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Matter of Severino v. Ingraham

Appellate Division of the Supreme Court of New York, Third Department
Aug 4, 1977
59 A.D.2d 587 (N.Y. App. Div. 1977)

Opinion

August 4, 1977


Appeal from a judgment of the Supreme Court at Special Term, entered November 3, 1976 in Albany County, which granted petitioners' application, in a proceeding pursuant to CPLR article 78, to annul a determination of the Health Department. This proceeding was previously before this court on a motion to dismiss and we concluded that the petition stated a cause of action (Matter of Severino v Ingraham, 45 A.D.2d 564). Petitioners challenge the rate at which their nursing home was to be compensated for the care of Medicaid beneficiaries. The rate established by the commissioner was based upon a patient occupancy rate of 80% rather than the actual figure of 55%, thereby reducing the amount of compensation to the nursing home. The regulation applicable in determining the proper rate at the time required that the per patient day cost of care be determined by dividing the total allowable expenses by the total patient days of care during the previous year (10 NYCRR 770.12 [repealed Jan. 1970]). Since petitioners' nursing home had only been in operation six months prior to the date of the figures were to be computed, the commissioner chose a patient occupancy rate higher than the actual number of patient days of care provided. Special Term concluded that the commissioner's rate determination was arbitrary and capricious, annulled the determination, and remitted the matter for further proceedings. This appeal ensued. Initially, we conclude that this article 78 proceeding is an improper vehicle to challenge the commissioner's rate determination and, therefore, convert this proceeding, in the exercise of our discretion, into one for a declaratory judgment (Matter of White Plains Nursing Home v Whalen, 53 A.D.2d 926, affd 42 N.Y.2d 838). Regarding the computation of the rate pursuant to regulation, it is a generally established principle that the Legislature may, by statutory authority, confer upon an agency the power to adopt regulations reasonably expected to advance the purposes for which it was created and that reasonable regulations so adopted have the force and effect of law (People ex rel. Jordan v Martin, 152 N.Y. 311; Wickham v Levine, 47 Misc.2d 1, affd 24 A.D.2d 1035, affd 23 N.Y.2d 923; see, also, Matter of Jeffers v Duffy, 52 A.D.2d 730; Park Place-Dodge Corp. v Collins, 75 Misc.2d 25, affd 43 A.D.2d 910). It is also well settled that an administrative agency is bound by its own regulations which have the full force and effect of law (People ex rel. Doscher v Sisson, 222 N.Y. 387; Matter of Conlon v McCoy, 27 A.D.2d 280; Matter of Poss v Kern, 263 App. Div. 320; Matter of Lawson v Cornelius, 35 Misc.2d 816). Appellant commissioner has concededly failed to follow the mandates of the applicable regulation. The commissioner does not challenge the regulations as unreasonable, but instead urges that the procedures enunciated therein were not proper in the situation presented in the case. If this were so, however, the regulation should have been amended, not ignored. In view of the fact that the commissioner's rate determination was computed in violation of the binding regulation under which he was operating, the determination was properly annulled. It was also correctly decided at Special Term that the commissioner's use of a lower percentage factor for the current cost adjustment than that prescribed in the regulation was improper. Such failure to comply with the regulations further necessitates annulment of the determination. Consequently, the judgment at Special Term annulling the determination of the commissioner and remitting the matter for further proceedings must be affirmed. Judgment affirmed, without costs. Koreman, P.J., Greenblott, Sweeney, Kane, and Main, JJ., concur


Summaries of

Matter of Severino v. Ingraham

Appellate Division of the Supreme Court of New York, Third Department
Aug 4, 1977
59 A.D.2d 587 (N.Y. App. Div. 1977)
Case details for

Matter of Severino v. Ingraham

Case Details

Full title:In the Matter of LAWRENCE J. SEVERINO et al., Doing Business as KENT…

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

Date published: Aug 4, 1977

Citations

59 A.D.2d 587 (N.Y. App. Div. 1977)

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