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21-001293MTR  KANESHA HARLEY vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: Apr. 13, 2021
The issue for the undersigned to determine is the amount payable to Respondent, Agency for Health Care Administration (AHCA), as reimbursement for medical expenses paid on behalf of Petitioner Kanesha Harley (Ms. Harley), pursuant to section 409.910, Florida Statutes (2019), from settlement proceeds Petitioner received from third parties.Petitioner failed to establish a basis for a reduction of the Medicaid lien, and application of the formula found in section 409.910(11)(f) results in a Medicaid lien amount of $128,032.84.
21-001380MTR  ARMANDO R. PAYAS, ESQUIRE, GUARDIAN AD LITEM FOR A.D.J., JR., CARVETTA TAYLOR; AND ARTHUR D. JAMISON, SR.; INDIVIDUALLY, AND ON BEHALF OF A.D.J., JR., A MINOR vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: Apr. 23, 2021
The issue to be determined is the amount to be paid, pursuant to section 409.910(17)(b), Florida Statutes, from the proceeds of a third-party settlement, in full satisfaction of the agency's Medicaid lien.2Petitioner proved, by clear and convincing evidence, that AHCA's Medicaid lien should be reduced, pursuant to pro rata allocation.
21-001654MTR  RAY A. SIEWERT AND ROSE E. SIEWERT vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: May 21, 2021
The issue to be determined is the amount to be reimbursed to Respondent, Agency for Health Care Administration (Respondent or AHCA), from settlement proceeds received from third parties by Petitioners, Ray A. Siewert and Rose E. Siewert, for medical expenses paid on behalf of Petitioner, Mr. Siewert.Petitioners proved that AHCA's Medicaid lien should be reduced at the same proportion as the amount of the settlement bore to the total value of the damages.

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