Division of Administrative Hearings, Florida
Filed: Oct. 17, 2001
The issue for determination is whether Petitioner must reimburse Respondent an amount up to $269,456.35, which sum Petitioner received from the Florida Medicaid Program in payment of claims arising from Petitioner's treating of AIDS patients with infusions of intravenous immune globulin between January 1, 1996, and August 11, 2000. Respondent contends that Petitioner is not entitled to retain the payments in question for several reasons, the principal one being that the subject treatments allegedly were not medically necessary.Petitioner must reimburse Respondent for sums he received from the Florida Medicaid Program in payment of certain claims arising from Petitioner`s treating of AIDs patients with infusions of intravenous immune globulin that were not medically necessary.
