Masters v. Ohio Dept. of Medicaid
CourtOhio Court of Appeals
Date FiledMay 28, 2026
Docket25AP-410
JudgeLeland
StatusPublished
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Full Opinion
[Cite as Masters v. Ohio Dept. of Medicaid, 2026-Ohio-1982.]
IN THE COURT OF APPEALS OF OHIO
TENTH APPELLATE DISTRICT
Amanda Masters et al., :
Plaintiffs-Appellants, :
No. 25AP-410
v. : (C.P.C. No. 24CV-2793)
Ohio Department of Medicaid et al., : (REGULAR CALENDAR)
Defendants-Appellees. :
D E C I S I O N
Rendered on May 28, 2026
On brief: Sam G. Caras Co., L.P.A., Sam G. Caras; David M.
Deutsch, for appellants. Argued: Sam. G. Caras.
On brief: Dave Yost, Attorney General, V. Alex Miller, and
Caitlyn N. Johnson, for appellees. Argued: V. Alex Miller.
APPEAL from the Franklin County Court of Common Pleas
LELAND, J.
{¶ 1} Plaintiffs-appellants, Amanda Masters and Bud Masters, appeal from a
judgment of the Franklin County Court of Common Pleas granting the motion to dismiss of
defendants-appellees, Ohio Department of Medicaid and its director, Maureen M.
Corcoran (collectively “ODM”).
I. Facts and Procedural History
{¶ 2} In April 2010, appellants’ minor child, F.M., was born prematurely, and “her
preterm delivery resulted in [F.M.’s] permanent moderate mental retardation along with
several physical impairments.” (Compl. at ¶ 2.) ODM paid medical bills related to the
premature birth of appellants’ daughter totaling $338,421.70. (Compl. at ¶ 5.) In 2016,
appellants filed suit in the Clark County Court of Common Pleas against the obstetricians
No. 25AP-410 2
who cared for F.M., and appellants eventually entered into a settlement of their claims
against those defendants “for 1.5 million dollars . . . subject to Clark County Common Pleas
Court Probate Division approval.” (Compl. at ¶ 8.)
{¶ 3} On November 8, 2021, appellants filed a complaint for declaratory judgment
against ODM in the Clark County Court of Common Pleas, Probate Division (“Clark County
Probate Court”), “challenging the validity, enforceability, and constitutionality of [ODM’s]
subrogation rights.” Masters v. Ohio Dept. of Medicaid, 2022-Ohio-3075, ¶ 7 (2d Dist.).
On December 9, 2021, ODM filed a motion to dismiss under Civ.R. 12(B)(1) and (6) “based
on lack of subject matter jurisdiction.” Id. at ¶ 12. By entry filed January 7, 2022, the Clark
County Probate Court dismissed the complaint for lack of jurisdiction.
{¶ 4} Appellants appealed from the decision of the Clark County Probate Court,
and the reviewing court addressed the issue “whether the trial court lacked subject matter
jurisdiction over this case because the Masters were required to pursue the administrative
process in R.C. 5160.37.” Id. at ¶ 19. In Masters, the Second District Court of Appeals
affirmed the judgment of the Clark County Probate Court. Relying on the Supreme Court
of Ohio’s decision in Pivonka v. Corcoran, 2020-Ohio-3476, the Second District held that,
“because R.C. 5160.37 provides exclusive subject matter jurisdiction over the matters at
issue, the trial court did not err in dismissing the complaint for lack of subject matter
jurisdiction.” Id. at ¶ 83.
{¶ 5} Appellants also requested an administrative hearing under R.C. 5160.37. On
April 25, 2022, a hearing examiner for ODM conducted a hearing on the issue whether the
amount of reimbursement of medical assistance paid by ODM should be “different than set
forth in R.C. 5160.37.” (ODM Hearing Examiner Decision at 1.) On September 7, 2022, the
hearing examiner issued a report and recommendation, concluding that ODM was entitled
to recover its medical expenditures in the amount of $338,421.70. The report and
recommendation provided notice that, in accordance with Adm.Code 5160-80-09,
appellants had the right to request an administrative appeal to the director of ODM.
