* .. . STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATIO PALM BEACH COUNTY HOME, Petitioner, vs. : ‘Audit No. NH99-060M STATE OF FLORIDA, AGENCY RENDITION NO.: ‘AHCA-01-118-S-MDA FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER ' This cause came before me for the purpose of issuing a final agency order, it appearing from the Settlement Agreement, and Order Closing File attached and incorporated herein, that there are no remaining disputed issues of fact. FINDINGS OF FACT 1. On Opn. M A7 200! a Settlement Agreement between the parties was executed which dismissed the Petitioners case against the Agency. On March 19, 2001, an Order Closing File was entered by the Division of Administrative Hearings, returning jurisdiction to the Agency for final disposition. no remaining disputed issues of fact or law. CONCLUSIONS OF LAW ; ‘ ~-. The Agency has jurisdiction over the parties and subject matter pursuant to Section 120.57, Fla. Stat. (2000). The parties are directed to comply with the terms of the . Settlement. The petition is dismissed and the file is closed this a7 day of a = oo 2 Jr. Secretary _ Agency for Health Care Administration 2001. 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, 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 WHERE A PARTY RESIDES. REVIEW OF PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF THE RENDITION OF THE ORDER TO BE REVIEWED. f Copies Furnished to: ~ John Van Laningham — Mary Stewart, CPA Administrative Law Judge Manager, Audit Services DOAH AHCA, Bldg. #3 1230 Apalachee Parkway 2727 Mahan Drive Tallahassee, FL 32399-3060 Tallahassee, FL 32308 ~ Steven Grigas, Esquire AHCA, Bldg. #3 2727 Mahan Drive Tallahassee, FL 32308 Ted Crowell, Esquire 3 Health Care District of Palm ‘ Beach County. 324 Datura Street, #401 - West Palm Beach, FL 33401 So Nr egg ons ~ . CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been ee furnished to the above named addressees by U.S. Mail on this the / TH say of aay 2001. a gl ee R.S. Power, Esquire Agency Clerk: State of Florida OPER rrteriere 2 wer ~ STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS PALM BEACH COUNTY HOME, Petitioner, vs. DOAH CASE NO. 01-0313 STATE OF FLORIDA, - AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. SETTLEMENT AGREEMENT The Parties, by and through the undersigned, hereby stipulate in full and complete settlement of the above styled case, as follows: 1. The Respondent, STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION (“AHCA”) shall revise its audit (NH-99-060M) of Petitioner, PALM BEACH COUNTY HOME (“Palm Beach”), Medicaid Cost Report for the period ending September 30, 1997 in accordance with the attached letter adopted and incorporated herein by reference, dated March 20, 2001, from Steven Diaczyk to Ted Crowell, Esquire. uf 4 2. Based upon this Settlement, the Petitioner agrees to dismiss its Petition in this case with Prejudice. ; : so | 3. “Upon formal execution, “AHCA will adopt and i incorporate this Settlement into its Final Order closing the Agency's s casefile i in this matter. 4. Each Party agrees to bear its own costs and fees associated with this action. SR te crm 5. The signatories represent and warfant that they are vested with the authority to execute this settlement agreement on behalf of their respective principles and to fully bind such principals, their successors and assigns to its terms. AGREED to on this &7_ day of Crk , 2001. FOR THE RESPONDENT _ FOR THE PETITIONER Steven Grigas Senior Attomey AHCA 2727 Mahan Drive, MLC #3 324 Datura Street, Suite 401 Tallahassee, FL 32308 West Palm Beach, FL 33701 MEL e.etisnis a Yor Julie Gallagher General Counsel, AHCA 2727 Mahan Drive, MLC #3 Tallahassee, FL 32308 . Bob Sharpe Director of Medicaid, AHCA 2727 Mahan Drive, MLC #3 x Tallahassee, FL 32308 — a Sse pees eget meee er oor eld Nukem oette pe ; o #O92 Pa2/a2_ STATE OF FLORIDA | FICA pee AGENCY FOR HEALTH CARE ADMINISTRATION JEB BLUSH, GOVERNOR . . RUBEN J. KING-SHAW, JR., SECRETARY. “March 20, 2001 Meet Covl - RECEIVED | Health Care District of Palm Beach County - 324 Datura Street, Suite 401. ob eee KEGAL "West Palm Beach, FL 33701 : M AR 21 ‘001 Re: Appeal of the audit of Palm Beach County Home .... _ — “heen oY tse Hea eT ane _- Dear Mr. Crowell: Care Annan Based on our conversation this afternoon, we agree to make the following changes to the audit report of Palm Beach County Home for YE 9/30/97. We will remove adjustments 9 and 23. We will change the adjustment to physical therapy square footage from 452 to (890). We will change the adjustment to occupational therapy square footage from 0 to 910. We will change the adjustment to medical supplies square footage from 0 to 4,197. We will change the adjustment to patient care square footage from (49,459) to (17,053). We will change the adjustment to laundry square footage from 4,106 to 2,636. . We will change the adjustment to radiology square footage from (363) to (313). ~ If this is satisfactory, ‘we'll draw up a settlement stipulation to incorporate these changes and close out the appeal. Ifyou have any questions, feel freé to call me at (727) 52-1 185, ' Sincerely, : Steven Diaczyk -’ Audit Evaluation and Review Analyst Visit AHCA Online at 2727 Mehan Drive « Mail Stop 21 308 wwy.fdhe.state flus Taltahasseo, FL 32 1 peepee ape wer ce

Docket for Case No: 01-000313