Court of Appeals, appellants requested and were provided an administrative hearing pursuant to R.C. 5160.37 which resulted in a written decision unfavorable to appellants, and appellants failed to properly appeal that decision; according to ODM, appellants were now “attempting to restart the litigation by way of a declaratory judgment action in this Court.” (May 9, 2024 Mot. to Dismiss at 4.) No. 25AP-410 4

{¶ 9} On June 11, 2024, appellants filed a memorandum contra ODM’s motion to dismiss, asserting that res judicata did not apply, and that R.C. 5160.37 is void and “offers no subject matter jurisdiction by ODM” over the settlement agreement as such statute violates the federal anti-lien statute, 42 U.S.C. §1396a(a)(25)(H). (Pls.’ Memo in Opp. to Mot. to Dismiss at 14.) On June 18, 2024, ODM filed a reply to the memorandum contra. {¶ 10} On June 26, 2024, appellants filed a motion for summary judgment. On August 21, 2024, ODM filed a memorandum contra the motion for summary judgment. {¶ 11} On April 3, 2025, the trial court filed a decision granting ODM’s motion to dismiss. In its decision, the court determined it lacked subject-matter jurisdiction “because R.C.

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Cite This Page — Counsel Stack

Bluebook (online)
Masters v. Ohio Dept. of Medicaid, Counsel Stack Legal Research, https://law.counselstack.com/opinion/masters-v-ohio-dept-of-medicaid-ohioctapp-2026.