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214 N.C. App. 522
N.C. Ct. App.
2011
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Background

  • AHHC challenged DMA's new PCS hours methodology and third-party assessments under Budget Bill 2009-451 § 10.68A(a).
  • DMA implemented a scoring algorithm to determine PCS eligibility and contracted independent assessments in response to that law.
  • ALJ preliminarily enjoined DMA from using the scoring algorithm and from conditioning PCS hours on prior authorization.
  • DMA sought certiorari in superior court, which dissolved the injunction and dismissed the contested case; AHHC appealed.
  • In 2010–2011, Session Law 2010-31 repealed the challenged Budget Bill provisions and replaced PCS with IHCA/IHCC pending CMS approval.
  • CMS subsequently approved the State Plan Amendment implementing IHCA/IHCC, terminating PCS/PCS-Plus on May 31, 2011 and transitioning to new services on June 1, 2011.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Is the appeal moot due to PCS termination? AHHC argues issues remain live despite repeal and CMS issues. DMA contends repeal and CMS changes render issues moot. Yes; but court vacates and remands to dismiss as moot.
Do mootness exceptions apply to preserve review? Contested issues fall within exceptions (public interest, repetition). No applicable exceptions; events mooted the controversy. No exceptions persuasive; mootness governs.
Did CMS approval cure mootness and foreclose relief? Relief could affect ongoing policy interpretations despite repeal. CMS approval eliminated the controversy's practical effect. CMS approval ended the controversy; mootness stands.

Key Cases Cited

  • Roberts v. Madison County Realtors Assn., 344 N.C. 394, 474 S.E.2d 783 (1996) (mootness requires practical effect on controversy)
  • Simeon v. Hardin, 339 N.C. 358, 451 S.E.2d 858 (1994) (exceptions to mootness when issues repeat)
  • Thomas v. N.C. Dept. of Human Resources, 124 N.C.App. 698, 478 S.E.2d 816 (1996) (mootness and public-interest considerations)
  • Matthews v. Dept. of Transportation, 35 N.C.App. 768, 242 S.E.2d 653 (1978) (practice when a case becomes moot on appeal)
  • Southern Bell Telephone & Telegraph Co., 289 N.C. 286, 221 S.E.2d 322 (1976) (mootness handling on appeal; dismissal as default disposition)
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Case Details

Case Name: Association for Home & Hospice Care of North Carolina, Inc. v. Division of Medical Assistance
Court Name: Court of Appeals of North Carolina
Date Published: Aug 16, 2011
Citations: 214 N.C. App. 522; 715 S.E.2d 285; 2011 N.C. App. LEXIS 1759; COA10-710
Docket Number: COA10-710
Court Abbreviation: N.C. Ct. App.
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