Southwick v. Health Afiliates Maine, LLC

CourtSuperior Court of Maine
DecidedSeptember 30, 2019
DocketCUMcv-18-0399
StatusUnpublished

This text of Southwick v. Health Afiliates Maine, LLC (Southwick v. Health Afiliates Maine, LLC) is published on Counsel Stack Legal Research, covering Superior Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Southwick v. Health Afiliates Maine, LLC, (Me. Super. Ct. 2019).

Opinion

STATE OF MAINE SUPERIOR COURT

Cumberland, ss.

KOLBY SOUTHWICK

Plaintiff

V. Civil Action Docket No. CUMSC-CV-18-0399

HEALTH AFFILIATES MAINE, LLC

Defendant

ORDER ON PLAINTIFF'S MOTION FOR CLASS CERTIFICATION

In this case, Plaintiff Kolby Southwick (Southwick) claims that her former

employer, Defendant Health Affiliates Maine, LLC (HAM), has violated Maine's

wage payment statutes by failing to pay her for all of her work as a HAM case

manager.

Southwick has filed a Motion for Class Certification proposing that the court

designate her as class representative for three certified classes of current and

former HAM case managers, described as follows:

Travel Time Class: All current and former employees of Health Affiliates Maine that worked as case managers and were not paid for all travel time

Paperwork Class: All current and former employees of Health Affiliates Maine LLC that worked as case managers and were not paid for all time completing required admin and/or client paperwork

Kickback Class: All current and former employees of Health Affiliates Maine LLC that worked as case managers and were required to use their personal vehicles for work and weren't properly reimbursed. ATTORNEYS: Peter Mancuso, Esq. & Andrew Schmidt, Esq. (for plaintiff) Melissa Hewey, Esq. (for defendant) 1 Plaintiffs [Proposed] Order Granting Plaintiffs Motion for Class Certification.

HAM opposes the Motion for Class Certification on multiple grounds,

including the assertion that it has paid Southwick and all other HAM case

managers in compliance with Maine's wage payment laws.

Background

According to the affidavit of its executive director, Andrea Krebs, HAM is a

mental health and substance abuse agency that provides outpatient therapy,

substance abuse counseling and case management services throughout Maine to

recipients of MaineCare benefits (MaineCare being the State of Maine's Medicaid

program). Response in Opposition to Plaintiffs Motion for Class Certification of

Defendant Health Affiliates ofMaine, LLC, Ex. 2, Affidavit ofAndrea Krebs at ,r 2­

3 [Krebs Aff.].

The MaineCare program compensates HAM for each hour of case

management services rendered to the client. Krebs Aff. ,rg. The compensation is

measured in quarter-hour increments.

To enable a case manager's service to a client to be billable to MaineCare,

the service obviously has to be rendered, meaning that the case manager has to

travel to the client's location. Also, the hour of service to the client has to be

documented in order for the service to be billable to MaineCare. Thus, in order

for HAM to be able to bill an hour of service to MaineCare, a case manager has to

2 spend travel time and paperwork time, in addition to the time spent rendering the

billable hour of service, in order for HAM to be able to bill the service to

MaineCare.

However, MaineCare does not compensate HAM for a case manager's time

spent traveling to or from the client appointment. Krebs Aff. ~ 11. MaineCare

does not compensate HAM for the case manager's time spent on the paperwork

associated with documenting a client service so it can be billed to MaineCare.

HAM bases its compensation system for its case managers on MaineCare's

compensation system for HAM. Krebs Aff. ~ 12. HAM pays (and has paid) its case

managers between $29 and $35 for each "Client Billable Hour." In addition, HAM

pays a travel stipend of between $2.00 and $6.00 for each Client Billable Hour

"depending on where the Case manager typically travels to meet with clients and

how many Client Billable Hours are paid that week." Id. at 2.

HAM pays case managers a separate lower rate per hour of mandatory

training and supervision.

HAM hired Kolby Southwick as a per diem case manager in November 2015.

At the time she was hired, Southwick was provided with a one-page form setting

forth the terms of her compensation "per client billable hour" and the requirements

for generating a client billable hour, and signed it to signify her agreement with its

terms. See Plaintiffs Brief in Support of Her Motion for Class Certification, Ex. 5

("Client Billable Hour Requirements", signed by Plaintiff 11/ 5/ 15).

3 In pertinent part, the Client Billable Hour Requirements form signed by

Plaintiff at the time she was hired reads:

As a per diem employee, you are being paid $29 per client billable hour up to 40 hours per week ($35 per client billable hour for specialty populations). In addition, you will be paid $2 per billable hours [sic] for mileage expenses incurred. You will also be paid $15 per hour for mandatory supervision, administrative meetings and trainings.

Id.

In late 2016, Southwick raised the concern that she and the other case

managers were not being paid for the travel time required in order to render service

to the client or for the "paperwork time" associated with documenting the service

so it could be billed to MaineCare. HAM did not agree with her concern, based on

its definition of"client billable hour" as including travel time and paperwork time.

In January 2017, Southwick brought her concern to the Maine Department

of Labor, which investigated. After the Department of Labor became involved,

HAM started requiring its case managers to keep track of their actual hours.

Around the same time, in March 2017, HAM revised its written case

manager compensation policy to be more specific about what time is covered by the

$29/35 payment per client billable hour. However, HAM did not change the policy

itself-the $29/35 payment was still meant to cover all work associated with a

client billable hour, including travel time and paperwork time. The revised policy

reads in pertinent part:

4 Billable Hours

We pay Case Managers $29.00 per hour billed to MaineCare ("Client Billable Hour") or $35.00 per Client Billable Hour if the client meets the Cultural program requirements. The rate we pay per Client Billable Hour is set at a level to reflect the work that goes into each Client Billable Hour. Pay for Client Billable Hours covers all hours spent in support of those hours, including time spent with the client (including face to face and collateral time), travel between client locations, completing the required paperwork, or any other work required in support of Client Billable Hours, whether or not such time is billable to MaineCare.

Health Affiliates Maine Case Manager Compensation Page 1 of 2 3/2017, attached as Exhibit B to Plaintiffs Motion for Class Certification

Despite that clarification, Southwick maintains that HAM's

compensation policy still violates Maine law because it fails to compensate

case managers for their travel time and paperwork time.

Southwick contends that the payment represents the hourly rate for a case

manager's time spent rendering the billable service to the client, and does not cover

travel time or paperwork time. She therefore contends that she (and the members

of the proposed classes) are due additional compensation for the travel time and

paperwork time. She also challenges the $2 compensation paid per client billable

hour as inadequate and unlawful, and characterizes it as, in effect, as requiring case

managers to "kickback" to HAM a portion of their compensation.

HAM's position is that, because the $29/35 payment per client billable hour

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Related

McKinnon v. Honeywell International, Inc.
2009 ME 69 (Supreme Judicial Court of Maine, 2009)

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Southwick v. Health Afiliates Maine, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/southwick-v-health-afiliates-maine-llc-mesuperct-2019.