{¶ 6} Appellants “did not make a request for an administrative appeal to the
director of [ODM] for review of the hearing decision.” In re F.M., 2023-Ohio-4522, ¶ 8
(10th Dist.). Instead, on September 19, 2022, appellants “filed a notice of appeal with the
trial court, pursuant to R.C. 119.12, from the . . . decision of the hearing examiner.” Id.
No. 25AP-410 3
ODM subsequently filed a motion to dismiss. By decision and entry filed January 19, 2023,
the trial court dismissed the appeal for lack of subject-matter jurisdiction. On further
appeal, this court, in F.M., affirmed the judgment of the trial court on grounds R.C. 5160.37
did not authorize appellants’ attempt to appeal directly from the hearing examiner’s
decision and because the decision appealed from was not an adjudication from which an
appeal could be taken under R.C. 119.12.
{¶ 7} On April 5, 2024, appellants initiated the instant action by filing a complaint
for declaratory judgment against ODM, “challenging the subject matter jurisdiction and
legal validity, enforceability, and constitutionality of the subrogation rights of [ODM]
including . . . its interpretation and application of [R.C.] 5160.37.” (Compl. at ¶ 1.) The
complaint alleged appellants offered to pay ODM $100,000 “to satisfy any subrogation
interests” of ODM following the settlement of appellants’ claims, but that ODM “first
demanded total payment of $338,421.70, and last indicated it would accept $200,000 as a
firm demand for its subrogation interests.” (Compl. at ¶ 10.) Appellants requested a
declaration that R.C. 5160.37 “is an illegal violation” of Ohio and federal substantive law
and “conferred no subject matter jurisdiction” of ODM over appellants. (Compl. at ¶ 16.)
{¶ 8} On May 9, 2024, ODM filed a motion to dismiss, asserting lack of subject-
matter jurisdiction, res judicata, failure to exhaust administrative remedies, and failure to
state a claim upon which relief can be granted. In the motion to dismiss, ODM argued
appellants had previously filed (on November 8, 2021) a complaint for declaratory
judgment in the Clark County Probate Court which that court dismissed for lack of
jurisdiction on grounds the administrative review process set forth in R.C. 5160.37 was the
exclusive remedy available to appellants; ODM further noted that, following appellants’
appeal of that decision, the Second District Court of Appeals affirmed the judgment of the
Clark County Probate Court. ODM argued that, concurrent with the appeal to the Second
District Court of Appeals, appellants requested and were provided an administrative
hearing pursuant to R.C. 5160.37 which resulted in a written decision unfavorable to
appellants, and appellants failed to properly appeal that decision; according to ODM,
appellants were now “attempting to restart the litigation by way of a declaratory judgment
action in this Court.” (May 9, 2024 Mot. to Dismiss at 4.)
No. 25AP-410 4
{¶ 9} On June 11, 2024, appellants filed a memorandum contra ODM’s motion to
dismiss, asserting that res judicata did not apply, and that R.C. 5160.37 is void and “offers
no subject matter jurisdiction by ODM” over the settlement agreement as such statute
violates the federal anti-lien statute, 42 U.S.C. §1396a(a)(25)(H). (Pls.’ Memo in Opp. to
Mot. to Dismiss at 14.) On June 18, 2024, ODM filed a reply to the memorandum contra.
{¶ 10} On June 26, 2024, appellants filed a motion for summary judgment. On
August 21, 2024, ODM filed a memorandum contra the motion for summary judgment.
{¶ 11} On April 3, 2025, the trial court filed a decision granting ODM’s motion to
dismiss. In its decision, the court determined it lacked subject-matter jurisdiction “because
R.C. 5160.37 provides the sole remedy for Medicaid program participants to recover excess
reimbursement payments made to ODM.” (Emphasis in original.) (Decision at 6.) The court
also addressed the application of the doctrine of res judicata, finding “the issue of subject-
matter jurisdiction was fully litigated in the Second Appellate District,” and therefore
appellants “are precluded from relitigating it again in this Court under the theory of issue
preclusion res judicata.” (Decision at 7.) As to the related issue of claim preclusion, the
court held that the prior decision of the ODM hearing examiner “is conclusive and binding
as to all claims raised by [appellants] and has a res judicata effect on [appellants’] attempt
to relitigate those claims here.” (Decision at 8.)
