STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRAT#ZON, yes : ~ ESepix z CHILDREN'S HEALTHCARE a aa ASSOCIATION, Sol Ss Petiti r if" etitioner, To } vs. Case No. 00-4333 Provider No. 060221300 RENDITION NO.: AHCA-01-050-S-MDO STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER The Agency for Health Care Administration and Children’s Healthcare Association have entered into a settlement agreement. Based on the foregoing, the parties are directed to comply with the settlement agreement, which is adopted and incorporated by reference. DONE and ORDERED this 26 day of aL. ; 2009f in Tallahassee, Florida. i" 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 FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR SHERE 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. King-Shaw, Jr., Secretary Agency”for Health Care Administration Copies furnished to: Moses E. Williams, Janis A. Jones, M.D. President Senior Attorney Children’s Healthcare Agency for Health Care Association Administration 927 45 th Street, Suite 205 2727 Mahan Dr., Mail Stop #3 West Palm Beach, FL 33407 Tallahassee, FL 32308 COUNSEL FOR AHCA J.D. Parrish Administrative Law Judge Hector Tapining, Div. of Administrative Hearings Medicaid Program Integrity 1230 Apalachee Parkway Tallahassee, FL 32399-3060 Charlie Ginn, Medicaid Program Integrity Willie Bivens, Finance & Accounting CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addresses by U.S. Mail enis SM gay of “Man 2, : 2.00/ R.S. Pdéwer, Ag 7 erk State of Florida, Agency for Health Care Administration 2727 Mahan Dr. Ft. Knox #3, Suite 3431 Tallahassee, FL 32308-5403 (850) 922-5873 MEW/me STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS CHILDREN’S HEALTHCARE ASSOCIATION Petitioner, Case No.: 00-4333 vs. C.I. No.: 99-0997-000/wg2/hot Medicaid Provider No.: 060221300 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / SETTLEMENT AGREEMENT State of Florida, Agency for Health Care Administration (AHCA), and CHILDREN’S HEALTHCARE ASSOCIATION (CHA) through their undersigned representatives agree as follows: 1. AHCA is the State of Florida agency authorized to make payments for medical assistance and related services under ‘Title XIX of the Federal Social Security Act (known as the Medicaid program). § 409.902, Fla. Stat. (2000). Medicaid is a cooperative federal and state welfare program that provides medical assistance to indigent Floridians. 42 U.S.C. § 1396 et. seq. 2. CHA contracted with AHCA to provide services to AHCA’s Medicaid program recipients. § 409.907(2), Fla. Stat. (2000). * pssivg nee 5 2000 AHCA 1 General. Counsel’s Office 3. AHCA’s July 11, 2000 Final Agency Audit Report said that CHA was overpaid $11,541.62. CHA requested an administrative hearing. The parties engaged in negotiations. 4. CHA wants to continue serving AHCA’s Medicaid program recipients. AHCA wants CHA to participate in the Florida Medicaid program. The parties execute this settlement agreement to preserve their contractual relationship and resolve this litigation. Consequently, this settlement agreement is not an admission of wrong doing by either party. 5. The parties settle as follows: a. CHA agrees to pay AHCA $5,800 within thirty days of the Final Order’s date. b. Each party will bear their own attorney’s fees and costs. c. AHCA will issue a Final Order incorporating this settlement agreement. 6. The parties request that the Administrative Law Judge enter an order of dismissal and close its file in this case. 7. This agreement represents the entire agreement between the parties regarding settlement of this case. No modification or waiver of any provision is valid unless a written amendment to the agreement is completed and properly executed by the parties. The signatories to this agreement, acting in a representative capacity, represent that they are duly authorized to act on behalf of the parties to the agreement. Venue for any action arising from this agreement is in Leon County, Florida. Dated this Re day of , 200] . AGENCY FOR HEALTH CARE ADMINISTRATION eral Counsel State of Florida Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #3 Tallahassee, FL 32308-5403 State of Florida Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #4 Tallahassee, FL 32308-5403 CHILDREN’S HEALTHCARE ASSOCIATION Children’s Healthcare Associates, P.A. 927 45™ st., Suite 205 West Palm Beach, Florida 33407 cc: Charlie Ginn, Medicaid Program Integrity Hector Tapining, Medicaid Program Integrity Willie Bivens, Finance & Accounting \moses\00files\00-3551\settlel.doc

Docket for Case No: 00-004333