Zellweger v. New York State Dep't of Soc. Servs., 547 N.E.2d 79 (NY 1989). · Go Syfert
Zellweger v. New York State Dep't of Soc. Servs., 547 N.E.2d 79 (NY 1989). Cases Citing This Book View Copy Cite
18 citation events (4 in the last 25 years) across 4 distinct courts.
Strongest positive: Bryan v. Doar (nyappdiv, 2007-03-27)
Top citers, strongest first. 5 distinct citers. How cited ↗
discussed Cited as authority (rule) Bryan v. Doar
N.Y. App. Div. · 2007 · confidence medium
Contrary to the appellant’s contention, the Supreme Court properly held that the 60-day statute of limitations period for requesting a fair hearing was effectively tolled (see Social Services Law § 22 [4] [a]; Matter of Zellweger v New York State Dept. of Social Servs., 74 NY2d 404, 408 [1989]; Matter of Bryant v Perales, 161 AD2d 1186 [1990]; Matter of Kantanas v Wyman, 38 AD2d 849 [1972]).
discussed Cited as authority (rule) Cogeos v. Novello
N.Y. App. Div. · 2006 · confidence medium
Further, while defective notice effectively tolls the applicable statute of limitations (see Matter of Zellweger v New York State Dept. of Social Servs., 74 NY2d 404, 408 [1989]), there is no basis for tolling in this case (see Matter of Fieldston Lodge Nursing Home v DeBuono, 261 AD2d 543, 543-544 [1999]; Matter of Glengariff Health Care Ctr. v Glass, 231 AD2d 717, 718 [1996]).
discussed Cited as authority (rule) Bryant v. Perales (2×)
N.Y. App. Div. · 1990 · confidence medium
Ordinarily, we would remit to the Commissioner to review the merits (see, Matter of Zellweger v New York Dept, of Social Servs., supra, at 409) but on this record it is unnecessary to do so.
discussed Cited "see" Bostrom v. State, No. Cv91-0391558 (Apr. 15, 1992)
Conn. Super. Ct. · 1992 · signal: see · confidence high
See, Angelo v. Toia, 402 N.Y.S.2d 881 -82 (1978), in which the Appellate Division of the Supreme Court ruled that petitioner was entitled to a fair hearing on the merits even though requested after the sixty day period for filing because the agency notice denying her medicaid benefits, "did not advise petitioner that she was entitled to be represented at a Fair Hearing by counsel or that if she could not obtain counsel for herself community legal services were available." Accord, Zellweger v. Department of Social Services, 547 N.E.2d 79 (1989) (failure of agency to follow its own rules excuses…
discussed Cited "see, e.g." Kross v. Perales
N.Y. App. Div. · 1989 · signal: see also · confidence low
We find that under the facts of this case, the petitioner has not established that his claim, which concerns the administrative application of State statutes and regulations (see, Social Services Law §§ 363, 22 [9] [a]; § 106-b; 18 NYCRR 358.22), is a bona fide civil rights claim pursuant to 42 USC § 1983 so as to warrant an award of attorney’s fees (see, Matter of Rozier v Perales, 149 AD2d 710 ; see also, Matter of Zellweger v New York State Dept, of Social Servs., 74 NY2d 404 ).
Retrieving the full opinion text from the archive…
In the Matter of Hedvig Zellweger, on Behalf of Robert Zellweger, Appellant,
v.
New York State Department of Social Services Et Al., Respondents
New York Court of Appeals.
Oct 26, 1989.
547 N.E.2d 79
POINTS OF COUNSEL, Norma E. Hogan for appellant., Robert Abrams, Attorney-General (Clifford A. Royael, O. Peter Sherwood and Wayne L. Benjamin of counsel), for New York State Department of Social Services, respondent.
Wachtler.
Cited by 15 opinions  |  Published

OPINION OF THE COURT

Chief Judge Wachtler.

Robert Zellweger, the appellant here, is 91 years of age and has suffered from Alzheimer’s disease for the past 20 years. He has resided in a Lake Placid nursing home since 1979. His illness has rendered him incompetent, and he is represented in this appeal by his wife Hedvig, who is 86 years of age. His wife suffers from asthma and was hospitalized for extreme respiratory distress during much of the period that is at issue in this appeal.

The Zellwegers have spent more than $127,000 of their savings to meet Mr. Zellweger’s expenses at the nursing home. As their life savings dwindled, Mrs. Zellweger became increasingly concerned about her ability to support herself and her husband. In December of 1983, at the urging of a hospital social worker, she applied for Medicaid benefits for her husband. At that time, less than $20,000 of the Zellweger’s savings remained and their combined monthly income was approximately $800.

