Musselman v. DSHS

134 P.3d 248
CourtCourt of Appeals of Washington
DecidedMay 9, 2006
Docket32919-1-II
StatusPublished
Cited by1 cases

This text of 134 P.3d 248 (Musselman v. DSHS) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Musselman v. DSHS, 134 P.3d 248 (Wash. Ct. App. 2006).

Opinion

134 P.3d 248 (2006)

Joanne MUSSELMAN, Appellant,
v.
DEPARTMENT OF SOCIAL AND HEALTH SERVICES, Respondent.

No. 32919-1-II.

Court of Appeals of Washington, Division 2.

May 9, 2006.

*249 Jean Ann O'Loughlin, Attorney at Law, Tacoma, WA, for Appellant.

Kimberly Diane Frinell, Office of The Atty General, Olympia, WA, for Respondent.

HOUGHTON, J.

¶ 1 The superior court upheld an Administrative Law Judge's (ALJ) decision affirming a Notice of Financial Responsibility (Financial Notice) issued by the Department of Social and Health Services' Office of Financial Recovery (DSHS) for costs associated with Joanne Musselman's hospitalization at Western State Hospital (Western State). Musselman appeals, arguing that DSHS erroneously interpreted and applied the law when it calculated her financial liability because it exceeds her ability to pay. Alternately, she challenges the validity of the rule DSHS adopted to calculate her liability. We affirm.

FACTS

¶ 2 On October 14, 2002, Musselman was involuntarily committed to Western State and has remained there ever since. On October 29, 2002, DSHS sent her a financial questionnaire to determine her eligibility for an adjusted rate for the costs of her hospitalization. She refused to return it.

¶ 3 Nearly a year later, on September 17, 2003, DSHS served Musselman with a Financial Notice, stating that she would be responsible for the full cost of her care at the rate of $425 per day. Musselman appealed the Financial Notice but withdrew her appeal before the hearing and completed the financial questionnaire.

¶ 4 On February 24, 2004, DSHS issued a revised Financial Notice based on the information Musselman provided. Her assets included: a monthly income of $800, including $500 from Social Security and a $300 military pension from her ex-husband; $23,000 in her checking and savings accounts, including $17,000 from Social Security and $6,000 from the military pension; and a $59,000 savings bond. In addition, Musselman owned a residence worth approximately $100,000. After subtracting one month's income, DSHS determined that her total available assets were $64,200 and that she could pay $184.39 per day. DSHS exempted her home from its calculation.[1]

*250 ¶ 5 DSHS calculated the daily rate using a formula, adopted as an administrative rule, that combines Musselman's monthly income and earnings with one-twelfth the value of her other assets (minus specified deductions, exemptions and allowances) to determine her available monthly assets and multiplies that figure by .0328767 to convert the monthly assets into a daily rate. WAC XXX-XXX-XXXX. A patient is responsible for hospital charges at the daily rate, accrued from the first day of hospitalization to the last. RCW 43.20B.340.

¶ 6 DSHS periodically re-computes a patient's ability to pay. RCW 43.20B.350. According to DSHS, as patients use available assets to pay for residential care, their assets decrease, as does the assessed daily rate.

¶ 7 DSHS adopted the formula in order to exercise its statutory discretion to charge patients according to their ability to pay rather than on the actual costs of care. RCW 43.20B.335. Under DSHS's formula, Musselman's total available assets would exhaust in 350 days. But when DSHS issued the Financial Notice, she had been hospitalized for more than 350 days. Thus, the accrued charges exceeded her total available assets.

¶ 8 Musselman requested an administrative hearing to contest the Financial Notice. She did not contest the calculation of her total available assets, but she argued that DSHS erroneously interpreted and applied the law when it charged her in excess of her ability to pay. She argued that DSHS should have capped her adjusted charges at her total available assets. DSHS took the position that it will not amend the Financial Notice until she acknowledges her debt and begins to pay it down. In the meantime, she has continued to accrue charges at the daily rate of $184.39.

¶ 9 An ALJ determined that DSHS correctly applied its administrative rules when it calculated her liability. The superior court affirmed the ALJ. Musselman appeals.

ANALYSIS

INTERPRETATION AND APPLICATION OF LAW

¶ 10 Musselman contends that DSHS misapplied and/or misinterpreted the administrative code sections regarding the calculation of liability for hospitalization costs of the mentally ill. She argues that DSHS should cap her hospitalization charges at her total available assets, rather than allowing charges to accrue indefinitely.

¶ 11 We review final agency orders under the Administrative Procedure Act (APA), chapter 34.05 RCW. Hertzke v. Dep't of Ret. Sys., 104 Wash.App. 920, 926, 18 P.3d 588 (2001). We stand in the shoes of the superior court and apply the APA's standards governing judicial review directly to the agency record. RCW 34.05.570; Hertzke, 104 Wash.App. at 926, 18 P.3d 588. Under the APA, we may reverse an agency adjudicative decision when the agency erroneously interpreted or applied the law. RCW.34.05.570(3)(d). The party challenging the agency's decision bears the burden of proving the invalidity of the decision. RCW 34.05.570(1)(a). We review findings of fact under the substantial evidence standard and conclusions of law de novo. RCW 34.05.570(3)(e); Hertzke, 104 Wash.App. at 926-27, 18 P.3d 588. Musselman has not assigned errors to any factual findings, so they are verities on appeal. Davis v. Dep't of Labor & Indus., 94 Wash.2d 119, 123, 615 P.2d 1279 (1980).

¶ 12 We review an agency's interpretation of statutes and implementing regulations under an error of law standard, in which we may substitute our judgment for the agency's although we give substantial weight to an agency's determination when the subject matter involves the agency's particular area of expertise. Aponte v. Dep't of Soc. & Health Servs., 92 Wash.App. 604, 617, 965 P.2d 626 (1998), review denied, 137 Wash.2d 1028, 980 P.2d 1280 (1999).

¶ 13 In interpreting administrative rules and regulations, we apply statutory *251 construction canons. Multicare Med. Ctr. v. Dep't of Soc. & Health Servs.,

Free access — add to your briefcase to read the full text and ask questions with AI

Related

DW Close Co., Inc. v. DEPT. OF LABOR AND INDUS.
177 P.3d 143 (Court of Appeals of Washington, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
134 P.3d 248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/musselman-v-dshs-washctapp-2006.