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Floyd Benjamin Faglie
Floyd Benjamin Faglie
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Bar #569690(FL)     License for 23 years; Member in Good Standing
Tallahassee FL

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20-002965MTR  ELVIN R. JOSEPH, THROUGH THE PERSONAL REPRESENTATIVE OF HIS ESTATE, TORRIE ASHLEY vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2020)
Division of Administrative Hearings, Florida Filed: Jun. 29, 2020
What amount of the wrongful death settlement of Petitioner, Elvin R. Joseph, through the Personal Representative of his Estate, Torrie Ashley, must be paid to Respondent, Agency for Health Care Administration (Agency), to satisfy the Agency's Medicaid Lien?Unimpeached, unrebutted testimony proved Medicaid lien should be reduced from $418,463.18 to $43,771.25 because this was the portion of settlement amount fairly allocable to past medical expenses.
20-003573MTR  CHRISTOPHER SCIESINSKI vs AGENCY FOR HEALTH CARE ADMINISTRATION, AND SUNSHINE HEALTH PLANS, INC.  (2020)
Division of Administrative Hearings, Florida Filed: Aug. 12, 2020
What amount from Petitioner’s settlement proceeds should be paid to satisfy Respondents’ Medicaid liens under section 409.910, Florida Statutes (2020)?1Petitioner proved by clear and convincing evidence that the total of the Medicaid liens should be reduced by the same ratio as the settlement is to the value of the claim.
20-004223MTR  GREGORY MCELVEEN, THROUGH THE PERSONAL REPRESENTATIVE OF HIS ESTATE, DANIEL HALLUP vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2020)
Division of Administrative Hearings, Florida Filed: Sep. 18, 2020
This matter concerns the amount of money to be reimbursed to the Agency for Health Care Administration for medical expenses paid on behalf of Gregory McElveen, a Medicaid recipient, following a settlement recovered from a third party.Petitioner proved, by a preponderance of the evidence, that a lesser portion of his total recovery should be allocated as reimbursement for medical expenses instead of the amount the Agency calculated pursuant to the section 409.910(11)(f) formula.
21-000071MTR  JONATHAN M. MARTEL, AN INCAPACITATED PERSON, BY AND THROUGH HIS GUARDIAN NANCY HUDACK vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: Jan. 07, 2021
The issue to be determined is the amount Respondent, Agency for Health Care Administration (“AHCA”), is to be reimbursed for medical expenses paid on behalf of Jonathan M. Martel (“Petitioner” or “Mr. Martel”) pursuant to section 409.910, Florida Statutes (2018).1Petitioner proved by clear and convincing evidence that $6,663.61 amounted to a fair and reasonable determination of the past medical expenses actually recovered by Petitioner and payable to Medicaid.
21-001249MTR  DEVIN F. PRICE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: Apr. 07, 2021
The issue is to determine the amount payable by Petitioner, Devin F. Price (“Petitioner”), to Respondent, Agency for Health Care Administration (“AHCA”), out of the $3,025,000 gross personal injury settlement proceeds, as reimbursement for past Medicaid expenditures pursuant to section 409.910, Florida Statutes.Petitioner showed, by clear and convincing evidence, that AHCA's Medicaid lien should be reduced to $68,629.90, pursuant to pro rata allocation.

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