Mrs. Zellweger’s application for medical assistance on her husband’s behalf was granted on February 24, 1984, when she was informed by letter that her husband would be eligible to[*407] receive benefits effective October 1, 1983. On March 31, 1984, however, her husband’s benefits were discontinued because of "excess resources.” The respondent Franklin County Department of Social Services (County) apparently concluded from a disclosure form submitted by Mrs. Zellweger in connection with her husband’s Medicaid application that funds being held in trust for her husband, but not accessible to him, were in fact owned by him and were available for his support. On June 24, 1986, Mrs. Zellweger requested a fair hearing regarding the discontinuance of her husband’s benefits in March of 1984 and subsequent denials of medical assistance by the County in March, June and November of 1985 and January of 1986.

The Commissioner of the Department of Social Services (Commissioner) determined that he was without subject matter jurisdiction to consider the merits of any of the denial notices at issue because Mrs. Zellweger had not requested a fair hearing within the 60-day limitation period (Social Services Law § 22 [4]; see, 18 NYCRR 358.5 [a]). She commenced an article 78 proceeding seeking a review of the Commissioner’s determination. The trial court, "in light of the circumstances of this particular case, including the obvious incompetency of Robert [and] the advanced age and frailty of Hedvig,” decided that the 60-day statutory period should be tolled, and remitted the matter to the Commissioner for further proceedings. The Appellate Division reversed, concluding that Mrs. Zellweger’s "failure to timely request a hearing at each stage effectively deprived [the Commissioner] of jurisdiction to review her present claims” (148 AD2d 865, 868).

We disagree. To be sure, Mrs. Zellweger did not meet the County’s 60-day deadline for requesting a hearing on her husband’s behalf. But the indignation of the Social Services Department (Department) and the County over her failure to meet the 60-day deadline rings hollow in light of their own failure to comply with the law and regulations that govern the conduct of fair hearings. While holding a 91-year-old Alzheimer’s patient and his 86-year-old wife to strict compliance with the statute, the respondents have in this case failed to follow the clear language of their own regulations.

It is uncontested that the County sent the March 1984 notice of discontinuance directly to Mr. Zellweger, who was completely unable to evaluate the information contained in it, and not to his wife, who had actually applied for the benefits[*408] on his behalf. Social Services Law § 22 (12) requires that notice of any action "affecting [the] receipt of assistance or care” be sent in writing to both the recipient and the applicant (see also, 18 NYCRR 358.3). Mr. Zellweger’s right to a fair hearing on the merits was most certainly prejudiced by the County’s failure to send the notice of discontinuance directly to his wife. We conclude, therefore, that the County’s failure to comply with the clear language of section 22 (12) of the Social Services Law effectively tolled the 60-day limitations period (see, Matter of Angelo v Toia, 61 AD2d 1121, 1122; Matter of Pratt v Blum, 111 Misc 2d 228, 229). As a result, Mr. Zellweger is entitled to a fair hearing regarding both the initial discontinuance of benefits and the subsequent notices of denial for the period in question, since the later applications for medical assistance were necessitated by the decision in March of 1984 to discontinue benefits previously awarded. As noted by the trial court, the November 1985 notice of denial was later rescinded and any review of that denial is therefore moot.

Additionally, it would appear that the Department did not comply with 18 NYCRR 358.18, which states that a fair hearing decision "shall be issued as promptly as feasible and within 90 days from the date the request for a fair hearing is received by the department” (see also, 42 CFR 431.244 [f]). Mrs. Zellweger first requested a fair hearing in connection with the notices of denial in June of 1986. A second hearing concerning a July 16, 1986 notice was requested on July 18, 1986. A fair hearing was conducted in two parts, on August 14, 1986 and September 26, 1986. Yet the Department did not issue its decision until March of 1987, nearly nine months from the initial fair hearing request.

Finally, we would note that the March 1984 notice of discontinuance was defective because it did not alert Mrs. Zellweger to the fact that she needed to request a fair hearing within 60 days. Social Services Law § 22 (12) requires that notice of agency actions affecting the receipt of medical assistance specify hearing rights and procedures. We conclude from the language of this section that any such notice should contain information relating to the time limit for hearing requests. Lower courts have determined that a failure to specify the 60-day period for requesting a hearing tolls the time limit and permits a determination on the merits (see, Matter of Melgar v D'Elia, 96 AD2d 1101, 1102; Matter of Piasecki v Blum, 78 AD2d 950).

[*409] Inasmuch as the record does not indicate a violation of 42 USC § 1983, we find the appellant’s claim for attorneys’ fees to be without merit.

Accordingly, the order of the Appellate Division should be reversed, with costs, and this matter remitted to the Commissioner of the Department of Social Services for further proceedings and a review on the merits of all determinations denying appellant medical assistance from March 21, 1984 through May 31, 1986.

Judges Simons, Kaye, Alexander, Titone, Hancock, Jr., and Bellacosa concur.

Order reversed, with costs, and matter remitted to Supreme Court, Franklin County, with directions to remand to the Commissioner of the State Department of Social Services for further proceedings in accordance with the opinion herein.