Division of Administrative Hearings, Florida
Filed: Feb. 06, 2017
Whether Petitioner is entitled to recover certain Medicaid funds paid to Respondent pursuant to section 409.923(1), Florida Statutes, for hospice services Respondent provided through three program locations (Melbourne, Boynton Beach, and Dade) during the audit period between September 1, 2009, and December 31, 2012; and the amount of sanctions, if any, that should be imposed pursuant to Florida Administrative Code Rule 59G-9.070(7)(e).Petitioner proved that Respondent must repay Medicaid overpayments for certain paid claims for hospice services, but failed to prove that Respondent was overpaid for other Medicaid claims. Petitioner proved that Respondent must pay a fine.