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Raes Pharmacy, Inc. v. Perales

Appellate Division of the Supreme Court of New York, First Department
Feb 26, 1991
170 A.D.2d 378 (N.Y. App. Div. 1991)

Opinion

February 26, 1991

Appeal from the Supreme Court, New York County (Clifford A. Scott, J.).


Petitioner, which has been a participating provider in the Medicaid program since 1983, was required in 1987, pursuant to the enactment of 18 NYCRR 504.10 (b), to submit an application for enrollment as a provider. Pursuant to its policy of conducting on-site inspections of pharmacies which had already been established as substantial providers before the enrollment requirement was enacted, respondent inspected petitioner's pharmacy and thereafter refused to enroll petitioner as a provider, effectively terminating its right to continue to participate in the program. Following the denial of petitioner's administrative appeal brought pursuant to 18 NYCRR 504.5 (e), petitioner commenced the instant proceeding pursuant to CPLR article 78.

Regardless of whether a Medicaid provider has already been a participating provider, it is not entitled to a hearing on an enrollment application (Matter of Barata v Perales, 157 A.D.2d 623). The record herein demonstrates that respondent's refusal to enroll petitioner was properly based on its inspection, which revealed several conditions amounting to "unacceptable practices", as defined in 18 NYCRR 515.2. Thus, its refusal to enroll petitioner was neither arbitrary nor capricious and should therefore not have been disturbed on judicial review. (See, Matter of Pell v Board of Educ., 34 N.Y.2d 222.)

We have examined petitioner's remaining contentions and find that they are without merit.

Concur — Kupferman, J.P., Carro, Ellerin, Wallach and Smith, JJ.


Summaries of

Raes Pharmacy, Inc. v. Perales

Appellate Division of the Supreme Court of New York, First Department
Feb 26, 1991
170 A.D.2d 378 (N.Y. App. Div. 1991)
Case details for

Raes Pharmacy, Inc. v. Perales

Case Details

Full title:In the Matter of RAES PHARMACY, INC., Respondent, v. CESAR A. PERALES…

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

Date published: Feb 26, 1991

Citations

170 A.D.2d 378 (N.Y. App. Div. 1991)
566 N.Y.S.2d 270

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