2020 Ohio 4044
Ohio Ct. App.2020Background
- Thomas Adams applied for Medicaid while represented by Saber Health Care d/b/a Eagle Creek (his authorized representative); Adams died before the application was finally decided.
- ODJFS denied Adams’s Medicaid application after a state hearing; Eagle Creek (as authorized representative) pursued administrative appeals.
- Adams (though deceased) and later Eagle Creek filed notices of appeal to the Adams County Common Pleas Court; at the time of filing, no personal or estate administrator had been appointed.
- The probate court appointed Jared B. Chamberlain as special administrator after the notice of appeal was filed.
- ODJFS moved to dismiss for lack of jurisdiction; the trial court dismissed the appeal for lack of standing/jurisdiction.
- The Fourth District affirmed, holding that an authorized representative’s authority lapses at death and that Saber was not an “appellant” under R.C. 5101.35 when it filed the common-pleas appeal.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Saber (a nursing provider/authorized representative) had standing as an “appellant” under R.C. 5101.35 to appeal ODJFS’s denial after Adams’s death | Saber: its designation as Adams’s authorized representative and its pecuniary interest (nonpayment for services) let it appeal under R.C. 119.12 and §5101.35 | ODJFS: only an applicant/participant/recipient (or a properly appointed personal representative after death) qualifies as an “appellant” under R.C. 5101.35; an authorized representative’s authority lapses at death | Held: Saber was not an “appellant” under R.C. 5101.35; its authorization lapsed on Adams’s death and it lacked standing; appeal dismissed |
| Whether Saber could invoke R.C. 119.12 as a “party” to appeal independent of R.C. 5101.35 | Saber: even if §5101.35 applies, Saber qualifies as a “party” under R.C. 119.12 because the administrative order adversely affected its pecuniary interests | ODJFS: §5101.35 defines who may appeal to common pleas; Saber is not in that statutory class, so §119.12 does not save its appeal | Held: Court did not reach the merits of §119.12 argument because Saber failed to qualify as an “appellant” under §5101.35; the §119.12 issue was moot |
Key Cases Cited
- Santa v. Ohio Dept. of Human Serv., 136 Ohio App.3d 190 (8th Dist. 2000) (power of attorney lapses at death; agent lacks authority to pursue postmortem Medicaid claim)
- Baker v. McKnight, 4 Ohio St.3d 125 (Ohio 1983) (an estate administrator stands in the decedent’s shoes and is proper party after death)
- Willoughby Hills v. C. C. Bar’s Sahara, Inc., 64 Ohio St.3d 24 (Ohio 1992) (right to appeal administrative orders is statutory and not automatic)
- Fed. Home Loan Mortg. Corp. v. Schwartzwald, 134 Ohio St.3d 13 (Ohio 2012) (standing is assessed as of commencement of suit)
- Lujan v. Defenders of Wildlife, 504 U.S. 555 (1992) (party’s standing must exist at commencement of suit)
