Nebraska Department of Health & Human Services v. Gaube

707 N.W.2d 16, 14 Neb. Ct. App. 259, 2005 Neb. App. LEXIS 274
CourtNebraska Court of Appeals
DecidedNovember 22, 2005
DocketA-04-1374
StatusPublished
Cited by2 cases

This text of 707 N.W.2d 16 (Nebraska Department of Health & Human Services v. Gaube) is published on Counsel Stack Legal Research, covering Nebraska Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nebraska Department of Health & Human Services v. Gaube, 707 N.W.2d 16, 14 Neb. Ct. App. 259, 2005 Neb. App. LEXIS 274 (Neb. Ct. App. 2005).

Opinion

Irwin, Judge.

I. INTRODUCTION

William H. Gaube and Sandra L. Gaube, coguardians for their daughter, Angela Lillian Gaube, appeal from an order of the county court for Douglas County, Nebraska. They appeal the court’s order that they repay $25,500 to Angela’s account for amounts they paid to themselves for Angela’s monthly living expenses and $3,484.74 they paid to third-party retailers, all without court approval. They also contest the court’s order that they pay, from Angela’s funds, the Nebraska Department of Health and Human Services (DHHS) the sum of $3,948.93 for the cost of services received by Angela.

William and Sandra assert that the county court erred in failing to “ratify” certain payments and in failing to establish that DHHS’ claimed costs were fair and reasonable. They also collaterally attack the determination made by DHHS in an order from an administrative appeal that Angela is liable for the cost of services received through DHHS.

We find that the court did not err in ordering William and Sandra to repay Angela’s account, because they did not receive prior approval for claims in the amount of $25,500. We find that the court erred in ordering William and Sandra to repay an additional $3,484.74 for other items. Additionally, we find that the court did not err in ordering William and Sandra to pay DHHS costs of services received by Angela, because William and Sandra’s assertion that DHHS must prove that costs are fair *261 and reasonable is incorrect. There is no requirement that costs of services provided be proven to be fair and reasonable in this situation, because the governing statutes provide that Angela’s liability for services, to the extent of her ability to pay, is DHHS’ cost of providing the services. Accordingly, we affirm in part, and in part reverse and remand for further proceedings.

II. BACKGROUND

Angela was bom on February 1, 1982. She “suffers from Down’s Syndrome and has limited mental capacity making it difficult for her to protect herself.” Brief for appellants at 7. As such, the court appointed William and Sandra as her coguardians.

The “Order Appointing Guardian” lists William and Sandra’s powers and duties as coguardians. It expressly provides that William and Sandra “may not use funds from the ward’s estate for room and board which the ward, the ward’s spouse, parent or child has furnished the ward unless a charge for the service is approved by order of the Court.” In addition, the county court issued “Letters of Co-Guardianship,” which include a limitation that directs William and Sandra not to pay themselves or their attorney compensation from Angela’s assets, “except as approved by an order of this Court.”

Until September 2003, Angela’s income consisted of wages from her part-time job, supplemental security income, and assistance from the State of Nebraska. In September 2003, Angela inherited $42,000 from her aunt, which inheritance resulted in her supplemental security income’s being discontinued.

Angela had been receiving services from DHHS, such as day services and case management services, for which she was not liable for any costs. The day services for Angela consisted of “employment support services with a class component for various skills including life skills.” Brief for appellee at 6. The case management services provided by DHHS “consisted] of planning, coordination, support and monitoring activities.” Id. Beginning in July 2003, Angela was required to pay for these services.

Sandra appealed the determination of DHHS that “full payment would have to be made for the developmental disabilities supports and services received by Angela.” DHHS held an *262 administrative hearing on August 13, 2004, to resolve whether full payment was due for the support and services received by Angela. The director of DHHS entered an order on August 23 requiring William and Sandra to pay the full amount for the services provided. The record indicates that DHHS gave Sandra notice of the right to appeal the administrative order, but that she did not appeal it.

William and Sandra had made payments from Angela’s account to third parties, and to themselves, without prior court approval. William and Sandra assert that the payments they made to themselves were “reimbursement... of bills including the cost of room, board, transportation, clothing, telephone, [and] entertainment.” Brief for appellants at 8.

On August 23, 2004, William and Sandra filed an “Application for Approval of Accounting and for Review of the Guardian’s Expenditures.” The application requests, in pertinent part, an order “[prescribing the nature and amounts of expenses that may be incurred by [William and Sandra as] Co-Guardians of Angela ... without prior approval of the court of each such expense” and “approving and ratifying the payment of the expenses previously made by [William and Sandra as] Co-Guardians of Angela.”

On September 17, 2004, DHHS filed a “Motion for Payment of Claim and Objection to Approval of Accounting” in the above proceeding. The motion asserts, inter alia, that DHHS has a claim against Angela and her estate for services and that Angela’s “liability was affirmed by [the D]HHS Director [in] her Finding and Order dated August 23, 2004, in the administrative appeal proceeding under the Administrative Procedure Act.” Additionally, regarding its objection to the approval of accounting, DHHS asserted that payments were made by William and Sandra to themselves without advance court approval, contrary to Neb. Rev. Stat. § 30-2628(a)(4)(ii) (Cum. Supp. 2002), Neb. Ct. R. of Cty. Cts. 37(11) (rev. 2000), and the letters of coguardianship.

On October 12, 2004, the hearing was held on William and Sandra’s application and DHHS’ motion. The court heard testimony from Sandra; Lori Ann Sperry, a service coordinator for DHHS; and Christine Ann Ford, an accountant for DHHS.

*263 Sandra’s testimony consisted of information pertaining to Angela’s financial history and expenses. She explained her failure to seek prior approval from the court for payments made to William and herself and to third parties from Angela’s account and requested the court’s ratification of those payments. Sperry testified regarding the process used by DHHS in providing services, and specifically regarding the services Angela received. In addition, Sperry provided case management for Angela and was Angela’s service coordinator. Ford, as an accountant in the financial responsibility office of DHHS, testified regarding costs and billing of services.

The court entered an order on November 24,2004, finding that William and Sandra “received $25,500.00 without court approval and paid an additional $3,484.74 for other items without court approval” and that DHHS’ claimed costs were shown to be “usual and customary.” Therefore, the court ordered William and Sandra to repay $28,984.74 to Angela’s account and to pay DHHS $3,948.93 from Angela’s funds. This appeal followed.

III. ASSIGNMENTS OF ERROR

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707 N.W.2d 16, 14 Neb. Ct. App. 259, 2005 Neb. App. LEXIS 274, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nebraska-department-of-health-human-services-v-gaube-nebctapp-2005.