Zackary Courtois v. D.s.h.s., State Of Washington

CourtCourt of Appeals of Washington
DecidedSeptember 12, 2017
Docket49280-6
StatusUnpublished

This text of Zackary Courtois v. D.s.h.s., State Of Washington (Zackary Courtois v. D.s.h.s., State Of Washington) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zackary Courtois v. D.s.h.s., State Of Washington, (Wash. Ct. App. 2017).

Opinion

Filed Washington State Court of Appeals Division Two

September 12, 2017

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II ZACKARY COURTOIS, No. 49280-6-II

Appellant, UNPUBLISHED OPINION

v.

DEPARTMENT OF SOCIAL & HEALTH, SERVICES,

Respondent.

BJORGEN, C.J. — This appeal involves the narrow issue of whether the superior court

abused its discretion by declining to award attorney fees to Zackary Courtois under the Equal

Access to Justice Act (EAJA), 5 U.S.C. 504.

From a young age, Courtois, due to his disabilities, received benefits from the

Developmental Disabilities Administration (DDA), which is a part of the Department of Social

and Health Services (Department). Upon reaching the age of 18, the Department determined that

Courtois was no longer eligible for DDA benefits. Courtois appealed that decision to an

administrative law judge (ALJ) and, subsequently, to the Department’s Board of Appeals

(Board). Both affirmed the Department’s action. No. 49280-6-II

On appeal to superior court, the Department’s denial of benefits was reversed on two

bases: first, that the Department had committed an error of law in interpreting and applying the

dual diagnoses regulations, WAC 388-823-0720, -0740, and second, that substantial evidence

did not support its finding that Courtois’ adaptive skills test was not administered and evaluated

by a qualified professional. Courtois then moved the superior court for an award of attorney fees

under the EAJA. The superior court declined to award attorney fees because it determined that

the Department’s actions were substantially justified.

Courtois appeals the order denying EAJA attorney fees. He contends that the superior

court abused its discretion because its prior determinations that the Department committed an

error of law and that one of its findings was not supported by substantial evidence compelled the

conclusion that the Department’s position was not substantially justified.

We hold that the superior court did not abuse its discretion in denying attorney fees under

the EAJA. Accordingly, we affirm.

FACTS

In 2002 Courtois began receiving services from DDA. In November 2014 DDA

determined that Courtois no longer met DDA eligibility criteria to receive disability benefits.

Katherine,1 Courtois’ mother, contested that determination, believing Courtois’ recent autism

diagnosis qualified him for DDA benefits.

To aid in setting out the remaining facts of the appeal, we first summarize the legal

principles governing the benefits at issue.

1 Because Katherine and Zachary have the same last name, we refer to Katherine by her first name. No disrespect is intended.

2 No. 49280-6-II

I. PERTINENT LAW

In order to qualify for DDA benefits, an individual must show that he or she has been

diagnosed with an intellectual disability that “[r]esults in substantial limitations.” See WAC 388-

823-0015; WAC 388-823-0200. One such eligible condition is autism. See WAC 388-823-

0500. In order to show that an individual’s autism “[r]esults in substantial limitations,” WAC

388-823-0015(1)(c), the individual must submit documentation showing (1) an adaptive skills

test score of more than two standard deviations below the mean and (2) a Full Scale Intelligence

Quotient (FSIQ) score of more than one standard deviation below the mean. See WAC 388-823-

0510; see WAC 388-823-0210. The adaptive test “must be administered and scored by

professionals who have a background in individual assessment, human development and

behavior, and tests and measurements, as well as an understanding of individuals with

disabilities.” WAC 388-823-0740(1)(a).

The adaptive skills and FSIQ scores cannot be attributable to an unrelated “mental illness

or other psychiatric condition occurring at any age; or other illness or injury occurring after age

eighteen.” WAC 388-823-0720, -0740. If an individual is “dually diagnosed” with a qualifying

condition and other unrelated conditions, the individual must provide “acceptable

documentation” that the qualifying condition, measured by the FSIQ and adaptive skills tests,

would meet the requirements for DDA eligibility without the influence of the unrelated

conditions. WAC 388-823-0720(2)(a), -0740(2)(a). “Acceptable documentation”

means written reports or statements that are directly related to the subject at issue, reasonable in light of all the evidence, and from a source of appropriate authority. The determination of whether a document is acceptable is made by DDA.

3 No. 49280-6-II

WAC 388-823-0720 (2)(b), -0740(2)(b). “If no documentation is provided or DDA determines

that the documentation is not acceptable[,] DDA will deny eligibility. The determination may be

challenged through an administrative appeal.” WAC 388-823-0720(2)(c), -0740(2)(c).

II. HISTORY OF COURTOIS’ DIAGNOSES

Throughout his life, Dr. Heather Sue Daniels was Courtois’ primary doctor and

diagnosed him with a variety of conditions. Daniels diagnosed him with attention deficit

hyperactivity disorder (ADHD) in 2002 and “Static Encephalopathy secondary [due] to poor

early nutrition with failure to thrive” in 2004. Clerk’s Papers (CP) at 296. In 2007, Daniels

stated that “as he grows older he seems to be coalescing into an Asperger Syndrome picture[,]”

and again diagnosed him with ADHD and static encephalopathy as well as about nine other new

conditions.2 CP at 299.

In August 2013, when the Department was determining whether Courtois should continue

to receive DDA benefits, Daniels provided the following summary of Courtois’ diagnoses over his

lifetime, classifying them under different developmental categories:

Early Childhood Failure to Thrive Static Encephalopathy with development delay

Mid Childhood ADHD Asperger’s (Autism Spectrum Disorder)

New issues in the last two years Sleep Disorder Brain Tumor

2 These other diagnoses include cognitive impairment, obsessive compulsive disorder, speech- language disorder, social learning disorder, sleep disorder, fine and gross motor dyspraxia, status post failure to thrive, status post gastroesophageal reflux disease, and small stature.

4 No. 49280-6-II

Seizure Disorder Episodes of memory loss with seizures

CP at 315.

The Department asked Daniels to clarify Courtois’ current diagnoses. In response, in

December 2013, Daniels submitted the following diagnoses pertinent to Courtois’ eligibility for

DDA benefits:

1. Encephalopathy . . . (brain damage) from inadequate feeding in infancy, with seizure disorder and brain tumor 2. Autism Spectrum Disorder 3. Lack of Common Sense

See CP at 316.

In September 2014 Daniels completed a questionnaire and checklist, which implicitly

continued to diagnose Courtois with autism spectrum disorder. However, she did not rule out

encephalopathy, stating, “Zach’s social communications are better explained by [autism] than his

other disabilities.” See CP at 191 (emphasis added).

III. FSIQ AND ADAPTIVE SKILLS TESTS

In February 2013 Courtois received a neuropsychological evaluation, reflecting a FSIQ

score of 80. This score was more than one standard deviation below the mean. See WAC 388-

823-0510(2).

In April 2014 Courtois received an adaptive skills assessment.

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