Proceeding pursuant to CPLR article 78 to review a determination of the State Commissioner of Social Services, dated June 5, 1978 and made after a de novo fair hearing, which affirmed the determination of the local agency denying petitioner’s application for medical assistance. Determination confirmed and proceeding dismissed on the merits, without costs or disbursements. The determination was supported by substantial evidence. Mangano, J. P., Gulotta, Cohalan and Gibbons, JJ., concur.