{¶ 12} Alternatively, the trial court determined, because appellants “had the ability
to fully litigate all claims, constitutional or otherwise, within the administrative framework
of R.C. 5160.37, but failed to exhaust that administrative remedy, [appellants’] claims in
the current case are barred and must be dismissed.” (Decision at 9-10.)
{¶ 13} Regarding appellants’ request for declaratory judgment, the court held “that
because there is no justiciable controversy between the parties as to the amount owed to
ODM or any other uncertainty for the Court to determine, there is . . . no necessity for
speedy relief to warrant the issuance of a declaratory judgment,” and therefore appellants’
claims for declaratory judgment “fail to state a claim upon which relief may be granted.”
(Decision at 11.) Further, having found the case to be barred by res judicata and appellants’
failure to exhaust administrative remedies, and having further found appellants failed to
state a claim for declaratory judgment, the trial court “decline[d] to consider the
No. 25AP-410 5
constitutionality of R.C. 5160.37.” (Decision at 11.) The trial court’s decision granting
ODM’s motion to dismiss was journalized by judgment entry filed April 14, 2025.
II. Assignments of Error
{¶ 14} On appeal, appellants set forth the following three assignments of error for
our review:
[I.] The trial court erred by denying it had subject matter
jurisdiction to declare whether R.C. §5160.37 violates the
Federal Anti-Lien Statute 42 U.S.C. §1396a et seq. and the
Ohio and United States Constitutions.
[II.] The trial court erred by failing to declare that
R.C. §5160.37 offers no subject matter jurisdiction for the
State of Ohio and Ohio Department of Medicaid over any part
of Appellants’ medical malpractice settlement because
R.C. §5160.37 is a void/voidable nullity in derogation of the
Ohio and United States Constitutions[.]
[III.] The trial court erred by applying res judicata and
collateral estoppel in the absence of any ruling by a Court with
subject matter jurisdiction which determined whether R.C.
§5160.37 is a void/voidable nullity in derogation of the
Federal Anti-Lien Statute 42 U.S.C. §1396a et seq. and Ohio
and United States Constitutions.
III. Discussion
{¶ 15} Appellants’ first and second assignments of error are interrelated and will be
considered together. Under their first assignment of error, appellants assert the trial court
erred by denying it had subject-matter jurisdiction to declare whether R.C. 5160.37 violates
the federal anti-lien statute, 42 U.S.C. § 1396a et seq. Under the second assignment of error,
appellants contend the court erred by failing to declare R.C. 5160.37 offers no subject-
matter jurisdiction for the state and ODM over any part of their medical malpractice
settlement because, according to appellants, R.C. 5160.37 is a “void/voidable nullity.”
{¶ 16} As set forth under the facts, the trial court dismissed appellants’ claims on
four independent grounds: (1) lack of subject-matter jurisdiction; (2) the doctrine of res
judicata; (3) failure to exhaust administrative remedies; and (4) failure to state a claim upon
which relief can be granted. As noted by ODM, appellants’ arguments on appeal focus on
challenging the court’s rulings regarding the issues of subject-matter jurisdiction and res
judicata.
No. 25AP-410 6
{¶ 17} Civ.R. 12(B)(1) authorizes dismissal “where the trial court lacks jurisdiction
over the subject matter of the litigation.” Lowery v. Ohio Dept. of Rehab. & Corr., 2015-
Ohio-869, ¶ 6 (10th Dist.), citing Guillory v. Ohio Dept. of Rehab. & Corr., 2008-Ohio-
2299, ¶ 6 (10th Dist.). The dismissal of a case by a trial court “for lack of subject-matter
jurisdiction ‘is a question of law reviewed by the appellate court de novo.’ ” F.M., 2023-
Ohio-4522, at ¶ 15 (10th Dist.), quoting Ikemefuna Nkanginieme v. Ohio Dept. of Medicaid,
2015-Ohio-656, ¶ 12 (10th Dist.), citing Daniel v. Williams, 2011-Ohio-1941, ¶ 9 (10th
Dist.), citing Ford v. Tandy Transp., Inc., 86 Ohio App.3d 364, 375 (4th Dist. 1993).
