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APOLLO HEALTH AND REHABILITATION CENTER vs AGENCY FOR HEALTH CARE ADMINISTRATION, 09-005214 (2009)

Court: Division of Administrative Hearings, Florida Number: 09-005214 Visitors: 21
Petitioner: APOLLO HEALTH AND REHABILITATION CENTER
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: WILLIAM F. QUATTLEBAUM
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Sep. 22, 2009
Status: Closed
Recommended Order on Wednesday, May 5, 2010.

Latest Update: Jun. 21, 2010
Summary: The issue in the case is whether the Agency for Health Care Administration (Respondent) used the correct nursing home bed capacity in calculating the Medicaid per diem rate for Apollo Health and Rehabilitation Center (Petitioner) for the rate period beginning July 1, 2009.Correct identification of nursing home beds requires amendment to reimbursement rate.
Apollo Health and Rehablitation Center v AHCA


STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION


APOLLO HEALTH AND REHABILITATION CENTER,


20!0 JUN 2 I A 8: 2O



VS .

Petitioner, DOAH CASE NO. 09-5214

RENDITION NO.: AHCA-10-0698-FOF-MDR


STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADM INI STRATION,


Respondent .

I


FINAL ORDER


This case was referred to the Division of Administrative Hearings (DOAH) where the assigned Administrative Law Judge (ALJ), William F. Quattlebaum, conducted a formal administrative hearing. At issue in this proceeding is whether the Agency for Health Care Administration ("AHCA" or "Agency") used the correct nursing home bed capacity in calculating the Medicaid per diem rate for the Petitioner for the rate period beginning July 1, 2009. The Recommended Order dated May 5, 2010 is attached to this final order and incorporated herein by reference.

RULINGS ON EXCEPTIONS


The parties did not file any exceptions to the Recommended Order.


FINDINGS OF FACT


The Agency hereby adopts the findings of fact set forth in the Recommended Order.


CONCLUSIONS OF LAW


The Agency adopts the conclusions of law set forth in the Recommended Order.


Filed June 21, 2010 2:29 PM Division of Administrative Hearings.

ORDER


Based upon the foregoing, the Petitioner's nursing home bed capacity on December 31, 2008 was 99 beds and the Agency shall make the appropriate adjustment to Petitioner's Medicaid per diem rate calculations for the relevant rate semester based on that bed capacity.

DONE and ORDERED this f6 day of, L k: , 2010, in Tallahassee, Florida.


THOMAS W. ARNOLD, SECRETARY

AGENCY FOR HEALTH CARE ADMINISTRATION


NOTICE OF RIGHT TO JUDICIAL REVIEW


A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH THE FILING FEE AS PRESCRIBED BY LAW WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

CERTIFICATE OF SERVICE


I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished by U.S. Mail, or by the method indicated, to the persons named below on this

7/ of

,20IOC


RICHARD J. SHOOP, Agency Clerk -­ Agency for Health Care Administration 2727 Mahan Drive, MS#3

Tallahassee, Florida 32308-5403

(850) 412-3630


COPIES FURNISHED TO:


Honorable William F. Quattlebaum Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060


Peter A. Lewis, Esquire

Law Offices of Peter A. Lewis, P.L.

3023 North Shannon Lakes Drive, Suite 101 Tallahassee, Florida 32309


Kelly A. Bennett, Esquire

Agency for Health Care Administration 2727 Mahan Drive, MS #3

Tallahassee, Florida 32308


Lisa Milton

Medicaid Program Analysis


Docket for Case No: 09-005214
Issue Date Proceedings
Jun. 21, 2010 (Agency) Final Order filed.
May 05, 2010 Recommended Order (hearing held March 22, 2010). CASE CLOSED.
May 05, 2010 Recommended Order cover letter identifying the hearing record referred to the Agency.
Apr. 15, 2010 Petitioner`s Proposed Recommended Order filed.
Apr. 14, 2010 Proposed Recommended Order filed.
Apr. 13, 2010 Notice of Filing Redacted Exhibit 16 (exhibit not available for viewing).
Apr. 05, 2010 Transcript of Proceedings filed.
Mar. 22, 2010 CASE STATUS: Hearing Held.
Mar. 15, 2010 Petitioner's 2nd Prehearing Stipulation filed.
Mar. 12, 2010 AHCA's Second Unilateral Pre-hearing Statement filed.
Mar. 09, 2010 Respondent's Response to Petitioner's First Request for Production of Documents filed.
Mar. 09, 2010 Respondent's Notice of Service of Answers to Petitioner's Interrogatories filed.
Feb. 03, 2010 Consent to Appearance by Law Student filed.
Jan. 22, 2010 Order Re-scheduling Hearing (hearing set for March 22, 2010; 9:30 a.m.; Tallahassee, FL).
Jan. 20, 2010 Joint Status Report filed.
Jan. 11, 2010 Order Granting Continuance (parties to advise status by January 26, 2010).
Jan. 11, 2010 Unopposed Motion for Continuance filed.
Dec. 31, 2009 Petitioner's Prehearing Stipulation filed.
Dec. 30, 2009 AHCA's Unilateral Pre-hearing Statement filed.
Dec. 14, 2009 Notice of Deposition (of S. Russell, J. McLemore, B. Hudson) filed.
Dec. 14, 2009 Notice of Deposition filed.
Dec. 08, 2009 Petitioner's Request for Production of Documents filed.
Dec. 08, 2009 Petitioner's Notice of Service of Interrogatories to Respondent filed.
Nov. 13, 2009 Response to Respondent's Request for Admissions filed.
Nov. 13, 2009 Petitioners' Notice of Compliance with Respondent's First Request for Production of Documents filed.
Nov. 13, 2009 Petitioner's Notice of Service of Answers to Interrogatories Propounded by Respondent filed.
Oct. 14, 2009 Respondent's Request for Admissions filed.
Oct. 14, 2009 Respondent's First Request for Production of Documents filed.
Oct. 14, 2009 Respondent's First Interrogatories to Petitioner filed.
Oct. 14, 2009 AHCA's Notice of Service of First Interrogatories, First Request for Admissions and First Request for Production of Documents to Petitioner filed.
Sep. 25, 2009 Order of Pre-hearing Instructions.
Sep. 25, 2009 Notice of Hearing (hearing set for January 13, 2010; 9:30 a.m.; Tallahassee, FL).
Sep. 24, 2009 Response to Initial Order filed.
Sep. 22, 2009 Initial Order.
Sep. 22, 2009 Medicaid Cost Reimbursement Planning and Analysis filed.
Sep. 22, 2009 Petition for Formal Administrative Hearing filed.
Sep. 22, 2009 Notice (of Agency referral) filed.

Orders for Case No: 09-005214
Issue Date Document Summary
Jun. 21, 2010 Agency Final Order
May 05, 2010 Recommended Order Correct identification of nursing home beds requires amendment to reimbursement rate.
Source:  Florida - Division of Administrative Hearings

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