Sullivan v. Evergreen Healthcare Ltd.

678 N.E.2d 129, 1997 Ind. App. LEXIS 293, 1997 WL 142555
CourtIndiana Court of Appeals
DecidedMarch 31, 1997
Docket29A05-9602-CV-49
StatusPublished
Cited by3 cases

This text of 678 N.E.2d 129 (Sullivan v. Evergreen Healthcare Ltd.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sullivan v. Evergreen Healthcare Ltd., 678 N.E.2d 129, 1997 Ind. App. LEXIS 293, 1997 WL 142555 (Ind. Ct. App. 1997).

Opinion

OPINION

BARTEAU, Judge.

In an action initiated by Evergreen Healthcare Ltd., L.P. (Evergreen), a Medicaid provider, involving reimbursement for non-routine medical supplies provided to Medicaid patients, Cheryl Sullivan, individually in her capacity as Secretary of the Indiana Office of the Secretary of Family and Social Services, James Verdier, individually in his capacity as Assistant Secretary for the Indiana Office of Medicaid Policy and Planning, the Indiana Office of the Secretary of Family and Social Services, and the Indiana Office of Medicaid Policy and Planning (collectively “the Medicaid agency”) challenge the trial court’s grant of partial summary judgment. The Medicaid agency presents several issues for review, and we find one to be dispositive: Did the changes made to the Supplies Rule between publication and adoption constitute a substantial difference from, and not a logical outgrowth of, the proposed Supplies Rule, in violation of Indiana Code section 4-22-2-29 (1993)?

FACTS

The facts most favorable to the non-moving party are that Evergreen operates Medicaid certified nursing facilities in Indiana. Prior to promulgation of the rule at issue, the Medicaid agency reimbursed Evergreen and other nursing facilities for non-routine billable medical supplies at a rate of 1.5 times the *130 actual cost to the nursing facility. The old rule encouraged providers to pay the highest price available for supplies. Consequently, the Medicaid agency developed a new reimbursement rule. On May 1,1993, the Medicaid agency published notice of a public hearing on the proposed new rule, which came to be known as the Supplies Rule. The proposed Supplies Rule stated as follows:

A rate for each approved item will be set by the office and made available to providers. Rates will be set at the median of a sample of wholesale supply prices available to providers in Indiana. Rates will be reviewed annually to determine the necessity of a rate change.

R. 997.

On May 25, 1993, a public hearing on the proposed rule was conducted. The Medicaid agency received oral and written comments during the hearing, and received additional written comments afterward. The Medicaid agency reviewed the comments and, on September 1, 1993, published the final version of the Supplies Rule in the Indiana Register. The final version of the Supplies Rule stated:

A rate for each approved item will be set by the office and made available to providers. Rates will be set at the median of a sample of wholesale supply prices available to providers in Indiana. The sample of wholesale [supply] prices will be conducted by the office or its contractor. Rates will be reviewed annually to determine the necessity of a rate change.

[Underlined material is language deleted from the proposed rule, while material in bold is language added to the proposed rule.] R. 545.

On November 24, 1993, the Medicaid agency issued a Medicaid Bulletin listing the actual reimbursement rates, which became effective December 1, 1993. The Bulletin explained that the supply prices used in the sample were derived from a national computer database of medical suppliers and their current prices for medical supplies. The Bulletin stated that Indiana supply prices were included in the sample where available.

Evergreen initiated a declaratory action in three counts against the Medicaid agency in December, 1993, seeking to enjoin implementation of the Supplies Rule and requesting a preliminary injunction. After an evidentiary hearing, the trial court granted Evergreen’s request for a preliminary injunction. On August 1, 1994, after entry of the preliminary injunction, the Medicaid agency adopted new reimbursement rules superseding the Supplies Rule. 1

On March 3, 1995, Evergreen filed a motion for summary judgment. On November 15, 1995, the trial court entered judgment for Evergreen on Count II of its complaint, which alleged that the Medicaid agency failed to comply with Indiana Code chapter 4-22-2 when it promulgated the Supplies Rule. The trial court certified its order for partial summary judgment and the present appeal ensued.

STANDARD OF REVIEW

Summary judgment is appropriate only when there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Ind. Trial Rule 56(C). The burden is on the moving party to prove there are no genuine issues of material fact and he is entitled to judgment as a matter of law. Once the movant has sustained this burden, the opponent must respond by setting forth specific facts showing a genuine issue for trial; he may not simply rest on the allegations of his pleadings. Stephenson v. Ledbetter, 596 N.E.2d 1369, 1371 (Ind.1992) At the time of filing the motion or response, a party shall designate to the court all parts of pleadings, depositions, answers to interrogatories, admissions, matters of judicial notice, and any other matters on which it relies for purposes of the motion. T.R. 56(C).

When reviewing an entry of summary judgment, we stand in the shoes of the trial court. We do not weigh the evidence but will consider the facts in the light most favorable to the nonmoving party. Reed v. *131 Luzny, 627 N.E.2d 1362, 1363 (Ind.Ct.App. 1994), trans. denied. We may sustain a summary judgment upon any theory supported by the designated materials. T.R. 56(C). The parties in the present ease do not dispute any questions of fact, but disagree as to the trial court’s application of statutory law. The construction of a statute presents a pure question of law for which disposition by summary judgment is appropriate. State Bd. of Accounts v. Indiana Univ. Found., 647 N.E.2d 342, 346 (Ind.Ct.App.1995), trans. denied.

COMPLIANCE WITH INDIANA CODE SECTION 4-22-2-29

Evergreen contends deletion of the words “in Indiana” from the final Supplies Rule violated the strictures of Indiana Code section 4-22-2-29(b), which states:

An agency may not adopt a rule that substantially differs from the version or versions of the proposed rule or rules published in the Indiana Register under section 24 of this chapter, unless it is a logical outgrowth of any proposed rule as supported by any written comments submitted during the public comment period.

We have previously held that Indiana Code section 4-22-2-32(b) (1993) is instructive when applying the above statute. Meier v. American Maize-Prod’s. Co., Inc., 645 N.E.2d 662, 677 (Ind.Ct.App.1995).

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Cite This Page — Counsel Stack

Bluebook (online)
678 N.E.2d 129, 1997 Ind. App. LEXIS 293, 1997 WL 142555, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sullivan-v-evergreen-healthcare-ltd-indctapp-1997.