Zander v. Adams

928 N.E.2d 492, 399 Ill. App. 3d 290
CourtAppellate Court of Illinois
DecidedMarch 15, 2010
Docket1-09-0979
StatusPublished
Cited by3 cases

This text of 928 N.E.2d 492 (Zander v. Adams) 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
Zander v. Adams, 928 N.E.2d 492, 399 Ill. App. 3d 290 (Ill. Ct. App. 2010).

Opinion

JUSTICE GARCIA

delivered the opinion of the court:

Plaintiff Bette I. Zander appeals from an administrative decision of the Illinois Department of Human Services (Department) imposing a penalty period during which the plaintiff is ineligible for Medicaid assistance. The circuit court confirmed the Department’s decision. Mrs. Zander, an elderly resident of a long-term care facility, assigned her beneficial interest in an Illinois land trust to her three daughters more than 36 months prior to applying for benefits. She argues that period was sufficiently long to shield her from a penalty for transferring her assets under Department regulations. The Department ruled that Mrs. Zander was required to wait 60 months before applying for assistance.

We find the Department properly imposed a penalty on Mrs. Zander because the transfer of beneficial interest constituted a noncash or property disbursement from a revocable trust under Department regulations. Accordingly, we affirm.

BACKGROUND

On June 10, 2003, at the age of 79, Mrs. Zander began living in a group care facility in Illinois. On December 4, 2003, Mrs. Zander created the Zander Land Trust to which she transferred three parcels of real estate she owned in the County of McDonough, Macomb, Illinois. One of Mrs. Zander’s daughters, Karen Kae Skiles, served as trustee of the Zander Land Trust. The trust entitled Mrs. Zander to 100% of “the earnings, avails and proceeds of said real estate.” However, under the terms of the trust, the beneficiary had no “right, title or interest in or to any portion of real estate as such, either equitable or legal.” Less than two weeks later, on December 16, 2003, Mrs. Zander executed an assignment of beneficial interest in the Zander Land Trust transferring all of her beneficial interest to her three daughters.

On January 23, 2007, approximately 37 months after the beneficial interest in the Zander Land Trust was transferred to Mrs. Zander’s three daughters, the Department received Mrs. Zander’s application for Medicaid assistance. The Department found Mrs. Zander eligible for Medicaid, but imposed a penalty period of ineligibility from October 1, 2006, to June 30, 2014 (later adjusted to February 28, 2011), based on the transfer of beneficial interest in the trust, which the Department found was a nonallowable transfer of assets subject to review within 60 months of the application.

Administrative Hearing

On October 19, 2007, a formal hearing was held on the Department’s denial of Medicaid assistance to cover the cost of Mrs. Zander’s nursing home care. According to Mrs. Zander’s main brief, “At the time she applied for medical assistance in January, 2007, Mrs. Zander believed that her gift to her daughters by assignment of beneficial interest would not affect her eligibility as it had occurred more than 36 months prior to her application.” Before a hearing officer, Ms. Skiles, the trustee of the Zander Land Trust, testified she had neither collected any income nor distributed any real estate from the trust.

In its decision, the Department set forth provisions of the Illinois Administrative Code (Code) (89 Ill. Adm. Code §120.347, amended at 22 Ill. Reg. 16291, 16299-301, eff. August 28, 1998; 89 Ill. Adm. Code §120.387, amended at 23 Ill. Reg. 11301, 11309-12, eff. August 27, 1999), Title XIX of the Social Security Act (42 U.S.C. §1396p (2006)), and section 3259 of the State Medicaid Manual (State Medicaid Manual, Health Care Financing Administration Publication No. 45 — 3, Transmittal 64, §3259 (November 1994) (Transmittal 64)). It found the trust was a revocable trust; Mrs. Zander’s assignment constituted a transfer of assets from the trust inuring to the assignees’ benefit, which constituted a “payment” under the State Medicaid Manual triggering the 60-month look-back period. Because Mrs. Zander applied for Medicaid assistance after only 37 months, a penalty period of ineligibility was triggered based on the nonallowable transfer of revocable trust assets.

Mrs. Zander sought timely review of the Department’s decision in the circuit court of Cook County. Treating the issue as one of statutory construction subject to de novo review, the circuit court agreed with the Department that Mrs. Zander’s transfer of her beneficial interest in the Zander Land Trust was a payment from a revocable trust under the state and federal Medicaid statutes, triggering the penalty period of ineligibility, and confirmed the Department’s decision. This timely appeal followed.

ANALYSIS

An administrative agency’s decision is subject to judicial review under Illinois Administrative Review Law (735 ILCS 5/3 — 101 et seq. (West 2006)). “When reviewing a decision of an administrative agency, the appellate court reviews the decision of the agency, not the decision of the circuit court.” Vincent v. Department of Human Services, 392 Ill. App. 3d 88, 93, 910 N.E.2d 723 (2009).

Standard of Review

The Department asserts the issue is whether, “for purposes of Medicaid eligibility, an assignment of a beneficial interest in an Illinois land trust is a non-allowable transfer of assets subject to a 60-month look-back.” As framed by Mrs. Zander, the issue is whether her assignment “is a transfer of her personal property or a payment from a revocable trust under 89 Ill. Admin. Code § 120.387(e) affecting her eligibility for Medicaid coverage of her long term care.” In either regard, the parties submit the issue presents a question of law, subject to de novo review. See Vincent, 392 Ill. App. 3d at 93 (whether trust assets were available to Medicaid applicant to determine eligibility presented a pure question of law). The Department, though charged with determining eligibility for Medicaid assistance, does not assert that its interpretation of the term “payment,” to capture the transfer of beneficial interest in an Illinois land trust under its regulations, is entitled to any deference by this court. Cf. County of Du Page v. Illinois Labor Relations Board, 231 Ill. 2d 593, 608-09, 900 N.E.2d 1095 (2008) (deference is owed to the construction of a statute by the agency charged with its interpretation). Accordingly, we construe the meaning of the term “payment” in the Department regulations without regard to the Department’s interpretation.

Medicaid Legislation

In 1965, Congress enacted Title XIX of the Social Security Act (42 U.S.C. §1396 et seq. (2006)), commonly known as the Medicaid Act. Gillmore v. Illinois Department of Human Services, 218 Ill. 2d 302, 304, 843 N.E.2d 336 (2006). We quote at length the supreme court’s description of the Medicaid program.

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Bluebook (online)
928 N.E.2d 492, 399 Ill. App. 3d 290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zander-v-adams-illappct-2010.