Subject-matter jurisdiction “ ‘refers to the statutory or constitutional power of a court to
hear a case.’ ” Id., quoting Ikemefuna Nkanginieme at ¶ 15. Whether subject-matter
jurisdiction exists presents “ ‘a threshold question that will prevent a court from reaching
the underlying issues in a case.’ ” Id., quoting Turner v. Ohio Dept. of Rehab. & Corr.,
2008-Ohio-6608, ¶ 9 (10th Dist.), citing Rinehart v. Bank One, Columbus, N.A., 125 Ohio
App.3d 719, 727 (10th Dist. 1998). Absent subject-matter jurisdiction, “ ‘a trial court has
no power to act.’ ” Id., quoting Pivonka, 2020-Ohio-3476, at ¶ 20, citing State ex rel. Jones
v. Suster, 1998-Ohio-275.
{¶ 18} Pursuant to Civ.R. 12(B)(6), “a defendant may move to dismiss a complaint
for failure to state a claim upon which relief can be granted.” White v. Ohio Pub. Defender,
2019-Ohio-5204, ¶ 10 (10th Dist.). A motion to dismiss under Civ.R. 12(B)(6) “tests the
sufficiency of the complaint” and, in ruling on such motion, “the court must construe the
complaint in the light most favorable to the plaintiff, presume all factual allegations in the
complaint are true, and make all reasonable inferences in favor of the plaintiff.” Id., citing
O’Brien v. Univ. Community Tenants Union, Inc., 42 Ohio St.2d 242, 245 (1975); Mitchell
v. Lawson Milk Co., 40 Ohio St.3d 190, 192 (1988). This court “reviews de novo a trial
court’s decision to dismiss a claim under Civ.R. 12(B)(6).” Burse v. Ohio Dept. of Rehab. &
Corr., 2019-Ohio-2882, ¶ 9 (10th Dist.), citing Robinson v. Ohio Dept. of Rehab. & Corr.,
2011-Ohio-713, ¶ 6 (10th Dist.).
{¶ 19} Under Ohio law, “declaratory judgment actions are to be reviewed under an
abuse-of-discretion standard.” Mid-American Fire & Cas. Co. v. Heasley, 2007-Ohio-
1248, ¶ 14. See also OMG MSTR LSCO, L.L.C. v. Ohio Dept. of Medicaid, 2018-Ohio-4843,
¶ 10 (10th Dist.), citing Heasley at paragraph two of the syllabus (noting that, while an
No. 25AP-410 7
appellate court’s standard of review in considering a Civ.R. 12(B)(6) motion to dismiss for
failure to state a claim is “ordinarily” de novo, “[w]hen the trial court’s judgment dismisses
a complaint in declaratory judgment . . . the standard guiding our review is whether the trial
court abused its discretion”).
{¶ 20} In Pivonka, the Supreme Court provided a general overview of Ohio’s
Medicaid subrogation rights statute, noting that the federal Medicaid program “provides
joint federal and state funding for medical care for individuals who cannot afford to pay
their own medical costs.” Pivonka, 2020-Ohio-3476, at ¶ 3. Under this framework, federal
law “requires that each participating state give itself subrogation rights to recover certain
costs the state paid under the Medicaid program,” and “each state must enact legislation
giving it the right to seek reimbursement from a third-party tortfeasor . . . for medical
expenses that the third-party wrongdoer caused and the state paid on behalf of a Medicaid
participant.” Id. at ¶ 4. Therefore, “[w]hen a third party is liable to pay for the Medicaid
participant’s medical costs, the state must seek reimbursement for the medical costs that it
paid under the Medicaid program,” and the state “may also seek reimbursement from a
Medicaid participant who received payment from the third party for the medical costs.” Id.
{¶ 21} Ohio’s Medicaid subrogation statute, “originally contained in former
R.C. 5101.58,” has undergone various amendments, and the current version is set forth
under R.C. 5160.37. Id. at ¶ 5. The amended 2015 version of R.C. 5160.37 “created a
‘rebuttable presumption’ that the Department would receive no less than one-half of the
remaining amount of the judgment, award or settlement after fees, expenses, and costs
were deducted,” and the statute “also provided a mechanism for the Medicaid participant
to rebut the statute’s presumption by way of an administrative hearing.” Id. at ¶ 9.
{¶ 22} More “[s]pecifically, R.C. 5160.37(L) permits a party to seek to rebut the
statutory presumption by requesting a hearing before a department hearing examiner.”
