Wimberly v. Atlantic Dialysis Management Services, LLC

CourtDistrict Court, S.D. New York
DecidedApril 29, 2025
Docket1:24-cv-09269
StatusUnknown

This text of Wimberly v. Atlantic Dialysis Management Services, LLC (Wimberly v. Atlantic Dialysis Management Services, LLC) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wimberly v. Atlantic Dialysis Management Services, LLC, (S.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

JASON WIMBERLY, Plaintiff, 24-CV-9269 (JPO) -v- OPINION AND ORDER ATLANTIC DIALYSIS MANAGEMENT SERVICES, LLC, Defendant.

J. PAUL OETKEN, District Judge: Plaintiff Jason Wimberly, proceeding pro se, brings this action for disability discrimination, retaliation, and related torts and statutory violations against his dialysis provider, Defendant Atlantic Dialysis Management Services, LLC (“Atlantic”). Before the Court is Atlantic’s motion to dismiss the complaint. For the reasons that follow, the motion is granted. I. Background1 0F A. Factual and Legal Background Jason Wimberly is a dialysis patient suffering from kidney failure and related disabilities. (ECF No. 1 (“Compl.”) ¶ 5.) The dialysis treatment from Atlantic that Wimberly receives for his kidney failure is funded by Medicaid (id. ¶¶ 5-6), which is administered in New York through the New York State Department of Health, Cmty. Health Care Ass’n of N.Y. v. Shah, 770 F.3d 129, 138 (2d Cir. 2014). In particular, “Medicaid reimbursement is available to lawfully authorized transportation providers for transportation furnished to eligible Medicaid enrollees when necessary to obtain medical care covered by the Medicaid program.” N.Y. Dep’t of

1 The facts included in this section are drawn from Wimberly’s complaint and other submissions in relation to the pending motion to dismiss and presumed true for present purposes. See Davila v. Lang, 343 F. Supp. 3d 254, 266-67 (S.D.N.Y. 2018). Health, Medicaid Transportation Policy Manual 11 (2023) (hereinafter, “Policy Manual”); see also 18 N.Y. Codes, Rules & Regulations (“N.Y.C.R.R.”) § 505.10; cf. Shakhnes v. Berlin, 689 F.3d 244, 259 & n.11 (2d Cir. 2012) (noting that federal courts are to defer to clarifications of regulations contained in the “State Medicaid Manual”). Other than emergency ambulance transportation, transportation to and from covered medical appointments “must be prior

authorized by the appropriate prior authorization official prior to payment by the Medicaid program.” Policy Manual at 11; see also 18 N.Y.C.R.R. § 505.10(d). “The mode of transportation . . . must be decided by a medical practitioner who is directly involved in the patient’s care, and therefore, best situated and qualified to determine the most appropriate mode.” Policy Manual at 12. Those requests for authorization, submitted by a Medicaid recipient’s medical practitioner, are called “standing orders.” See id. at 13. To attend his dialysis appointments, Wimberly relies on free transportation services that are funded through New York’s use of Medicaid funding. (See Compl. ¶¶ 8, 11.) Without access to free transportation, Wimberly alleges, he faces the risk of shortened treatment time

from late arrivals and having to walk home from appointments, both of which are dangerous to his health. (Id. ¶¶ 15-16.) Per New York’s Medicaid regulations, only Atlantic may enter standing orders on Wimberly’s behalf so that he receives free transportation to and from his dialysis appointments. But Wimberly alleges that Atlantic has “failed to arrange or facilitate transportation” for his appointments. (Id. ¶ 9.) Wimberly also alleges that he has discussed with other Atlantic patients “shared concerns regarding transportation” (id. ¶ 14), and that he has “expressed to all staff the seriousness of his combination of conditions and how it leads to an especial vulnerability that must be factored into his treatment and plan of care by federal and state law” (id. ¶ 16). Wimberly has also observed other patients complaining about the inadequacy of their transportation to Atlantic. (See id. ¶¶ 17-20.) In one instance, Wimberly was discussing with another patient his complaints regarding transportation and his plans to take legal action when a nurse advised Davita Banks, Atlantic’s Director of Social Work, of the conversation. (See id. ¶¶ 21-22, 25.) Banks then introduced herself to the other patient, used hand gestures to try to calm them down, and

