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Matter of Ilhom TAHER, Diane Sitarek and Anthony Warnes, Petitioners, v. Antonia C. NOVELLO, M.D., as Acting Commissioner of New York State Department of Health, and New York State Department of Health, Respondents.
Although petitioners have not raised a substantial evidence question and thus this proceeding was improperly transferred to this Court pursuant to CPLR 7804(g), we will retain the proceeding and consider the merits in the interest of judicial economy (see, Matter of Dubb Enters. v. New York State Liq. Auth., 187 A.D.2d 831, 832, 589 N.Y.S.2d 962).
Petitioners, Medicaid recipients residing at a skilled nursing facility, challenge the determinations denying their requests for prior approval for the purchase of items of durable medical equipment under the medical assistance program (see, 18 NYCRR part 513). Petitioners' requests were denied based upon the determinations of respondent agency that the cost of the equipment is included in the skilled nursing facility's reimbursement rate under the applicable regulations (see, 10 NYCRR 415.26[i][1][vii][k]; 18 NYCRR 505.5[d][1][iii] ). “An agency's interpretation of its regulations must be upheld unless the determination is ‘irrational and unreasonable’ ” (Matter of Marzec v. DeBuono, 95 N.Y.2d 262, 266, 716 N.Y.S.2d 376, 739 N.E.2d 742, quoting Seittelman v. Sabol, 91 N.Y.2d 618, 625, 674 N.Y.S.2d 253, 697 N.E.2d 154). The interpretation of the regulations by respondent agency is not irrational or unreasonable. Nor is its interpretation contrary to Social Services Law § 365-a or 42 USC § 1396. Finally, contrary to petitioners' contention, the interpretation of the regulations by respondent agency does not involve the application of a fixed, general principle “ ‘without regard to other facts and circumstances relevant to the regulatory scheme of the statute it administers' ” (Matter of New York City Tr. Auth. v. New York State Dept. of Labor, 88 N.Y.2d 225, 229, 644 N.Y.S.2d 463, 666 N.E.2d 1336; cf., Matter of Cordero v. Corbisiero, 80 N.Y.2d 771, 772-773, 587 N.Y.S.2d 266, 599 N.E.2d 670). Therefore, the requirements of article 2 of the State Administrative Procedure Act do not apply (see, Matter of New York City Tr. Auth. v. New York State Dept. of Labor, supra, at 229, 644 N.Y.S.2d 463, 666 N.E.2d 1336).
Determinations unanimously confirmed without costs and petition dismissed.
MEMORANDUM:
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Decided: December 27, 2000
Court: Supreme Court, Appellate Division, Fourth Department, New York.
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FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
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