F.M., 2023-Ohio-4522, at ¶ 20 (10th Dist.). F0llowing that hearing, “the hearing examiner
‘shall file its hearing decision,’ and the decision ‘shall provide notice to the appellant of the
right to and the method of obtaining an administrative appeal.’ ” Id., quoting Adm.Code
5160-80-08(D). Under R.C. 5160.37(M)(1), “ ‘[a] medical assistance recipient who
disagrees with a hearing examiner’s decision under division (L) of this section may file an
administrative appeal with the medical director in accordance with the procedure the
No. 25AP-410 8
department establishes for this purpose in rules required by division (O) of this section.’ ”
Id., quoting R.C. 5160.37(M)(1). During such an administrative appeal, “ ‘the director . . .
shall review the hearing examiner’s decision and any prior relevant administrative action.’ ”
Id., quoting R.C. 5160.37(M)(1). After this “review, ‘the director . . . shall affirm, modify,
remand, or reverse the hearing decision,’ ” and the director “may also ‘reverse, decrease, or
increase any monetary finding made for the appellant if there is a basis in either law or the
record for this action.’ ” Id., quoting R.C. 5160.37(M)(1) and Adm.Code 5160-80-09(F)(1).
{¶ 23} Under R.C. 5160.37(N), “ ‘[a] party to an administrative appeal described in
division (M) of this section may file an appeal with a court of common pleas in accordance
with section 119.12 of the Revised Code.’ ” Id. at ¶ 21, quoting R.C. 5160.37(N). Adm.Code
5160-80-09(F)(2) states “in part: ‘The director shall file with the depository agent the
directors administrative appeal decision, which shall include notice of the right to file an
appeal with the court of common pleas of Franklin [C]ounty in accordance with section
119.12 of the Revised Code.’ ” Id., quoting Adm.Code 5160-80-09(F)(2). Further, “ ‘[a]
decision made under this division is final and binding on the department . . . and the
medical assistance recipient unless it is reversed or modified on appeal to a court of
common pleas as described in division (N) of this section.” Id., quoting R.C. 5160.37(M)(1).
{¶ 24} As set forth above, appellants challenge (under their first assignment of error)
the trial court’s determination it lacked subject-matter jurisdiction over their claims. In
addressing the jurisdictional issue in their respective briefs, both appellants and ODM cite
to the Supreme Court’s decision in Pivonka, but the parties disagree as to the import and
application of that decision. While appellants assert the trial court erred in relying on
Pivonka, ODM maintains the court properly applied the Supreme Court’s holding in that
case in determining the issue of its subject-matter jurisdiction.
{¶ 25} Under the facts of Pivonka, the plaintiffs-appellees filed a class action seeking
a declaratory judgment that former R.C. 5101.58 (now renumbered as R.C. 5160.37), “which
relates to Medicaid reimbursements, is unconstitutional.” Pivonka, 2020-Ohio-3476, at
¶ 1. The plaintiffs-appellees in Pivonka also sought to recover “all sums paid to the Ohio
Department of Medicaid . . . under that statute.” Id. The Supreme Court in Pivonka held:
“Because R.C. 5160.37 now provides the sole remedy for Medicaid program participants to
recover excessive reimbursement payments made to the Department on or after
No. 25AP-410 9
September 29, 2007, we conclude that the common pleas court lacked subject-matter
jurisdiction over the class action for the . . . plaintiffs whose claims for recovery fall within
the statute’s express language.” Id. at ¶ 2.
{¶ 26} In so holding, the Supreme Court noted that the General Assembly “has, from
time to time, limited the common pleas courts’ jurisdiction and given jurisdiction to
another court,” and that “[i]t has also given jurisdiction to certain administrative agencies
over cases that the agencies are particularly well suited to handle.” Id. at ¶ 22. The Supreme
Court determined that, “[b]y enacting R.C. 5160.37, the General Assembly created an
administrative-review process for Medicaid participants challenging their overpayment of
money to the Department,” and that such “administrative process is, by its own terms, the
‘sole remedy’ available to those individuals.” Id. at ¶ 23, citing R.C. 5160.37(P).
