Puget Sound Medical Supply v. Dshs

234 P.3d 246
CourtCourt of Appeals of Washington
DecidedMay 25, 2010
Docket39169-4-II
StatusPublished

This text of 234 P.3d 246 (Puget Sound Medical Supply 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
Puget Sound Medical Supply v. Dshs, 234 P.3d 246 (Wash. Ct. App. 2010).

Opinion

234 P.3d 246 (2010)
156 Wash.App. 364

PUGET SOUND MEDICAL SUPPLY, Appellant,
v.
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES, Respondent.

No. 39169-4-II.

Court of Appeals of Washington, Division 2.

May 25, 2010.

*247 Kevin Terry Steinacker, Dickson Steinaker LLP, Tacoma, WA, Brett R. Beetham, Beetham@Tran Law Firm, PLLC, Renton, WA, Thomas L. Dickson, Dickson Steinacker PS, Tacoma, WA, for Appellant.

Angela Coats McCarthy, Attorney at Law, Olympia, WA, for Respondent.

*248 VAN DEREN, C.J.

¶ 1 Puget Sound Medical Supply appeals the Department of Social and Health Services Board of Appeals' (BOA) denial of Puget Sound Medical Supply's request for review of an initial order directing it to repay the state for Medicaid overpayments it received from the Department of Social and Health Services (DSHS). Puget Sound Medical Supply (PSM) argues that the BOA erred in finding that PSM had no good reason for filing the request one day late. We affirm.

FACTS

¶ 2 PSM supplies medical equipment to Washington state Medicaid patients and is reimbursed by DSHS. On November 17, 2003, DSHS audited PSM's records, determined that it had overpaid PSM, and demanded repayment.

¶ 3 PSM appealed DSHS's demand to the Office of Administrative Hearings, which, on December 24, 2007, entered and mailed an initial order in favor of DSHS. The order stated: "THIS ORDER BECOMES FINAL ON THE DATE OF MAILING UNLESS WITHIN 21 DAYS OF MAILING OF THIS ORDER A PETITION FOR REVIEW IS RECEIVED BY THE DSHS BOARD OF APPEALS." Clerk's Papers (CP) at 8. PSM's counsel received the order on December 26, 2007.

¶ 4 PSM filed a request for review of the initial order with the BOA on the morning of January 15, 2008, the day after the 21 day deadline to file a petition for review expired. The BOA issued PSM a "Notice of Late Request for Review and Deadline to Give Explanation." CP at 14. In response, on January 29, 2008, PSM submitted a "Memorandum Re: Good Cause for Late Petition" to the BOA. CP at 14. The BOA denied PSM's petition for review, citing former WAC XXX-XX-XXXX (2002)[1] and concluding that PSM failed to provide a good reason for its late filing. PSM then filed a "Petition for Reconsideration of the Review Decision," which the BOA also denied. CP at 6.

¶ 5 PSM unsuccessfully appealed the BOA's order denying review to superior court.

¶ 6 PSM appeals.

ANALYSIS

I. Standard of Review

¶ 7 PSM argues that because the BOA erroneously interpreted the statutory phrase "`good reason,'" we should review the BOA's order de novo, under an error of law standard. Br. of Appellant at 8 (quoting former WAC XXX-XX-XXXX(3)(b)). DSHS argues that, because the BOA exercised its discretion "to accept a late appeal if the appellant demonstrates a good reason" for untimely filing, we should review the BOA's order for an abuse of discretion. Br. of Resp't at 6. We agree with PSM on the applicable standard of review.

¶ 8 When the BOA denied PSM's petitions for review and reconsideration, it based its decision on the statutory construction of the phrase "good reason," concluding that PSM "failed to provide a good reason for its late [filing]." CP at 25. Because statutory construction is a question of law, City of Pasco v. Pub. Employment Relations Comm'n, 119 Wash.2d 504, 507, 833 P.2d 381 (1992), we review the BOA's order de novo under the error of law standard, which permits us to substitute our interpretation of the law for that of the BOA. See Haley v. Med. Disciplinary Bd., 117 Wash.2d 720, 728, 818 P.2d 1062 (1991).

*249 ¶ 9 We accord "great weight" to the statutory interpretation of the executive agency charged with a statute's enforcement. Glaubach v. Regence BlueShield, 149 Wash.2d 827, 834, 74 P.3d 115 (2003). But the agency's interpretation is not conclusive because "it is ultimately for the court to determine the purpose and meaning of statutes, even when the court's interpretation is contrary to that of the agency charged with carrying out the law." Overton v. Wash. State Econ. Assistance Auth., 96 Wash.2d 552, 555, 637 P.2d 652 (1981).

¶ 10 When we review an administrative agency's action, we sit in the same position as the superior court and apply the standards of the Administrative Procedure Act[2] directly to the record before the agency. Tapper v. Employment Sec. Dep't, 122 Wash.2d 397, 402, 858 P.2d 494 (1993). PSM bears the burden of demonstrating that the BOA "erroneously interpreted or applied the law." Grabicki v. Dep't of Ret. Sys., 81 Wash.App. 745, 750, 916 P.2d 452 (1996).

II. Former WAC XXX-XX-XXXX(3)

¶ 11 PSM argues that the BOA erred in concluding that "good reason" is not synonymous with "good cause." Br. of Appellant at 9. DSHS previously admitted that the definition of "good cause" in chapter 388-02 WAC is "instructive" about the definition of "good reason" and seems to maintain this position in its brief. CP at 18. But the BOA noted that it does not "presume" the phrases are synonymous because "[a]lthough several other rules in chapter 388-02 WAC refer to `good cause,' the drafters of [former] WAC XXX-XX-XXXX(2) chose to use the `good reason' standard instead" and "[i]f the drafters ... believed that [the phrases were] synonymous... then [they] would not have used different terms in different rules." CP at 24-25, 10.

¶ 12 Former WAC XXX-XX-XXXX(3)[3] used the phrase "good reason" but chapter 388-02 WAC did not define it. See WAC XXX-XX-XXXX. We find no reported cases defining this phrase. Thus, we construe this phrase and apply it as a matter of first impression.

¶ 13 Our obligation is to give effect to the legislative intent behind the statute we construe. Cockle v. Dep't of Labor & Indus., 142 Wash.2d 801, 807, 16 P.3d 583 (2001). We give undefined statutory phrases their usual and ordinary meaning. Nationwide Ins. v. Williams, 71 Wash.App. 336, 342, 858 P.2d 516 (1993). Because one can reasonably interpret "good reason" in more than one way,[4] we hold that the phrase is ambiguous. See Am. Cont'l Ins. Co. v. Steen, 151 Wash.2d 512, 518, 91 P.3d 864 (2004).

¶ 14 If a statute is ambiguous, we look to other sources of legislative intent. State v. Bash, 130 Wash.2d 594, 601, 925 P.2d 978 (1996). We determine legislative intent from the language of the act as a whole in terms of its object and purpose. Strenge v. Clarke, 89 Wash.2d 23, 29, 569 P.2d 60 (1977). We derive the construction of a statutory phrase from an interpretation given to that phrase in other statutes, provided those other statutes are in pari materia[5] with the statute construed, Whitehead v. Dep't of Soc. & Health Servs., 92 Wash.2d 265, 267, 595 P.2d 926

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Bluebook (online)
234 P.3d 246, Counsel Stack Legal Research, https://law.counselstack.com/opinion/puget-sound-medical-supply-v-dshs-washctapp-2010.