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  6. Shena L Grantham
Shena L Grantham
Shena L Grantham
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Bar #68893(FL)     License for 16 years
Tallahassee FL

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13-004286MPI  AGENCY FOR HEALTH CARE ADMINISTRATION vs ANGELS UNAWARE, INC.  (2013)
Division of Administrative Hearings, Florida Filed: Nov. 06, 2013
Whether the Agency for Health Care Administration (Agency) is entitled to recover alleged Medicaid overpayments, sanctions, and investigative, legal and expert witness costs from Angels Unaware, Inc. (Respondent).The Agency for Health Care Administration presented evidence to support the overpayment to Respondent.
12-002813RU  RADHAKRISHNA K. RAO AND BAY REGIONAL AND INTERNATIONAL INSTITUTE OF NEUROLOGY vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2012)
Division of Administrative Hearings, Florida Filed: Aug. 17, 2012
Whether Respondent, the Agency for Health Care Administration (AHCA or the agency), has any agency statements with regard to reimbursement of Medicaid expenses by physician providers for long-term electroencephalographic monitoring which are agency rules, as defined in section 120.52(16), Florida Statutes, but have not been adopted as rules in violation of section 120.54(1)(a), Florida Statutes, and if so, whether costs and attorney?s fees should be awarded.Medical standards applied by AHCA Medicaid peer reviewer during MPI audit of providers' records are not agency statements defined as rules. The standards do not alone create rights, require compliance, or otherwise have the force and effect of law.
12-001217MPI  AGENCY FOR HEALTH CARE ADMINISTRATION vs AMWIL ASSISTED LIVING, INC.  (2012)
Division of Administrative Hearings, Florida Filed: Apr. 06, 2012
Whether Respondent violated section 409.913, Florida Statutes, by failing to comply with certain Medicaid record keeping requirements, thereby incurring an $11,000 fine according to Florida Administrative Code Rule 59G-9.070.Agency proved, by clear and convincing evidence, that Medicaid provider violated section 409.913 and the Medicaid Provider Handbook by failing to provide required documentation.
11-005090MPI  AGENCY FOR HEALTH CARE ADMINISTRATION vs MARK ISENBERG, D.P.M.  (2011)
Division of Administrative Hearings, Florida Filed: Oct. 03, 2011
Whether Respondent was overpaid for Medicaid claims submitted during the audit period January 1, 2007, through December 31, 2008, and, if so, what amount Respondent is obligated to reimburse Petitioner; and whether sanctions and costs should be assessed against Respondent.Respondent was overpaid for certain Medicaid claims reimbursed between Jan. 1, 2007, and Dec. 31, 2008, by AHCA, and the agency is entitled to sanction Respondent and impose costs related to establishing the overpayment.
20-003907MTR  JONATHAN TOUCHTON vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2020)
Division of Administrative Hearings, Florida Filed: Aug. 31, 2020
What amount of the personal injury claim settlement of Petitioner, Johnathan Touchton, must be paid to Respondent, Agency for Health Care Administration (Agency), to satisfy the Agency's Medicaid Lien?Petitioner proved pro rata calculus was fair way to determine amount of personal injury claim damages he recovered that were allocable to past medical expenses paid by Medicaid.
21-001789RU  POSITIVE BEHAVIOR SUPPORT vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2021)
Division of Administrative Hearings, Florida Filed: Jun. 04, 2021
At issue is whether Petitioner has met the pleading requirements in section 120.56(4), Florida Statutes (2020),1 to allege "agency statements" that meet the definition of a "rule."Pet.’s challenge to problems with new EVV system are not to “agency statements”--to AHCA’s positions intended to apply as law. Instead, Pet. alleged AHCA believes past system problems are fixed.

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