{¶ 27} The Supreme Court further held the administrative review process “is
complete and comprehensive,” as the statute “identifies the steps required to request a
hearing, the timing requirements for requesting a hearing, and the evidentiary standard
required to rebut the statutory presumption.” Id., citing R.C. 5160.37(L)(1) and (2). The
statutory framework also “prescribes the hearing examiner’s authority to consider and
weigh the evidence, the Department’s ability to raise affirmative defenses, and other rules
that apply to the hearing.” Id., citing R.C. 5160.37(L)(3). It also “provides a process for
appealing the hearing examiner’s decision to the Department’s director,” as well as “a
process for appealing the director’s decision to the common pleas court.” Id., citing
R.C. 5160.37(M) and (N).
{¶ 28} Thus, the Supreme Court concluded, the administrative review process
created by the General Assembly “has given tribunals acting under R.C. 5160.37 exclusive
subject-matter jurisdiction over claims alleging that the Department received more money
than it was entitled to receive under former R.C. 5101.58,” and “[i]t applies equally to
individuals who believe . . . the Department was not entitled to receive any money because
that claim necessarily subsumes any claim that the Department received more money than
it was entitled to receive.” (Emphasis in original.) Id.
{¶ 29} In the present case, the trial court agreed with ODM’s contention that
appellants’ complaint “must be dismissed for lack of subject matter jurisdiction because the
administrative process in R.C. 5160.37 is the sole remedy for litigating disputes over the
No. 25AP-410 10
amount Medicaid recipients must pay ODM after they obtain a tort recovery from liable
third parties.” (Decision at 4.) The court cited the holding in Pivonka for the proposition
that “the administrative process in R.C. 5160.37 has exclusive subject-matter jurisdiction
to hear challenges like [appellants] have alleged in the case at hand, including challenges to
the constitutionality of the statute itself.” (Decision at 4.)
{¶ 30} In addressing appellants’ arguments regarding the issue of the subject-matter
jurisdiction of the court and ODM, the trial court found appellants “appear to confuse the
threshold issue of this Court’s jurisdiction with their claim that ODM lacked jurisdiction
over them.” (Decision at 5.) Specifically, the trial court observed, while a court’s subject-
matter jurisdiction refers to its constitutional or statutory power to adjudicate a case, “the
claim that an agency lacks jurisdiction can be asserted by a party in an administrative
appeal challenging the validity of the agency’s action.” (Emphasis in original.) (Decision at
5.) Thus, the court concluded, appellants’ contention that ODM’s administrative
proceeding “was invalid because it lacked jurisdiction over them . . . is an argument . . . this
Court cannot address until its own jurisdiction is established.” (Decision at 5-6.) Similarly,
with respect to appellants’ assertion the trial court had jurisdiction over their claims
because R.C. 5160.37 violates the federal anti-lien statute, the court found this to be “a merit
claim that this Court cannot reach unless it has jurisdiction to do so, which it does not.”
(Decision at 6.)
{¶ 31} Upon review, we find the trial court properly applied the holding in Pivonka
to conclude it lacked subject-matter jurisdiction over appellants’ claims. On appeal,
appellants contend the trial court “was apparently impressed by dicta” in Pivonka.
(Appellants’ Brief at 9.) Specifically, appellants argue, “[i]n Pivonka dicta the Ohio
Supreme Court observed that the scheme under [R.C. 5160.37] purported to provide a
hearing, [ODM’s] ability to raise affirmative defenses, that the statute’s presumptions were
purported to be ‘rebuttable,’ and that there were measures to appeal the Hearing Officer’s
decision.” (Appellants’ Brief at 9.)
{¶ 32} Appellants’ characterization of the Pivonka court’s discussion of the
administrative review process under R.C. 5160.37 as mere dicta is not persuasive. Rather,
the Supreme Court’s analysis of that process was critical to its holding that R.C. 5160.37
“provides the sole remedy for Medicaid program participants to recover excessive
No. 25AP-410 11
reimbursement payments” made to ODM, and to its determination “the common pleas
court lacked subject-matter jurisdiction” over the action. Pivonka, 2020-Ohio-3476, at ¶ 2.
Correspondingly, the Supreme Court’s finding that the administrative review process under
R.C. 5160.37 is “complete and comprehensive” was integral to its subject-matter
jurisdiction analysis (i.e., not dicta). Id. at ¶ 23.
