Thompson v. Illinois Department of Human Services

2024 IL App (1st) 221002
CourtAppellate Court of Illinois
DecidedSeptember 27, 2024
Docket1-22-1002
StatusPublished
Cited by1 cases

This text of 2024 IL App (1st) 221002 (Thompson v. Illinois Department of Human Services) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thompson v. Illinois Department of Human Services, 2024 IL App (1st) 221002 (Ill. Ct. App. 2024).

Opinion

2024 IL App (1st) 221002 No. 1-22-1002 September 27, 2024 FIFTH DIVISION

IN THE APPELLATE COURT OF ILLINOIS FIRST DISTRICT

SAM THOMPSON, as Administrator of the ) Appeal from the Circuit Court Estate of Lynda Parker, deceased, ) of Cook County. ) Plaintiff-Appellant, ) ) v. ) No. 20 CH 6969 ) ILLINOIS DEPARTMENT OF HUMAN ) The Honorable SERVICES, an Administrative Agency and ) David B. Atkins DULCE QUINTERO, in her Official Capacity ) Judge, presiding. as Secretary, ) ) Defendant-Appellee. )

JUSTICE ODEN JOHNSON delivered the judgment of the court. Presiding Justice Mikva and Justice Navarro concurred.

OPINION

¶1 Plaintiff Sam Thompson is the administrator of the estate of the deceased Lynda Parker

and an employee of the nursing home where Parker lived until she died. Defendant Illinois

Department of Human Services (the Department) denied both Parker’s request for benefits and

a subsequent request to reopen the case. The benefits at issue here are long-term care benefits

from the Aid to the Aged, Blind, or Disabled (AABD) program administered by the

Department. The original denial of benefits was never appealed. This appeal is an appeal from No. 1-22-1002

the Department’s denial of Parker’s subsequent request to reopen the case. After a hearing, the

administrative law judge (ALJ) dismissed this case for lack of jurisdiction, and the circuit court

affirmed the dismissal on the same ground. For the following reasons, we affirm.

¶2 BACKGROUND

¶3 Lynda Parker, born April 1, 1936, was admitted to Southgate Nursing and

Rehabilitation Center (Southgate), in Metropolis, Illinois, on November 9, 2015. On May 6,

2018, Parker signed a document authorizing Jennifer Christian to represent her in her benefits

appeal. Christian was Southgate’s Business Office Manager. Although this document was not

signed until 2018, Christian appears to have represented Parker since 2016.

¶4 On February 11, 2016, Parker, through her representative, submitted an application for

long-term care benefits to the Department. On June 6, 2016, the application was denied based

on her failure to submit verification information that was required to determine her eligibility.

The missing information included: (1) statements for a Grand Rapids bank account for

February 2016 and from February 2015 through July 31, 2015; (2) an itemized prepaid burial

contract showing services and goods provided and showing whether the contract was or was

not irrevocable; and (3) a 2016 tax bill for a homestead property. It is undisputed that

information was outstanding at the time of the denial and that notice of the June 2016 denial

was received in a timely fashion by Parker.

¶5 At a subsequent hearing, Christian conceded that an appeal of the denial was not filed

within 60 days. See 89 Ill. Adm. Code 14.10(f)(1)(“the appeal must be filed within 60 days

after the Department’s action to notify”). Christian testified: “I had no idea that I had to file

an Appeal. I thought that if I did a reopen, I did not know that they both *** coincided.”

Christian acknowledged: “I’ve learned a lot since then. Back then I was not aware that a reopen

2 No. 1-22-1002

and an Appeal[,] you had to do both.” Christian “just thought you did the reopen and they

actually did do a reopen and you just waited on them to do” it. However, Christian admitted

“that’s not how it works, which I’ve learned now.” 1

¶6 On June 24, 2016, Parker through her representative submitted a request to reopen her

case, with additional information. The request was submitted via email to the Department’s

Medical Field Office (MFO). The MFO acknowledged that, on November 28, 2016, it also

received a copy of a receipt from the funeral home, but it found that this document did not

indicate how the contract was funded, whether it was prepaid, and whether it was irrevocable.

¶7 Almost four years after submitting the reopen request, counsel for Parker filed on May

7, 2020, an appeal seeking review of the Department’s alleged inaction regarding Parker’s

reopen request. On July 13, 2020, a hearing on this appeal was held and then was continued

on Parker’s motion. The hearing reconvened on August 6, 2020, when Parker’s motion for a

continuance was again granted. The record was left open until September 1, 2020, to permit

both sides to submit supporting exhibits.

¶8 At the hearing, Christian testified, as did a representative of the Department. The

Department’s representative was Cory Kistner, a casework manager. Kistner testified that,

while the Department had not mailed a written notice of its denial of Parker’s reopen request,

the case files indicated that the case worker reviewed the reopen request on October 21, 2016,

and called Southgate. The date of October 21, 2016, was less than four months after Christian

submitted the request on June 24, 2016, Kistner testified that the case files established that,

when the case worker called Southgate on October 21, he was transferred into Christian’s

1 When asked whether she was aware at the time that there was a time limit on how long a claimant had to file an appeal after the issuance of a decision, Christian admitted: “not at the time. I had no idea.”

3 No. 1-22-1002

voicemail. On her voicemail, he left a message indicating that the case did not qualify for a

reopen request and that a new application would have to be filed. Kistner testified that another

application was filed in February 2019, and that this application was denied and appealed, but

that this appeal was later withdrawn. Christian testified that she had no notes of any voicemail

message and that, had she received such a message, she would have logged it in her file.

Christian testified that communication to and from the Department was done mainly through

email and that is how she expected to receive information.

¶9 Apparently finding Kistner’s testimony credible, the administrative law judge (ALJ)

found:

“In this case *** the Department Representative provided credible, consistent

testimony that the Department received and reviewed the reopen request. The

Representative further demonstrated that the assigned caseworker subsequently

provided notice apprising the facility that the request was denied. It is noted that the

Department Representative’s testimony was supported with internal case notes, created

in the normal course of business.

The relevant inquiry is therefore whether Appellant was entitled to written notice

that the Department denied the reopen request.”

¶ 10 Noting that the Illinois Administrative Code (Code) 2 requires written notice of the

disposition of an application, the ALJ found that no written notice was required here, because

the denial of a request to reopen was not “a disposition, that is, it was not a determination on

eligibility.” With respect to the original denial of benefits, the ALJ found that the “period for

an appeal submission is unaffected by Appellant’s Representative’s unfamiliarity with the

2 When using the term “Code,” we are referring to Title 89 which governs “Social Services.”

4 No. 1-22-1002

appeal process outlined by the Administrative Code.” The ALJ found that it lacked jurisdiction

and dismissed the appeal. Grace B. Hou, the Secretary of the Department adopted the ALJ’s

decision as the final administrative decision.

¶ 11 On November 24, 2020, Parker “through her attorney-in-fact,” who at that time was

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Related

Thompson v. Department of Human Services
2024 IL App (1st) 221002 (Appellate Court of Illinois, 2024)

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