DocketNumber: Appeals, No. 987 C.D. 1984 and 1711 C.D. 1984
Citation Numbers: 100 Pa. Commw. 587, 515 A.2d 113
Judges: Barry, Blatt, Rogers
Filed Date: 9/19/1986
Status: Precedential
Modified Date: 6/24/2022
Opinion by
James Rocco, trading as Roccos Pharmacy (petitioner) -appeals two orders of the Department of Public Welfare (DPW) terminating his providers agreement with DPW for a two year period
DPW notified the petitioner that, as a result of an investigation, his participation as a pharmacist-provider in Pennsylvania’s Medical Assistance (MA) program would be terminated due to his violation of DPW regulations. The charges against the petitioner were based, inter alia, upon 15 instances in which he had
The petitioner contends that the DPW adjudication denied him his due process rights, and he alleges that there had been an impermissible commingling of prosecutorial and adjudicatory functions.
This Court has previously held that an impermissible commingling of adjudicatory and prosecutorial functions, resulting in a denial of due process, takes place
The petitioner further contends that he was prejudiced by the failure of the hearing examiner to exercise any independent adjudicatory discretion when he purportedly affirmed the penalty initially set forth in the charge letter sent by DPW. In provider appeals, however, the powers of a hearing examiner are limited to making proposals and recommendations, which may, as here, be adopted or accepted by the Director of the Office of Hearing and Appeals. Northwestern Institute of Psychiatry v. Department of Public Welfare, 99 Pa. Commonwealth Ct. 213, 513 A.2d 495 (1986).
The petitioner also contends that there is not substantial evidence to support the findings of lact necessary to DPWs decision. Our review of the record fails to support this contention, however, for it appears that the petitioner admitted dispensing different, less expensive drugs than were billed to DPW. The petitioner further argues, of course, that uncontradicted evidence was presented to show that the incorrect billings were the result of instructions provided by DPWs own representative. Yet the record clearly indicates that the evidence presented in this respect was conflicting, not uncontroverted, and that the conflict was resolved adversely to the petitioner. Credibility determinations and the weight to be accorded the evidence received are matters solely within the province of the administrative agency, and our review fails to reveal that any compe
We will, therefore, affirm the orders of the Department of Public Welfare.
Order
And Now, this 19th day of September, 1986, the order of the Department of Public Welfare in the above-captioned matter is affirmed.
Order
And Now, this 22nd day of October, 1986, having considered the respondents verified Bill of Costs pursuant to Pa. R.A.P. 2741(2), which provides that costs, including the cost of printing or reproducing briefs as provided by Pa. R. A.P. 2742, shall be taxed against the petitioner where an order is affirmed, and having considered the petitioners exceptions to said Bill of Costs, wherein the petitioner states an intent to file a timely Petition for Allowance of Appeal to the Pennsylvania Supreme Court requesting review of our September 19, 1986 order, we conclude that, under such circumstances, our September 19, 1986 order cannot be held at this time to constitute the requisite final order for the taxation of costs under Pa. R.A.P. 3751. We note, however, that the respondents timely filing of its Bill of Costs under Rule 3751 should be preserved should our Supreme Court affirm our September 19, 1986 order.
It is, therefore, hereby ORDERED that the respondents Bill of Costs is denied without prejudice.
The petitioners agreement was terminated for two years, after which he could apply to participate again as a participating provider.
The petitioner also asserts that the order of DPWs Director of Hearing and Appeals denying his request for reconsideration is invalid on the basis that it was not rendered within the thirty day period prescribed by Pa. R.A.P. 1701. Our review of the record indicates, however, that action was undertaken by the Secretary within the prescribed time inasmuch as, within the thirty day period, the Director ordered both parties to respond to the petition for consideration each had filed. Assuming arguendo that no action was taken within the required thirty day period, the Director would, in any event, merely be without power to grant such petitions. Since Pa. R.A.P. 1701 does not provide that failure to timely deny such a petition is tantamount to granting the relief sought therein, we believe that there is no significance to be accorded the Directors purportedly untimely denial of the reconsideration requests. See also Ormes v. Department of Public Welfare, Pa. Commonwealth Ct. , n.5, 512 A.2d 87, 89 n.5 (1986).
In Northwestern, it was noted that hearings and intra-agency review in provider appeals are conducted pursuant to the General Rules of Administrative Practice set forth in 1 Pa. Code §§35.1-35.251.
A capricious disregard of competent evidence, warranting rejection of an agency’s finding of feet, is the willful, deliberate disbelief of an apparently trustworthy witness whose testimony could not possibly be challenged or doubted by a person of ordinary intelligence. Yuhas v. Workmen's Compensation Appeal Board (City of Pittsburgh), 82 Pa. Commonwealth Ct. 390, 476 A.2d 1377 (1984).