Petitioner: FULL HEALTH CARE, INC.
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: JOHN G. VAN LANINGHAM
Agency: Agency for Health Care Administration
Locations: Miami, Florida
Filed: Oct. 30, 2000
Status: Closed
Recommended Order on Monday, June 25, 2001.
Latest Update: Oct. 04, 2001
Summary: The evidence showed that Medicaid provider was liable for overpayments received in compensation for non-covered services.
oe
“8,
a) om
b-25-0|
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION " “3
AHT A
FULL HEALTH CARE, INC., DEPARTMENT CLERK
: CASENO.: 00-4441 JUL-CLS _,
Petitioner, PROVIDER NO.: 3766902100 _ 4,
. AUDIT NO.:C. I. 00-0277-000 Bo ao A
v. " RENDITION NO.: AHCA-01-262 FOP-MRG: 3 4,8
pa a)
STATE OF FLORIDA, AGENCY FOR 82 2
HEALTH CARE ADMINISTRATION, , _ Ga se
Pal v4 ~
me
Respondent. :
/
FINAL ORDER
This cause was referred to the Division of Administrative Hearings for
a formal administrative hoaring. The assigned Administrative Law Judge
; Administration ¢“ Agency).
CALS’) has submitted a Recommended Order t the Age ney y for Health Care
At FILED
QO!
=
Business Regulation, 475 So.2d 1277, 1281 (Fla. 1 DCA 1985). The Agency
fully concurs with the ALJ’s conclusions of law.
FINDINGS OF FACT
The Agency hereby adopts the findings of fact set forth in the
Recommended Order.
CONCLUSIONS OF LAW
The Agency hereby adopts the conclusions of law set forth in the
Recommended Order.
Based on the foregoing, the Petitioner, Full Health Care, Incorporated,
is directed to refund Medicaid overpayments in the amount of $193.232.50.
Payment in full is due with 30 days of the filing of this Final Order unless the
parties reach an agreement allowing the Petitioner to pay by monthly
installments. Pay by check payable to the Agency for Health Care
Administration. Mail payment to Agency for Health Care Administration,
Office of Finance and Accounting, Attention: Willie Bivens, 2727 Mahan
Drive, Mail Stop 14, Tallahassee, Florida 32308.
DONE and ORDERED this_2% day of September: , 2001, in
Tallahassee, Florida.
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
HONDA M. MEDOWS, MD, SECRETARY
-2-
re
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.
COPIES FURNISHED TO:
L. William Porter, I, Esquire
Senior Attorney, Agency for
Health Care Administration
2727 Mahan Drive, Suite 3431
Fort Knox Building III
Tallahassee, Florida 32308
John G. Van Laningham
Administrative Law Judge
DOAH, The DeSoto Building
1230 Apalachee Parkway
Tallahassee, Florida 32399-3060
Willie Bivens
Office of Finance & Accounting
Medicaid Accounts Receivable
Fort Knox Building II
2727 Mahan Drive, MS 14
Tallahassee, Florida 32308
Charles Ginn, Chief
Medicaid Program Integrity
Health Care Administration
2002 Old St. Augustine Road
Building B, Suite 12, MS 6
Tallahassee, Florida 32308
-3-
J. Everett Wilson, Esquire
Wilson Suarez & Lopez
Union Planters Bank Building
2151 LeJeune Road - Mezzanine
Coral Gables, Florida 33134-4200
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing
has been furnished via postage-paid U.S. Mail and/or Inter-office Mail to the
above named persons dated on bekohen a , 2001.
Diane A. Grubbs, ASency Clerk
State of Florida, Agency for
Health Care Administration
2727 Mahan Drive, Suite 3431
Fort Knox Building ITI, MS 3
Tallahassee, Florida 32308
850/922-5865
10-Aug-01
Shere
-4-
Docket for Case No: 00-004441
Issue Date |
Proceedings |
Oct. 04, 2001 |
Final Order filed.
|
Jun. 25, 2001 |
Recommended Order issued (hearing held March 21-22, 2001) CASE CLOSED.
|
Jun. 25, 2001 |
Recommended Order cover letter identifying hearing record referred to the Agency sent out.
|
Jun. 14, 2001 |
Letter to Judge Van Laningham from M. Gennett (enclosing Respondent`s AHCA`s answer to Petitioner`s Interrogatory #11 on CD-Rom) filed.
|
Jun. 06, 2001 |
Order Granting Extension issued.
|
Jun. 05, 2001 |
Petitioner`s Exhibits filed.
|
Jun. 01, 2001 |
(Proposed) Recommended Order (filed by Petitioner via facsimile).
|
Jun. 01, 2001 |
Notice of Filing (filed via facsimile).
