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MHL ARTICLE 81 - New York State Unified Court System

MHL ARTICLE 81 - New York State Unified Court System

MHL ARTICLE 81 - New York State Unified Court System

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the application without prejudice to bringing a new application to created a 1st party "payback" SNT<br />

for the contents of both bank accounts.<br />

Estate of Cora Barnes v. Lawrence Nursing Home, NYLJ, 11/20/03, p. 19 (Sup. Ct., Kings<br />

Cty.)(Kramer, J.)<br />

Interpreting PHL 2801-d(5) the court holds that where nursing home resident received a tort<br />

damage ward for personal injury inflicted by the nursing home, the award would not become a<br />

pyhric victory by rendering her ineligible for Medicaid in the FUTURE, however, applying the<br />

principals of Cricchio, the Medicaid lien for PAST treatment would not be waived.<br />

Ianazzi v. Seckin, NYLJ, 12/9/02) (Sup. Ct., Kings Cty.)(Pesche,J)<br />

Example of case where DSS lien is upheld under Cricchio (see below)<br />

Gold v. United Health Services, 95 N.Y.2d 683; 723 N.Y.S.2d 117 (2001); 746 NE2d 172<br />

Social Services Law §104 (2) limits the amount that a public welfare official may recoup from an<br />

infant who receives public assistance benefits but that limitation does not apply to an infant who<br />

receives Medicaid funds. Medicaid is always the payor of last resort and a Medicaid lien must be<br />

satisfied in full before the infant's funds may be placed into an SNT, even if it means that there will<br />

be nothing left to place into the SNT. OVERULED BY ARKANSAS v. AHLBORN (SEE<br />

BELOW)<br />

In re: Blakey (Buhania), 187 Misc.2d 312; 722 N.Y.S.2d 333 (Sup. Ct., Monroe Cty., 2000)<br />

<strong>Court</strong> denies OMRDD claims for reimbursement of "improperly paid" Medicaid because when the<br />

benefits were paid, the funds were not "available" to the client and will not be "available" until she<br />

has a guardian to take them on her behalf. <strong>Court</strong> authorizes attorneys fees to the AIP's attorney<br />

pursuant to the Civil Rights Attorney's Fee Act of 1976 against AG for raising this argument, even<br />

though Attorney General claims to have raised the argument in good faith claiming this area of the<br />

law is still unsettled.<br />

nd<br />

Carpenter v. Saltone Corp., 276 A.D.2d 202, 716 N.Y.S.2d 86 (2 Dept., 2000)<br />

Under rule of Baker v. Sterling, 39 NY2d 397 (1976), a Medicaid lien for a person under age 21<br />

must be satisfied to the extent to of reimbursing Medicaid for funds paid for medical treatment for<br />

the minor. Citing the Appellate Division decision in Gold v. United Health Services Hosps., 261<br />

AD2d 67 (1999), and other cases, <strong>Court</strong> held that counsel for an infant in a personal injury action<br />

may not circumvent the rule of Baker by denominating the entire settlement as being for pain and<br />

suffering.<br />

70

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