promised to fix the issues underlying their complaint, but asked for more time and recommended that the other patient, “in the meantime[,] [not] listen to anything anyone else tells you [because] it’s all [g]ossip.” (Id. ¶ 22.) B. Procedural Background Wimberly, proceeding pro se, sued Atlantic on December 5, 2024. (Compl.) Atlantic moved to dismiss the complaint on January 24, 2025. (ECF No. 22 (“MTD”).) Wimberly filed a series of letters in response to the motion to dismiss accusing Atlantic’s counsel of knowingly misrepresenting the law (ECF No. 23), requesting a conference (ECF No. 24), complaining that Atlantic employees requested to meet with him without counsel present (ECF No. 25), seeking a “stay” of the motion to dismiss (ECF No. 26), and accusing Atlantic’s counsel of further

misconduct (ECF No. 27). After the Court granted the parties’ requests for a conference (ECF No. 29), Wimberly continued to submit letters, including to disqualify Atlantic’s counsel (ECF Nos. 30, 31), requesting a declaratory judgment (ECF No. 32), demanding a jury trial (ECF No. 34), and again accusing Atlantic’s counsel of misconduct (ECF No. 35). Wimberly has also sent several emails to the Court’s chambers concerning essentially the same allegations, including two emails sent in violation of the Court’s Order to cease all such direct communications. (See ECF No. 40.) At the conference held on February 21, 2025, the Court directed Wimberly to file a single opposition to the motion to dismiss, which he did on March 7, 2025 (ECF No. 42 (“Opp.”)). Atlantic replied in further support of the motion on March 26, 2025. (ECF No. 46 (“Reply”).) On April 1, 2025, Wimberly filed a letter motion for leave to file a surreply. (ECF No. 47.) II. Legal Standard To survive a motion to dismiss pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure, a complaint must include enough facts to state a claim for relief that is “plausible on

its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). In reviewing the complaint, the Court must accept all well-pleaded factual allegations as true but need not accept as true “mere conclusory statements” reciting the elements of a cause of action. See Ashcroft v. Iqbal, 556 U.S. 662, 678-79 (2009); Twombly, 550 U.S. at 555. A complaint that pleads facts that are “merely consistent with a defendant’s liability . . . stops short of the line between possibility and plausibility.” Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 557) (internal quotations omitted). In applying those principles, “[i]t is well established that the submissions of a pro se litigant must be construed liberally and interpreted to raise the strongest arguments that they suggest.” Meadows v. United Servs., Inc., 963 F.3d 240, 243 (2d Cir. 2020). As such, “a pro se

complaint, however inartfully pleaded, must be held to less stringent standards than formal pleadings drafted by lawyers.” Erickson v. Pardus, 551 U.S. 89, 94 (2007) (quotation marks omitted). Still, “a pro se complaint must state a plausible claim for relief.” Hogan v. Fischer, 738 F.3d 509, 515 (2d Cir. 2013). And relevant here, though “pro se litigants, in many cases, are entitled to special solitude, [the Second Circuit has] not altogether excused frivolous or vexatious filings by pro se litigants.” Eliahu v. Jewish Agency for Isr., 919 F.3d 709, 715 (2d Cir. 2019) (cleaned up). III.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Erickson v. Pardus
551 U.S. 89 (Supreme Court, 2007)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
A Society Without a Name v. Commonwealth of Virginia
655 F.3d 342 (Fourth Circuit, 2011)
Hill v. Curcione
657 F.3d 116 (Second Circuit, 2011)
Joseph v. Treglia v. Town of Manlius
313 F.3d 713 (Second Circuit, 2002)
Shakhnes Ex Rel. Shakhnes v. Berlin
689 F.3d 244 (Second Circuit, 2012)
Ashmore v. Prus
510 F. App'x 47 (Second Circuit, 2013)
Camarillo v. Carrols Corp.
518 F.3d 153 (Second Circuit, 2008)
Fulton v. Goord
591 F.3d 37 (Second Circuit, 2009)
Allah v. Goord
405 F. Supp. 2d 265 (S.D. New York, 2005)
Alexander v. Sandoval
532 U.S. 275 (Supreme Court, 2001)
Hogan v. Fischer
738 F.3d 509 (Second Circuit, 2013)
Richard Wagoner v. Indiana Department of Correcti
778 F.3d 586 (Seventh Circuit, 2015)
Flight v. Gloeckler
68 F.3d 61 (Second Circuit, 1995)
Doe v. Pfrommer
148 F.3d 73 (Second Circuit, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
Wimberly v. Atlantic Dialysis Management Services, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wimberly-v-atlantic-dialysis-management-services-llc-nysd-2025.