|
May 30, 2001 |
(Revised) Petitioner`s Unopposed Motion for Extension to File Proposed Recommended Order (filed via facsimile).
|
May 24, 2001 |
Petitioner`s Unopposed Motion for Extension to File Proposed Recommended Order (filed via facsimile).
|
May 24, 2001 |
Agency`s Proposed Recommended Order filed.
|
May 03, 2001 |
Order Granting Enlargement of Time issued.
|
May 02, 2001 |
Unopposed Motion for Enlargment of Time to File AHCA`s Proposed Recommended Order (filed via facsimile).
|
Apr. 25, 2001 |
Transcripts (3 Volumes) filed. |
Apr. 03, 2001 |
Letter to Judge Van Laningham from W. Porter II regarding hearing exhibits filed.
|
Mar. 26, 2001 |
CASE STATUS: Hearing Held; see case file for applicable time frames. |
Mar. 19, 2001 |
Notice of Filing Deposition filed. |
Mar. 19, 2001 |
Deposition of Mayelin Gonzalez filed. |
Mar. 14, 2001 |
Re-Notice of Deposition (filed by Respondent via facsimile). |
Mar. 06, 2001 |
Respondent`s Supplemental Response to Petitioner`s First Request for Production (filed via facsimile). |
Feb. 20, 2001 |
Agency`s Supplemental Answers to Petitioner`s First Interrogatories (filed via facsimile). |
Feb. 09, 2001 |
Re-Notice of Taking Deposition Duces Tecum (cancels notice set for 1/23/01) filed. |
Feb. 07, 2001 |
Order Granting Petitioner`s Motion to Compel issued.
|
Feb. 07, 2001 |
Notice of Deposition (filed via facsimile). |
Jan. 22, 2001 |
Petitioner`s Motion to Compel Better Answers to Interrogatories filed.
|
Jan. 18, 2001 |
Agency`s Response to Petitioner`s Request to Produce (filed via facsimile). |
Jan. 16, 2001 |
Re-Notice of Taking Deposition Duces Tecum (cancels notice set for 1/24/01) filed. |
Jan. 16, 2001 |
Re-Notice of Taking Deposition (cancels notice set for 1/24/01) filed. |
Jan. 11, 2001 |
Notice of Hearing issued (hearing set for March 21 and 22, 2001; 9:30 a.m.; Miami, FL).
|
Jan. 08, 2001 |
Notice of Taking Deposition Duces Tecum filed. |
Jan. 08, 2001 |
Notice of Taking Deposition filed. |
Jan. 05, 2001 |
Notice of Providing Answers to Petitioner`s First Set of Interrogarories (filed via facsimile). |
Jan. 05, 2001 |
Joint Status Report (filed via facsimile).
|
Dec. 29, 2000 |
Petitioner`s Notice of Serving Responses to Interrogatories filed. |
Dec. 29, 2000 |
Petitioner`s Response to Respondent`s Request for Production filed. |
Dec. 14, 2000 |
Petitioner`s First Request for Production filed. |
Dec. 14, 2000 |
Petitioner`s Notice of Serving First Set of Interrogatories filed. |
Dec. 12, 2000 |
Order Granting Continuance and Placing Case in Abeyance issued (parties to advise status by January 4, 2001).
|
Dec. 04, 2000 |
Unopposed Motion to Hold Case in Abeyance filed.
|
Nov. 13, 2000 |
Notice of Service of Expert Interrogatories (filed via facsimile). |
Nov. 13, 2000 |
Respondent`s First Request for Production of Documents (filed via facsimile). |
Nov. 13, 2000 |
Respondent`s Request for Admissions (filed via facsimile). |
Nov. 13, 2000 |
Notice of Service of Interrogatories (filed via facsimile). |
Nov. 06, 2000 |
Order of Pre-hearing Instructions issued.
|
Nov. 06, 2000 |
Notice of Hearing issued (hearing set for January 4 and 5, 2001; 10:00 a.m.; Miami, FL).
|
Nov. 03, 2000 |
Joint Response to Initial Order (filed via facsimile).
|
Oct. 31, 2000 |
Initial Order issued. |
Oct. 30, 2000 |
Request for Formal Proceedings filed.
|
Oct. 30, 2000 |
Final Agency Audit Report filed.
|
Oct. 30, 2000 |
Notice filed by the Agency.
|
Orders for Case No: 00-004441
Issue Date |
Document |
Summary |
Oct. 03, 2001 |
Agency Final Order
|
|
Jun. 25, 2001 |
Recommended Order
|
The evidence showed that Medicaid provider was liable for overpayments received in compensation for non-covered services.
|