Division of Administrative Hearings, Florida
Filed: Jul. 13, 2015
The issues are whether the Agency for Health Care Administration (AHCA) is entitled to repayment of $1,152,237.19 in Medicaid reimbursements that it made to Respondent pursuant to section 409.913(11), Florida Statutes; the amount of sanctions, if any, that should be imposed pursuant to sections 409.913(15) through (17); and the amount of any investigative, legal, and expert witness costs that AHCA is entitled to recoup pursuant to section 409.913(23).AHCA proved that claims submitted by Respondent were not medically necessary. Reimbursement and recoupment of costs were appropriate.