{¶ 33} Appellants further contend that “nothing derived from” the Pivonka holding
or the language of R.C. 5160.37 “prevents declaratory relief by the trial court” to determine
if that statute violates the federal anti-lien statute, and whether R.C. 5160.37 is
unconstitutional as applied to appellants and facially. (Appellants’ Brief at 11.)
{¶ 34} As noted above, however, the trial court observed the Supreme Court’s
decision in Pivonka “specifically held that the administrative process in R.C. 5160.37 has
exclusive subject-matter jurisdiction to hear challenges like [appellants] have alleged in the
case at hand, including challenges to the constitutionality of the statute itself.” (Decision at
4.) We agree with the trial court’s reading of Pivonka.
{¶ 35} In Pivonka, the plaintiffs raised the argument that “the class members should
not be required to use the administrative-review process under R.C. 5160.37 because their
entire action is based on a constitutional challenge to former R.C. 5101.58.” Pivonka, 2020-
Ohio-3476, at ¶ 24. The Supreme Court specifically rejected that argument, noting that
“even though administrative agencies cannot adjudicate constitutional questions, . . . a
party cannot circumvent the administrative-review process by first raising a constitutional
challenge in the common pleas court.” Id. Rather, the court held, “the proper procedure
for raising a constitutional challenge is to first exhaust all administrative remedies,” and
“[a] party can then raise the constitutional challenge in the court that hears the
administrative appeal.” Id., citing Mobil Oil Corp. v. Rocky River, 38 Ohio St.2d 23, 26
(1974.) See also State ex rel. Kingsley v. State Emp. Relations Bd., 2011-Ohio-5519, ¶ 18
(recognizing that, while an administrative agency is without jurisdiction to determine
constitutional validity of a statute, “facial and as-applied constitutional challenges can be
raised on further appeal from an administrative agency to a court”).
{¶ 36} As set forth under the facts of this case, appellants requested a hearing under
R.C. 5160.37, and a hearing examiner rendered a decision, albeit adverse to appellants.
Appellants did not, however, appeal that decision to the director of ODM, i.e., appellants
No. 25AP-410 12
did not “first exhaust all administrative remedies” by availing themselves of the
administrative review process and “then raise the constitutional challenge in the court that
hears the administrative appeal.” Pivonka at ¶ 24.
{¶ 37} In asserting that a declaratory judgment action was proper, appellants also
rely on this court’s decision in Mulk v. Ohio Dept. of Job & Family Servs., 2011-Ohio-5850
(10th Dist.). Under the facts in Mulk, the appellants, who suffered injuries from the tortious
conduct of third parties, later brought a declaratory judgment action against appellee, Ohio
Department of Job and Family Services, seeking a declaration they were only obligated to
reimburse appellants in the amount of medical expenses after a pro rata deduction of
attorney’s fees and costs incurred in obtaining settlement of their tort claims. While the
trial court in this case granted appellees’ motion for judgment on the pleadings, and this
court affirmed that decision on appeal, appellants cite to Mulk for the proposition that this
court “approved of a declaratory judgment action to determine the applicability of”
R.C. 5101.58, the predecessor to R.C. 5160.37, “with recognition that the administrative
process is effectively limited to application of the statute.” (Appellants’ Brief at 11.)
{¶ 38} In response, ODM argues that in 2011, when Mulk was decided, there was no
administrative review process in former R.C. 5101.58. Specifically, ODM contends, the
General Assembly “enacted that process in 2015” and, thus, while a declaratory judgment
action would have been an appropriate vehicle “for challenging a Medicaid right of
recovery” at the time Mulk was decided, R.C. 5160.37 “now provides the sole remedy for
challenging ODM’s right of recovery.” (Appellees’ Brief at 18.) We agree with ODM that
Mulk is inapplicable to the present case in light of the subsequent enactment of the
administrative review process in R.C. 5160.37 and the Supreme Court’s holding in Pivonka.
{¶ 39} We note that appellants raised a similar argument in asserting the right to a
declaratory judgment in their prior action against ODM in Clark County. Specifically, in
Masters, 2022-Ohio-3075, at ¶ 79 (2d Dist.), appellants argued on appeal “that ‘the
precedent of the Tenth District Court of Appeals holding in Mulk . . . conclusively debunks
Medicaid’s challenge to the jurisdiction of the Clark County Probate Court to provide the
declaratory relief sought by the Masters’ Complaint.’ ” The Second District in Masters
distinguished Mulk and found appellants’ position “incorrect,” noting “Mulk was decided
No. 25AP-410 13
in 2011, long before the 2015 amendments to R.C. 5160.37, which created an administrative
remedy.” Id.
