From Casetext: Smarter Legal Research

Ambulance Ass'n of Greater N.Y. v. Grinker

Appellate Division of the Supreme Court of New York, First Department
Sep 27, 1990
165 A.D.2d 791 (N.Y. App. Div. 1990)

Opinion

September 27, 1990

Appeal from the Supreme Court, New York County (Burton Sherman, J.).


The court properly compelled the Commissioner of the Human Resources Administration of the City of New York (HRA) to perform his obligation under State regulation to negotiate a Medicaid ambulance reimbursement rate in good faith. 18 NYCRR 505.10 (c) (1) provides that reimbursement for transportation services shall not exceed the "lower" of the current local prevailing charge or locally negotiated fee. Additionally, the Medicaid Management Information System Manual (Medicaid Manual), a guide to participating Medicaid providers, under section 2.2.7, provides that "ambulance * * * [f]ees may be negotiated by [New York City] officials". Thus, the general thrust of the applicable regulation and Medicaid Manual is that a fee must be negotiated in good faith.

Here, HRA met with petitioner Ambulance Association of Greater New York, Inc. (AAGNY) once and purportedly without discussion offered a percentage increase which was rejected by petitioner. HRA, at this point, refused to enter into further negotiations without first conducting a cost analysis of services provided by Medicaid participants. On the basis of this record, the court properly found that HRA failed to comply with its required ministerial task of negotiating in good faith.

HRA also challenges AAGNY's standing, as an organization, to bring the instant petition on behalf of ambulance companies which provide services to Medicaid recipients. We have reviewed the petition and verified petition and find the pleadings sufficient to establish that AAGNY is an appropriate organization to act on behalf of its membership, which includes ambulance companies that provide transportation services to Medicaid recipients (see generally, Matter of Dental Socy. v. Carey, 61 N.Y.2d 330).

Concur — Murphy, P.J., Sullivan, Carro and Milonas, JJ.


Summaries of

Ambulance Ass'n of Greater N.Y. v. Grinker

Appellate Division of the Supreme Court of New York, First Department
Sep 27, 1990
165 A.D.2d 791 (N.Y. App. Div. 1990)
Case details for

Ambulance Ass'n of Greater N.Y. v. Grinker

Case Details

Full title:AMBULANCE ASSOCIATION OF GREATER NEW YORK, INC., Respondent, v. WILLIAM…

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

Date published: Sep 27, 1990

Citations

165 A.D.2d 791 (N.Y. App. Div. 1990)
564 N.Y.S.2d 279

Citing Cases

Matter of Long Island Med Transp v. Brandwein

Thus, we find that the Suffolk DSS acted properly in reducing the reimbursement rate and, accordingly, the…

Matter of LaSalle Ambulance v. Merrifield

We conclude, however, that the court erred in directing the parties to negotiate a new reimbursement rate for…