Leon FL Elder law, Estate planning and General practice Lawy -- eLawyers

02-004174MPI ARTHUR HENSON, D.O. vs AGENCY FOR HEALTH CARE ADMINISTRATION (2002)

Division of Administrative Hearings, Florida Filed: Oct. 25, 2002

The issue for determination is whether Petitioner was overpaid by the Medicaid program as indicated in Respondent's Final Agency Audit Report dated June 20, 2001.Respondent demonstrated that Petitioner received overpayments in the Medicaid program and should repay the overpayment amount.

06-003412BID LAKEVIEW CENTER, INC., D/B/A ACCESS BEHAVIORAL HEALTH vs AGENCY FOR HEALTH CARE ADMINISTRATION (2006)

Division of Administrative Hearings, Florida Filed: Sep. 11, 2006

Whether the Agency for Health Care Administration's (the Agency's or AHCA's) decision to award the contract contemplated in RFP No. 0610, Area 9, is contrary to the Agency's governing statutes, the Agency's rules or policies, or the proposal specifications.Petitioner did not demonstrate that Intervenor`s proposal was not responsive to the Request for Proposals (RFP). Respondent`s actions were consistent with the governing statutes, rules, and the terms of the RFP.

05-002804BID HEMOPHILIA HEALTH SERVICES, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION (2005)

Division of Administrative Hearings, Florida Filed: Aug. 03, 2005

The issue in this case is whether the proposed award of contracts by the Agency for Health Care Administration (AHCA) to Caremark, Inc. (Caremark), and Lynnfield Drugs, Inc., d/b/a Hemophilia of the Sunshine State (Lynnfield), pursuant to AHCA's Request For Proposal (RFP) 0507, was contrary to AHCA's governing statutes, AHCA's rules or policies, or the solicitation specifications.Respondent`s award of contracts was not shown to be clearly erroneous, contrary to competition, arbitrary, or capricious. Petitioner would not have been awarded a contract even in the absence of the errors that were proven.

01-001150MPI TONY C. RICH vs AGENCY FOR HEALTH CARE ADMINISTRATION (2001)

Division of Administrative Hearings, Florida Filed: Mar. 23, 2001

Whether the amount sought to be recovered from Petitioner for Medicaid overpayments by the Agency is correct.Agency`s audit was not totally proved up. Therefore, it must be recomputed based on findings, and re-notice. Res judicata and collateral estoppel limit the issues on rehearing greatly.

03-002251MPI MARAH J. LEE vs AGENCY FOR HEALTH CARE ADMINISTRATION (2003)

Division of Administrative Hearings, Florida Filed: Jun. 17, 2003

Whether the Petitioner must reimburse the Respondent for Medicaid overpayments as set out in the Final Agency Audit Report ("FAAR") dated May 8, 2003.Respondent proved that Petitioner`s treatment of patients with infusions of IVIG was not medically necessary. Medical records did not support Petitioner`s diagnoses of humoral immunity deficiency and/or demylatin neuropathy.

04-000017BID HEMOPHILIA HEALTH SERVICES vs AGENCY FOR HEALTH CARE ADMINISTRATION (2004)

Division of Administrative Hearings, Florida Filed: Jan. 05, 2004

The issue in these cases is whether the Agency for Health Care Administration's (AHCA) proposed award of a contract to Caremark, Inc., based on evaluations of proposals submitted in response to a Request for Proposals (RFP), is clearly erroneous, contrary to competition, arbitrary, or capricious.Respondent`s failure to evaluate cost proposals according to the Request for Proposals method is clearly erroneous, arbitrary, and capricious.

04-000018BID LYNNFIELD DRUGS, INC., D/B/A HEMOPHILIA OF THE SUNSHINE STATE vs AGENCY FOR HEALTH CARE ADMINISTRATION (2004)

Division of Administrative Hearings, Florida Filed: Jan. 05, 2004

The issue in these cases is whether the Agency for Health Care Administration's (AHCA) proposed award of a contract to Caremark, Inc., based on evaluations of proposals submitted in response to a Request for Proposals (RFP), is clearly erroneous, contrary to competition, arbitrary, or capricious.Respondent`s failure to evaluate cost proposals according to the Request for Proposals method is clearly erroneous, arbitrary, and capricious.

03-001186MPI JULES G. MINKES, D.O. vs AGENCY FOR HEALTH CARE ADMINISTRATION (2003)

Division of Administrative Hearings, Florida Filed: Apr. 01, 2003

Whether Medicaid overpayments were made to Petitioner and, if so, what is the total amount of those overpayments.The Respondent met its burden of proving that Petitioner, an osteopathic internist, had received Medicaid overpayments during the audit period totaling $70,629.68.

02-003014MPI HAL COWEN vs AGENCY FOR HEALTH CARE ADMINISTRATION (2002)

Division of Administrative Hearings, Florida Filed: Jul. 30, 2002

The issue is whether Petitioner received a Medicaid overpayment in the amount of $11,077.65 for claims filed between April 15, 1998, and December 31, 2001.Petitioner not entitled to Medicaid reimbursement as compensation for services that he provided free of charge to non-Medicaid patients.

01-004078MPI AGENCY FOR HEALTH CARE ADMINISTRATION vs PIERRE GASTON, M.D. (2001)

Division of Administrative Hearings, Florida Filed: Oct. 17, 2001

The issues are whether Petitioner has overpaid Respondent for medical services for which he has obtained reimbursement under the Medicaid program and, if so, by how much.Petitioner proved that off-label use of intravenous immunoglobulin for treatment of HIV-infected adults was not medically necessary.

Anthony Leonard Conticello