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36 A.3d 888
Me.
2012
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Background

  • Mrs. T. appeals a final judgment affirming the denial of her grievance seeking waiver eligibility for her son C.T.
  • C.T. is a fifteen-year-old with severe disabilities requiring continuous one-to-one supervision, placed in a New Hampshire residential facility at the Department’s initial direction.
  • Department employees advised Mrs. T. that C.T. was grandfathered under the waiver, creating a belief of ongoing eligibility.
  • A regulatory change effective December 30, 2007 ended waiver eligibility for minors; the status of C.T. was not updated for years.
  • Between 2005 and 2007 the Department attempted to find a Maine placement but faced funding and regulatory constraints, hindering placement efforts.
  • In 2009 Mrs. T. learned C.T. was no longer waiver-eligible and sought funding for a Lewiston placement; the waiver ultimately could not fund it.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether equitable estoppel lies against the government under these facts T. relies on misrepresentations to prove detrimental reliance No causal link between misinformation and C.T.’s ineligibility Estoppel not applicable; no detrimental reliance proven

Key Cases Cited

  • Dep’t of Health and Human Servs. v. Pelletier, 2009 ME 11 (Me. 2009) (estoppel requires proof of detrimental reliance with caution in government actions)
  • Mathieu v. Comm’r of Human Servs., 562 A.2d 686 (Me. 1989) (estoppel burden on the claimant; high bar against government)
  • Hart v. County of Sagadahoc, 609 A.2d 282 (Me. 1992) (governmental estoppel is limited; not as broad as private party)
  • Trull Nursing Home, Inc. v. Dep’t of Human Servs., 461 A.2d 490 (Me. 1983) (warns against broad application to public fisc)
  • Tenants Harbor Gen. Store, LLC v. Dep’t of Envtl. Prot., 2011 ME 6, 10 A.3d 722 (Me. 2011) (appellate review of estoppel standards in agency actions)
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Case Details

Case Name: Mrs. T. ex rel. C.T. v. Commissioner of Department of Health & Human Services
Court Name: Supreme Judicial Court of Maine
Date Published: Feb 2, 2012
Citations: 36 A.3d 888; 2012 ME 13; 2012 Me. LEXIS 11
Court Abbreviation: Me.
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    Mrs. T. ex rel. C.T. v. Commissioner of Department of Health & Human Services, 36 A.3d 888