STATE OF FLORIDA “a AGENCY FOR HEALTH CARE ADMINISTRATIONS enol ADM THE HEALTH CENTER OF HE MERRITT ISLAND, Petitioner, vs. Case No. 01-1931 Audit No. Be S AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. . FINAL ORDER This proceeding was initiated by The Health Center of Merritt Island’s (“Petitioner”) letter of April 13, 2001 requesting a formal hearing to contest the Agency for Health Care Administration’s (“Agency”) determination regarding the per diem rate applicable to the Petitioner’s application for a Change of Ownership (“CHOW”). Petitioner was notified of the Agency’s decision by letter dated April 3, 2001. Prior to the final hearing in this matter, the parties reached a settlement in related cases, which are identified in the Petitioner’s “Notice of Withdrawal of Petition”. On June 12, 2001, Petitioner filed its Notice of Withdrawal of Petition, and the administrative law judge entered an order of June 15, 2001 closing the Division of Administrative Hearing’s file. . Based on the foregoing, request for a hearing is dismissed and this proceeding is closed. ey crm wr oe enmg Ki ie a klk er aeere anes af LODZ DONE and ORDERED this 22nd dayof_January ~2001 in Tallahassee, Leon County, Florida Poet Rhonda M. Medows, MD, Secretary Agency for Health Care Administration 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 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. Copies furnished to: Kelly Bennett, Esquire Assistant General Counsel Agency for Health Care Administration 2727 Mahan Drive, Bldg. 3, MS #3 (Interoffice Mail) : Michael J. Bittman, Esquire Gray, Harris & Robinson, P.A. 301 East Pine Street, Suite 1400 Post Office Box 3068 Orlando, Florida 32802-3068 Daniel M. Kilbride Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Lisa Milton oe ee Medicaid Cost Reimbursement | 2727 Mahan Drive, Bldg. 3, MS #21 (nteroffice Memo) $ S rmaget en eg: Se ewe PRR Oe Emm me Willie Bivens, Finance and 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 on this ¢ { j day o } t Ul ket, 2008 Chile lhe soon , Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, Bldg. #3, MS #3 Tallahassee, Florida 32308 (850) 922-5873 es

Docket for Case No: 01-001931