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Granato v. Bane
74 F.3d 406 (2d Cir. 1996); No. 94-7173 (2d Cir. Jan. 22, 1996). ; Clearinghouse Number: 51186
Description
Medicaid Recipients Whose Home Care Services Were Automatically Terminated upon Hospitalization Were Entitled to Notice and Continuing Aid Pending Hearing
Abstract
In these consolidated cases, the Second Circuit has held that the
termination by New York Department of Social Services (DSS) of
Medicaid home care services upon a recipient’s admission to
the hospital constitutes an "action" under 42 C.F.R.
§ 431.201 triggering the recipient’s right to notice, a
hearing, and the continuation of home care services pending that
hearing. Plaintiff Medicaid recipients challenged the reduction or
termination of their home care services upon brief admissions to
the hospital. In Granato the district court found that the
termination of plaintiff’s home care upon hospitalization was
not an "action" under section 431.201 because plaintiff
suffered no detrimental change in health care by being
hospitalized. The court also held that DSS’s letter notifying
plaintiff that her benefits had been discontinued did not
constitute an "action" because plaintiff’s request
for a resumption of benefits following hospitalization was
technically a new application for benefits, which DSS simply
denied. Relying heavily on Granato, the district court in McCoy
granted DSS summary judgment, and the cases were consolidated on
appeal. Reversing, the court of appeals held that DSS’s
decision to treat the discontinuance of services during a
hospitalization as an "automatic" termination (as opposed
to a suspension) of those services constituted agency action as
defined in the regulations. Although home care services were
unavailable during the period of hospitalization, DSS was required
to notify the recipient in a timely and adequate manner of the
termination. It was also required to provide continuing aid pending
a hearing so long as the recipient requested a hearing within 10
days of the notice.
