TALARICO v. PUBLIC PARTNERSHIPS, LLC

District Court, E.D. Pennsylvania·Decided January 30, 2025·No. 5:17-cv-02165·Unknown

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 30, 2025

I. INTRODUCTION This matter was filed by Plaintiff, Ralph Talarico, individually and on behalf of all others similarly situated, against Public Partnerships, LLC, d/b/a PCG, Public Partnerships (“PPL”). Talarico claims that PPL failed to pay overtime to he and other direct care workers who delivered services to qualified disabled individuals in their homes, thereby violating the Fair Labor Standards Act (29 U.S.C. §§ 201-291) and the Pennsylvania Minimum Wage Act (43 P.S. §§ 333.101-333.1154). On January 28, 2020, this Court granted PPL’s Motion for Summary Judgment and found PPL was not a joint employer of Talarico or any other direct care worker (“DCW”). On appeal, the Third Circuit found that an issue of fact existed as to whether PPL was a joint employer and returned the case to this Court for decision. A seven-day bench trial was held; thereafter, the parties submitted proposed findings of fact and conclusions of law. Accordingly, with the benefit of a fully developed factual record, this memorandum constitutes the Court’s findings of fact and conclusions of law from the bench trial. For the reasons set forth below, the Court again finds that PPL was not a joint employer of Talarico or any DCWs and therefore cannot be liable for unpaid overtime. II. FINDINGS OF FACT

A. The Medicaid HCBS Waiver Program The Home and Community-Based Services Waiver Program (“HCBS”) is a Medicaid service that permits individuals who would otherwise be institutionalized to continue to live in their home and receive services there. (Tr. Vol. 3, 493.) The HCBS waiver program is federally administered by the Centers for Medicare & Medicaid Services (“CMS”) and in Pennsylvania, by the Office of Long-Term Living (“OLTL”). (Id., 493, 504; Tr. Vol. 4, 702-703) The waiver program specifically at issue in this matter is the Self-Directed Services model of the HCBS Waiver Programs. The Self- Directed Services (“SDS”) model allows “individuals . . . to exercise decision-making authority in identifying, accessing, managing and purchasing their personal assistance

services.” 42 C.F.R. § 441.450(b). Pennsylvania contracts with an enrollment broker to identify individuals who are eligible for the HCBS Waiver Programs and to provide those individuals with a list of available Service Coordinators (“SC”). (Tr. Vol. 1, 37-38; Tr. Vol. 3, 497.) SCs are contracted by OLTL to oversee implementation of services to the disabled individual, know as a Participant Employee (“PE”), assess the PE’s needs and determine the number of hours of service the PE requires per week. (Tr. Vol. 3, 497-499.) Upon meeting, the PE and SC develop an Individualized Service Plan (“ISP”) that identifies the specific tasks and activities that a PE needs help with and allocates the number of hours per week for which the PE can obtain assistance. (Tr. Vol. 1, 42; Tr. Vol. 3, 498-499.) In addition to developing the ISP, the SC discusses the PE’s options for receiving personal assistance services. (Tr. Vol. 3, 498.) The PE can select the agency model, where a third-party agency is the employer of the DCW and sends a DCW of their choosing to the PE’s home

to provide services, (Tr. Vol. 3, 500; Tr. Vol. 4, 757,) or the Self-Directed Services Model that is at issue in this case. (Tr. Vol. 1, 44-45.) In the SDS model, the ISP dictates what the role of the DCW will be for the PE and what services the DCW will perform in the PE’s home. (Tr. Vol. 4, 689-690.) The ISP is approved or disapproved by OLTL, and the SC then receives a notice from OLTL that the ISP is approved or disapproved. (Tr. Vol. 1, 42, 44, 93-94.) Once the PE and SC finalize the ISP and OLTL approves it, two electronic files are then sent to PPL as the fiscal agent. (Tr. Vol. 3, 529-530; Vol. 6, 1258-1259; Vol. 4, 796.) B. PPL and the Self-Directed Services Model In 2012, Pennsylvania published a Request for Application (“RFA”) to secure a

vendor to fulfill the financial management services needed for the Self-Directed Services model. (Tr. Vol. 3, 509-510.) Prior to that time, many different vendors were responsible for these functions, and the RFA sought to obtain a single vendor in Pennsylvania. (Id.; Tr. Vol. 6, 1079.) PPL submitted a proposal in response to the RFA and was ultimately awarded the role, becoming the state-wide fiscal agent for OLTL in the Self-Directed Services model of the HCBS Waiver Programs. (Tr. Vol. 3, 510.) None of the services that PEs were currently receiving from their DCWs changed in any way when fiscal management services transferred to PPL. (KH, Dep. Tr. 150.) OLTL entered into a Grant Agreement with PPL as the fiscal agent for the SDS model from October 2012 to December 31, 2014. (JX357.) Pursuant to the Grant Agreement, PPL was compensated for its fiscal agent functions through a monthly administrative fee that was paid on a per member per month basis. (Id. at PPL757; Tr. Vol. 6, 1241-1242; JX396 at TAL414.) Thereafter, any PE in Pennsylvania who selected

the SDS model was required to utilize PPL as the state-selected fiscal agent. (JX357 at PPL 751.) Pursuant to the Grant Agreement and Waiver Application, PPL used a third- party broker to obtain workers’ compensation insurance on behalf of and in the names of the individual PEs (JX396 at TAL262; JX357 at PPL760; Tr. Vol. 6, 1232) and provided utilization reports to the Commonwealth that set forth the hours worked by a DCW on behalf of the PEs. (JX396 at TAL263; Tr. Vol. 6, 132-1233.) C. The SDS Model Paperwork When a PE is first enrolled in the SDS model, PPL provides them with a “Common Law Employer Informational Packet.” (JX363.) This packet states, inter alia, “[i]n the OLTL program you have the opportunity to recruit and hire your own staff . . .

PPL is the Vendor Fiscal/Employer Agent (VF/EA) that will support you by paying direct care workers (DCWs) and qualified vendors and assuming responsibility for managing tax filings on your behalf.” (Id., at PPL1014.) It also states that “Participant Directed Services allow you to use OLTL funds to hire your own DCWs. You are the common law employer and PPL is your Financial Management Service.” (Id., at PPL1015.) It goes on to state that the PE, as the employer, will recruit, train, and fire all DCWs, submit signed timesheets to PPL, establish wage rates and performance evaluation criteria for each DCW, and establish schedules and tasks to be completed by each DCW. (Id.) When a PE notifies PPL that they intend to hire a DCW, PPL sends the PE a DCW Application. (Tr. Vol. 6, 1287; DX209.) PEs have their DCW candidate fill out the DCW Application, and it is sent to PPL. (JX364; PX59.) PPL then sends the enrollment packet to the DCW. (Tr. Vol. 1, 117, 211.) There is no dispute that all enrollment

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TALARICO v. PUBLIC PARTNERSHIPS, LLC, (E.D. Pa. 2025).

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