Morning View Care Center-Fulton v. Ohio Department of Job & Family Services

821 N.E.2d 1046, 158 Ohio App. 3d 689
CourtOhio Court of Appeals
DecidedSeptember 21, 2004
DocketNo. 04AP-57.
StatusPublished
Cited by7 cases

This text of 821 N.E.2d 1046 (Morning View Care Center-Fulton v. Ohio Department of Job & Family Services) 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
Morning View Care Center-Fulton v. Ohio Department of Job & Family Services, 821 N.E.2d 1046, 158 Ohio App. 3d 689 (Ohio Ct. App. 2004).

Opinion

Sadler, Judge.

{¶ 1} Defendants-appellants, Ohio Department of Job and Family Services (“ODJFS”) and its director and deputy director, appeal from the judgment of the Franklin County Court of Common Pleas in which that court, after a bench trial, entered judgment in favor of appellee, Morning View Care Center — Fulton (“Morning View”), for Medicaid reimbursement in the amount of $332,337, plus interest, on appellee’s claims for declaratory relief. The trial court further permanently enjoined ODJFS from failing to pay appellee the money, which the trial court deemed “a reasonable and adequate rate for Medicaid services rendered in Fiscal Year 1999.” Morning View cross-appeals from the trial court’s refusal to consider evidence at trial relating to claimed reimbursement for fiscal year 1998.

{¶ 2} Morning View is a state-licensed, Medicaid-funded intermediate-care facility for the mentally retarded. Morning View formerly operated its facility, located in Morrow County, at a capacity of 65 beds. However, over a period of several years in the 1990s, it downsized to a capacity of 33 beds in an effort to *691 promote better quality of life for its residents. Many residents were relocated to new eight-bed group homes. This resulted in a 50 percent reduction in the number of residents at its main facility. Morning View alleges that in fiscal years 1998 and 1999, this drastic reduction in the number of residents at its main facility resulted in serious losses because its operating costs exceeded its revenues with respect to that facility. Consequently, Morning View requested from ODJFS a Medicaid rate adjustment for fiscal years 1998 and 1999, pursuant to R.C. Chapter 5111 and Ohio Adm.Code Chapter 5101:3.

{¶ 3} The rate adjustment request was dated December 29, 1998, and was grounded in “extreme hardship” under R.C. 5111.29(A)(3) and Ohio Adm.Code 5101:3-3-24(D). Upon review of the request and supporting documentation, ODJFS denied the request for fiscal year 1998 as untimely. It granted the request for fiscal year 1999, but the formula that it used in calculating the appropriate increase resulted in an adjustment far lower than that requested by Morning View.

{¶ 4} Thereafter, Morning View instituted this action against ODJFS in the Franklin County Court of Common Pleas. The complaint contained numerous counts for violations of state and federal constitutional provisions and state and federal statutory law, as well as for breaches of the provider agreements between the parties. Morning View sought a declaratory judgment that the aforementioned violations and breaches occurred, a monetary award to compensate Morning View for the amounts it alleged it was entitled to receive pursuant to its calculation of the appropriate rate adjustment for fiscal years 1998 and 1999, and injunctive relief compelling the requested rate adjustment and corresponding reimbursement. The trial court granted ODJFS’s motion to dismiss some of the claims. It later granted summary judgment in ODJFS’s favor on the remaining claims, including Morning View’s claims that ODJFS had violated R.C. Chapter 5111.

{¶ 5} Morning View appealed to this court. We affirmed the trial court’s grant of summary judgment as to two other claims but reversed and remanded the case for trial after finding that there existed genuine issues of fact with respect to whether ODJFS had violated R.C. Chapter 5111 by not fully reimbursing reasonable costs that Morning View had incurred for fiscal year 1999. Morning View Care Ctr.-Fulton v. Ohio Dept. of Human Servs., 148 Ohio App.3d 518, 2002-Ohio-2878, 774 N.E.2d 300.

{¶ 6} On remand, the trial court held a four-day trial, and issued a decision on December 12, 2003. The court found that ODJFS had abused its discretion under R.C. Chapter 5111 in determining the proper rate adjustment to which Morning View was entitled for fiscal year 1999. By entry journalized December 23, 2003, the trial court ordered ODJFS to pay to Morning View $332,337, which *692 represents the amount of Medicaid reimbursement to which the court found Morning View was entitled for fiscal year 1999. Also, the court enjoined ODJFS from failing to pay this sum and ordered payment of pre- and postjudgment interest.

{¶ 7} The trial court rejected Morning View’s argument that this court’s disposition of the earlier appeal did not operate as the law of the case with respect to Morning View’s claims for fiscal year 1998 and that, therefore, the trial court should have heard and considered the evidence anew with respect to those claims. The trial court did not address ODJFS’s argument that the case should be dismissed because the relief Morning View sought may be obtained only through an original action in mandamus. The trial court likewise did not discuss ODJFS’s argument that the case was moot because ODJFS had already paid to Morning View an amount that exceeded what Morning View had properly requested for fiscal year 1999 in its original request.

{¶ 8} ODJFS timely filed its notice of appeal, and Morning View later timely filed its notice of cross-appeal. ODJFS asserts the following assignments of error for our review:

First Assignment of Error
The trial court erred in not dismissing the complaint based on the fact that this case was improperly brought in declaratory judgment.
Second Assignment of Error
The trial court erred by not concluding that this case was moot on the grounds that ODJFS paid Morning View more than Morning View had properly requested.
Third Assignment of Error
The trial court’s conclusion that ODJFS had abused its discretion was based on incorrect facts, incorrect legal standards, and substitution of its own judgment for that of ODJFS.
Fourth Assignment of Error
The trial court erred in ordering ODJFS to pay prejudgment interest to Morning View.

{¶ 9} On its cross-appeal, Morning View asserts one assignment of error, as follows:

The lower court erred in failing to compel ODJFS to comply with R.C. 5111.21 and grant relief to Morning View for fiscal year 1998.

{¶ 10} In support of its first assignment of error, ODJFS argues that the only mechanism available to challenge its alleged abuse of discretion in determining Morning View’s Medicaid rate adjustment for fiscal year 1999 (and the *693 corresponding amount of additional reimbursement to be paid to Morning View) is an original action for mandamus. It argues that mandamus is Morning View’s sole method of obtaining judicial review of ODJFS’s discretionary order because the order is not appealable. ODJFS further argues that Morning View may not seek relief by way of declaratory judgment or injunctive relief. Accordingly, urges ODJFS, the court of common pleas lacked jurisdiction over the subject matter of this action, and the action must be dismissed. We agree.

{¶ 11} This case is similar to Worthington Nursing Home, Inc. v. Creasy

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In re A.R.H.
2019 Ohio 1325 (Ohio Court of Appeals, 2019)
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106 Ohio St. 3d 447 (Ohio Supreme Court, 2005)

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Bluebook (online)
821 N.E.2d 1046, 158 Ohio App. 3d 689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/morning-view-care-center-fulton-v-ohio-department-of-job-family-services-ohioctapp-2004.