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01-003812MPI  ROOSEVELT T. JACKSON, JR. vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2001)
Division of Administrative Hearings, Florida Filed: Sep. 28, 2001
Whether the Petitioner should reimburse the Respondent for alleged Medicaid overpayments in the amount of $44,581.50.Agency established that doctor failed to maintain records to support Medicaid billings; therefore, recoupment of overpayment appropriate.
01-000469  ANSELMO MENDIVE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2001)
Division of Administrative Hearings, Florida Filed: Feb. 01, 2001
Whether Medicaid overpayments were made to Petitioner and, if so, what is the total amount of these overpayments.Agency correctly determined, using generally accepted, appropriate and valid sampling and statistical methods, that Petitioner, a physician, received Medicaid overpayments totaling $175,992.84.
97-001181CON  VENCOR HOSPITALS SOUTH, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1997)
Division of Administrative Hearings, Florida Filed: Mar. 12, 1997
Whether Certificate of Need Application No. 8614, filed by Vencor Hospitals South, Inc., meets, on balance, the applicable statutory and rule criteria. Whether the Agency for Health Care Administration relied upon an unpromulgated and invalid rule in preliminarily denying CON Application No. 8614.Long term care hospital CON met criteria for approval; no appropriate alternatives in district; need methodology of applicant applied in absence of agency rule methodology.
97-004419RU  VENCOR HOSPITALS SOUTH, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1997)
Division of Administrative Hearings, Florida Filed: Sep. 19, 1997
Whether the Agency for Health Care Administration has a policy regarding the determination of the need for long term care beds which constitutes a rule and, if so, whether rulemaking is feasible and practicable.Unpromulgated rule invalid to support AHCA change of policy on whether long term care is a separate bed category when agency rules define long term care as separate.
96-003593RX  CONSULTING MANAGEMENT AND EDUCATION, INC., D/B/A GULF COAST NURSING AND REHABILITATION CENTER vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1996)
Division of Administrative Hearings, Florida Filed: Aug. 05, 1996
The issue for determination in this case is whether certain provisions of the Florida Title XIX Long-Term Care Reimbursement Plan, as adopted in Rule 59G-6.010, Florida Administrative Code, which are relied upon by the AGENCY FOR HEALTH CARE ADMINISTRATION to apply a fair rental value system of property reimbursement to Petitioner are invalid under Section 120.56, Florida Statutes (1995). Petitioner also asserts a state and federal constitutional equal protection challenge to the existing rule provisions. (Petitioner’s constitutional issues are preserved, but are not determined in this proceeding.)Rule applying fair rental value system of medicaid reimbursement to nursing home lessees is valid.
97-001945  MICHELE WORTHY vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1997)
Division of Administrative Hearings, Florida Filed: Apr. 23, 1997
Whether Petitioner's challenge to the grades she received on certain portions of the clinical examination administered in December 1996 (to applicants for licensure as a dentist) should be sustained.Examination challenge of applicant, who failed to appear at final hearing, should be dismissed.
97-001750  BRYAN L. FOSS vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1997)
Division of Administrative Hearings, Florida Filed: Apr. 02, 1997
Whether the Petitioner should receive a passing grade on the chiropractic licensure examination administered November 13 through 16, 1996.Questions on chiropractic examination were clear and points awarded were not arbitrary. Petition challenging failing grade should be dismissed.
95-006042  CONSULTING MANAGEMENT AND EDUCATION, INC., D/B/A GULF COAST NURSING AND REHABILITATION CENTER vs AGENCY FOR HEALTH CARE ADMINISTRATION  (1995)
Division of Administrative Hearings, Florida Filed: Dec. 14, 1995
The issue for determination in this case is whether Respondent’s application of a fair rental value system of property cost reimbursement to Petitioner under the Florida Title XIX Long-Term Care Medicaid Reimbursement Plan is appropriate.Application of fair rental value reimbursement rate to nursing home was valid.

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