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Matter of Med. Arts Sanitarium v. St. Dept

Appellate Division of the Supreme Court of New York, First Department
Jun 23, 1992
184 A.D.2d 399 (N.Y. App. Div. 1992)

Opinion

June 23, 1992

Appeal from the Supreme Court, New York County (Beatrice Shainswit, J.).


The underlying CPLR article 78 proceeding, seeking to annul a determination which reduced petitioner's 1987 Medicaid and Blue Cross hospital in-patient reimbursement rate, was commenced on or about April 9, 1990. The initial determination, rendered April 13, 1989, became final and binding upon the petitioner on May 13, 1989, the last day for the petitioner to have sought further administrative review of the "first-level" determination of its rate appeal pursuant to 10 NYCRR 86-1.17 (c) (1) (Matter of Edmead v. McGuire, 67 N.Y.2d 714; Solnick v. Whalen, 49 N.Y.2d 224).

Petitioner's oral request for a "re-review" did not render the April 13, 1989 determination non-final nor extend the statute of limitations where, as here, petitioner submitted no new evidence concerning the timeliness of its decertification request and the respondents did not engage in a "fresh and new redetermination" of petitioner's 1987 volume adjustment (Matter of Corbisiero v New York State Tax Commn., 82 A.D.2d 990, affd 56 N.Y.2d 680). Consequently, the proceeding was well without the four month statutory period (CPLR 217).

Nor is the proceeding subject to the three year limitations period set forth in CPLR 214 (5) applicable to claims brought under 42 U.S.C. § 1983 and 1396a (a) (13) (A) (the Boren Amendment), merely because the petition recites a conclusory allegation that the determination violates Federal Medicaid Law. The petition contains no allegations that the Medicaid rates did not satisfy the Boren Amendment's requirement of reasonableness and adequacy nor does it challenge the State's compliance with Federal standards governing Medicaid reimbursement (Rye Psychiatric Hosp. Ctr. v. Surles, 768 F. Supp. 82).

We have considered petitioner's remaining claims and find them to be without merit.

Concur — Murphy, P.J., Rosenberger, Ross and Smith, JJ.


Summaries of

Matter of Med. Arts Sanitarium v. St. Dept

Appellate Division of the Supreme Court of New York, First Department
Jun 23, 1992
184 A.D.2d 399 (N.Y. App. Div. 1992)
Case details for

Matter of Med. Arts Sanitarium v. St. Dept

Case Details

Full title:In the Matter of MEDICAL ARTS SANITARIUM, INC., Doing Business as MEDICAL…

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

Date published: Jun 23, 1992

Citations

184 A.D.2d 399 (N.Y. App. Div. 1992)
585 N.Y.S.2d 355

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