{¶ 40} Appellants further contend, under their second assignment of error, the trial
court erred in failing to declare R.C. 5160.37 offers no subject-matter jurisdiction for ODM
over any part of their settlement because that statute is “a void/voidable nullity in
derogation of the Ohio and United States Constitutions.” (Appellants’ Brief at 14.)
Appellants maintain the result of the formula under R.C. 5160.37(G)(1) and (2) violates the
federal anti-lien statute “by failing to identify and protect the [a]ppellants’ interests in their
individual property rights to the non-subrogated portion of their settlement.” (Appellants’
Brief at 21.)
{¶ 41} In response, ODM notes the argument set forth under appellants’ second
assignment of error (i.e., that R.C. 5160.37 violates the federal anti-lien statute) concerns
the merits of their claims, raised in their motion for summary judgment. ODM also notes
the trial court did not reach this issue because it granted ODM’s motion to dismiss and, by
separate entry, the court denied as moot appellants’ motion for summary judgment. ODM
further argues appellants’ brief assigns no error regarding the court’s decision to find the
motion for summary judgment moot, and ODM maintains that, because the court lacked
subject-matter jurisdiction over the action, it lacked jurisdiction to make any declaration as
to the constitutionality of R.C. 5160.37.
{¶ 42} As observed by ODM, the trial court found the merit arguments raised by
appellants in their motion for summary judgment to be rendered moot. Specifically, by
decision and entry filed on April 3, 2025, the court denied as moot appellants’ motion for
summary judgment in light of its “separate Decision” granting ODM’s motion to dismiss
“based on lack of subject matter jurisdiction, the doctrine of res judicata, the doctrine of
failure to exhaust administrative remedies, and the failure to state a claim upon which relief
can be granted.” (Decision at 1-2.)
{¶ 43} Given our determination that the trial court did not err in holding it lacked
subject-matter jurisdiction over the declaratory judgment action, the trial court did not err
in failing to reach the merits of the underlying claims raised by appellants in the summary
judgment motion. See, e.g., Ohio Multi-Use Trails Assn. v. Vinton Cty. Commrs., 2009-
Ohio-2061, ¶ 14 (4th Dist.) (because trial court “lacked subject matter jurisdiction, it had
No. 25AP-410 14
no power or authority” to hear case, including constitutional challenge to statute); Pivonka,
2020-Ohio-3476, at ¶ 20, citing Jones, 1998-Ohio-275 (“Without subject-matter
jurisdiction, a trial court has no power to act.”).
{¶ 44} Based upon the foregoing, the trial court did not err in granting ODM’s
motion to dismiss appellants’ complaint due to lack of subject-matter jurisdiction.
Accordingly, appellants’ first and second assignments of error are not well-taken and are
overruled.
{¶ 45} Under the third assignment of error, appellants assert the trial court erred in
its determination their claims were barred by the doctrine of res judicata. As noted under
the facts, while the court concluded it lacked subject-matter jurisdiction over the action, it
additionally (and alternatively) held dismissal was warranted based on the doctrine of res
judicata (as well for failure to exhaust administrative remedies and failure to state a claim
upon which relief can be granted). However, this court’s disposition of the first assignment
of error, finding the court properly granted dismissal for lack of subject-matter jurisdiction,
renders moot the third assignment of error and we therefore do not address the court’s
additional ruling as to res judicata. See, e.g., Sunrise Coop., Inc. v. Joppeck, 2017-Ohio-
7654, ¶ 15 (9th Dist.) (declining to address argument as to trial court’s res judicata
determination “as it has been rendered moot in light of the determination that there was
no subject-matter jurisdiction in the matter”).
IV. Conclusion
{¶ 46} Based on the foregoing, appellants’ first and second assignments of error are
overruled, the third assignment of error is rendered moot, and the judgment of the Franklin
County Court of Common Pleas is affirmed.
Judgment affirmed.
JAMISON and DINGUS, JJ., concur.