From Casetext: Smarter Legal Research

Matter of Faxton Sunset v. Dowling

Appellate Division of the Supreme Court of New York, Fourth Department
Nov 8, 1996
233 A.D.2d 865 (N.Y. App. Div. 1996)

Opinion

November 8, 1996.

Judgment unanimously affirmed with costs.

Before: Present — Denman, P.J., Green, Wesley, Balio and Davis, JJ.


Supreme Court properly granted the petition challenging respondents' determination recalculating petitioner's Medicaid reimbursement rate and directing recoupment of overpayments made for the 1987 and 1988 rate years. The record establishes that the reimbursement rates for those years were determined in accordance with applicable Department of Health regulations ( see, 10 NYCRR 86-2.10 [b] [1] [i]; [3] [iii]; Matter of Sisters of Charity Hosp. v Axelrod, 98 AD2d 979). Contrary to respondents' contention, any error in fixing those rates was the product of "judgmental considerations involving expertise" ( Matter of Daleview Nursing Home v Axelrod, 62 NY2d 30, 34), not "mathematical miscalculation, computer error * * * the submission of false information" or other "mistake of fact which [respondents] may rectify" ( Matter of Westledge Nursing Home v Axelrod, 68 NY2d 862, 864-865). Because any overpayment was the result of an error of judgment rather than fact, respondents have no right of recoupment ( see, Hurlbut v Whalen, 58 AD2d 311, 318, lv denied 43 NY2d 643; see also, Matter of Sisters of Charity Hosp. v Axelrod, supra). (Appeal from Judgment of Supreme Court, Oneida County, Shaheen, J. — CPLR art 78.)


Summaries of

Matter of Faxton Sunset v. Dowling

Appellate Division of the Supreme Court of New York, Fourth Department
Nov 8, 1996
233 A.D.2d 865 (N.Y. App. Div. 1996)
Case details for

Matter of Faxton Sunset v. Dowling

Case Details

Full title:In the Matter of FAXTON SUNSETST. LUKE'S SKILLED NURSING FACILITY, INC.…

Court:Appellate Division of the Supreme Court of New York, Fourth Department

Date published: Nov 8, 1996

Citations

233 A.D.2d 865 (N.Y. App. Div. 1996)
649 N.Y.S.2d 287

Citing Cases

Lutheran Med. Ctr. v. Daines

In this regard, "where a facility's [Medicaid] reimbursement rates were based upon mathematical…

United Cerebral Palsey of N.Y.C. v. State

Subject matter jurisdiction over claims such as those alleged in the proposed claim resides in an…