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