TALARICO v. PUBLIC PARTNERSHIPS, LLC

CourtDistrict Court, E.D. Pennsylvania
DecidedJanuary 28, 2020
Docket5:17-cv-02165
StatusUnknown

This text of TALARICO v. PUBLIC PARTNERSHIPS, LLC (TALARICO v. PUBLIC PARTNERSHIPS, LLC) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TALARICO v. PUBLIC PARTNERSHIPS, LLC, (E.D. Pa. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA RALPH TALARICO, individually and on behalf Of all others similarly situated,

Plaintiff, CIVIL ACTION v. NO. 17-2165

PUBLIC PARTNERSHIPS, LLC, d/b/a PCG, PUBLIC PARTNERSHIPS,

Defendant.

MEMORANDUM

Schmehl, J. /s/ JLS January 28, 2020

Before the Court is the motion for summary judgment of Defendant Public Partnerships, LLC d/b/a PCG Public Partnerships (“PPL”). Plaintiff Ralph Talarico (“Plaintiff” or “Talarico”) has opposed the motion, and PPL has filed a reply. Having read the parties’ briefing and after oral argument on the issue, I find that no reasonable jury could conclude that Plaintiff was an employee of PPL. Accordingly, I will grant PPL’s Motion for Summary Judgment and dismiss this action in its entirety. I. INTRODUCTION Plaintiff filed this Collective Action and Class Action Complaint alleging violations of the Fair Labor Standards Act (29 U.S.C. § 201, et seq.) (“FLSA”), the Pennsylvania Minimum Wage Act of 1968 (43 P.S. 333.101 et seq.) (“MWA”) and the Pennsylvania Wage Payment and Collection Law (43 P.S. 260.1 et seq.) (“WPCL”). Specifically, Talarico alleges that PPL failed to pay him and thousands of other similarly situated employees overtime wages to which they are entitled for work performed as direct care workers in the Federal Medicaid program. PPL contends that it is not Plaintiff’s employer, thus, is not in violation of any of the above-referenced statutes. II. FACTUAL BACKGROUND Plaintiff and other similarly situated individuals are thousands of workers who

performed services under PPL’s contract with Pennsylvania relating to a federal Medicaid program called the Home and Community-Based Services (“HCBS”) waiver program. The HCBS waiver program is a Medicaid program administered at the federal level by the Centers for Medicare and Medicaid Services (“CMS”) under §1915(c) of the Social Security Act, 42 U.S.C. § 1396n, and in Pennsylvania by the Department of Human Services Office of Long Term Living (“OLTL”). 55 Pa. Code § 52.1. OLTL applied to CMS for a waiver to provide an array of options under the HCBS waiver program umbrella. 42 U.S.C. § 1396n; 42 C.F.R. § 441.301. (JSOF at ¶ 2.) CMS approved the application and OLTL now administers the options in the Commonwealth. 52 Pa. Code § 52.1. One specific waiver program administered by OLTL, the Independence Waiver

Program, authorizes “Self-Directed Personal Assistance Services” to Participant-Employers (“PEs”) who are between the ages of 18 and 60 with physical disabilities. 55 Pa. Code § 52.3.1 OLTL’s Application for a § 1915(c) Home and Community-Based Services Waiver describes its administration of the HCBS waiver program in detail. (Id. at ¶ 3.) The stated purpose of the waiver program is to permit a state to furnish "services that assist Medicaid beneficiaries to live in the community and avoid institutionalization.” (Id. at ¶ 4.) A PE's enrollment in the HCBS waiver program begins when an

1 Self-Directed Personal Assistance Services are “designed to allow individuals . . . to exercise decision- making authority in identifying, accessing, managing and purchasing” the resources they need. 42 C.F.R. § 441.450(b). independent enrollment broker (a third party contracted by the Commonwealth) does an intake to determine if a Participant is eligible for enrollment into the HCBS waiver program. (JSOF, ¶ 5.) After OLTL approves the PE for the program, he or she works with a third-party Service Coordinator to prepare a Service Plan and

Service Budget. (Id., at ¶ 6.) The Service Coordinator "provides ongoing support and monitoring of the decisions that a participant makes when hiring and firing", "work[s] with the participant to create their service plan", and "work[s] with the consumer to determine what are the needs of this consumer." (Id., at ¶ 7.) When the Service Coordinator meets with the PE, he or she conducts an intake which "is basically an overview of the program with the [Participant] in their home and creation of their plan of care, which would include services that they are in need of." The Service Plan, created by the Service Coordinator with input from the PE, dictates how many units of service a PE is permitted to receive. (Id., at ¶ 8.) If a PE requires more than 40 hours a week of services, such overtime would need

to be authorized in the Service Plan. Skovera Dep., pp. 123-124. OLTL then reviews the Service Plan submitted by the Service Coordinator, including the number of hours for which service is authorized, and approves or denies it. (Id., at ¶ 9.) If the PE’s needs change, he or she must work with the Service Coordinator to amend the Service Plan. (Id., at ¶ 10.) PPL is not involved in the creation of the Service Plan, nor is it involved in determining the number of units a PE receives in the Service Plan. Skovera Dep., pp. 105, 121-122; LZ Dep., pp. 22- 23, 55-56; EW Dep., p. 15; MJ Dep., pp. 23-24;LZ Dep., pp. 22, 55-56. PPL is informed of the eligibility of the PE and the allowable hours of service. Stewart Decl., ¶ 18. After CMS approved OLTL’s application, OLTL opted to implement the Self- Directed Services option, and describes the self-directed program as follows: All participants in the Independence [W]aiver [Program] have the right to make decisions about and self-direct their own waiver services and may choose to hire and manage staff using Employer Authority. Under Employer Authority, the participant serves as the common-law employer and is responsible for hiring, firing, training, supervising and scheduling their support workers.

See OLTL Application, ECF No. 158, Exh. C, p. 169. Every participant has the option to act as the employer under the Self-Directed Services option or to have an agency act as the employer and handle all issues relating to the participant’s services. (Dep. of Julie Skovera, pp. 18-20.) There is no dispute that the latter model, called the agency model, is not at issue in this case. Rather, Plaintiff takes issue with the Self-Directed Services option. CMS regulations state that Medicaid Participant-Employers who elect the Self-Directed Services Option have the authority to recruit workers, hire and fire workers, train workers, specify worker qualifications, determine worker duties, schedule workers, supervise workers, evaluate worker performance, determine the amount paid for a service, and schedule when services are provided. 42 C.F.R. § 441.450 (b)(1)-(12). CMS regulations also require that the Self-Directed Services Option provide for the development of a “Service Plan,” which is a “document that specifies the services and supports (regardless of funding source) that are to be furnished to meet the needs of a participant in the self-directed [Personal Assistance Services] option and to assist the participant to direct the [Personal Assistance Services] and to remain in the community.” Id. §§ 441.450(c), 441.468. The regulations also provide for a “Service Budget,” which is “an amount of funds that is under the control and direction of a participant.” Id. § 441.450(c). When the Service Coordinator meets with the participant, it is explained to the PE that it is their “responsibility, as the employer, to be reviewing the timesheets, to make sure

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TALARICO v. PUBLIC PARTNERSHIPS, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/talarico-v-public-partnerships-llc-paed-2020.