Petitioner: SUDHIRA A. KULATUNGA, M.D.
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: STUART M. LERNER
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Apr. 29, 2002
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, June 17, 2002.
Latest Update: Dec. 24, 2024
STATE OF FLORIDA
DIVISION OF ADMINISTRATIVE HEARINGS eieaq 2
SUDHIRA A. KULATUNGA, M.D.,
Petitioner,
DOAH CASE NO: 02-1661mPr-SNL Chedec
v. JUDGE: Stuart M. Lerner o
~
AGENCY FOR HEALTH CARE ea ©
ADMINISTRATION, abs
saree
Respondent. 2224
/
FINAL ORDER
THE PARTIES resolved all disputed issues and executed
a “settlement agreement”, which is incorporated by
reference. The parties are directed to comply with the
terms of the “settlement agreement”. Based on the
foregoing, this proceeding is CLOSED.
DONE and ORDERED on this the _/*+ day of
, 2002, in Tallahassee, Florida.
bee
M. Medows, M.D., 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:
Gary Clarke
Sternstein, Rainer, & Clarke
101 N. Gadsden St.
Tallahassee, FL 32301
Kelly Bennett, Esquire
Attorney for Agency
AGENCY FOR HEALTH CARE
ADMINISTRATION
2727 Mahan Drive
Fort Knox Building 3, Mail Stop 3
Tallahassee, Florida 32308
Pamela Langford
Medicaid Program Integrity
2002 Old St.Augustine Rd.
Bldg. D MS# 6
Tallahassee, FL
Charlie Ginn
Medicaid Program Integrity
2002 Old St.Augustine Rd.
Bldg. D MSH 5
Tallahassee, FL
Willie Bivens, Finance and Accounting
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the
foregoing has been sine SOTA to the above named adaressees
by U.S. Mail on this the 3TH day of Pres AT
2002.
Lorbuwoh hn (ha
Agency Clerk
State of Florida
Agency for Health Care
Administration
2727 Mahan Drive,
Building #3, Mail Stop 3
Tallahassee, Florida 32308-5403
Sudhira A. Kulatunga, M.D.
DOAH Case No.: 02-1661MPI
Page 1 of 4
STATE OF FLORIDA
DIVISION OF ADMINISTRATIVE HEARINGS
SUDHIRA A. KULATUNGA, M_LD.,
Petitioner,
DOAH CASE NO: 02-1661MPI
v. JUDGE: Stuart M. Lerner
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AGENCY FOR HEALTH CARE Y» ~n
ADMINISTRATION, go Be
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SETTLEMENT AGREEMENT OF = cc)
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This settlement agreement (“Agreement”) is entered into by and between the’ R gencgfor
Health Care Administration (‘AHCA”), and SUDHIRA A. KULATUNGA, MLD., (“Petitioner”).
1. This matter arises out of AHCA’s review of Petitioner’s paid claims to Medicaid. On
March 20, 2002, AHCA issued a Final Agency Action Letter (FAAL) that alleged that Petitioner
had been overpaid by Medicaid in the amount of $1,111.66.
2. Petitioner filed a petition challenging AHCA’s determination and requesting a formal
administrative hearing.
3. In order to resolve this matter without the initiation of further administrative proceedings,
Petitioner has agreed to repay $1,111.66, and to withdraw its request for administrative hearing
with prejudice to refiling the petition.
4. AHCA agrees to accept $1,111.66, in the manner set forth herein in settlement of the
overpayment issues arising from the Medicaid review (C.I. 95-0132-086-2/PML). AHCA
further agrees that such payment is solely for the purposes of settlement, does not constitute
admission of improper billing, and is not considered a sanction or fine of any kind.
Sudhira A. Kulatunga, M.D.
DOAH Case No.: 02-1661MPI
Page 2 of 4
5. Petitioner agrees to pay to AHCA in one lump sum, the amount of one thousand one
hundred eleven dollars and sixty-six cents ($1,111.66), to be paid within thirty (30) days of the
issuance of a final order adopting this agreement.
6. Petitioner is responsible for ensuring timely delivery of the payment. Furthermore,
failure to timely make the payment will render the balance due and payable immediately, with
interest, and interest will continue to accrue until the entire balance is paid.
7. Petitioner and AHCA agree that full payment as set forth above will resolve and settle
this case completely and release both parties from all liabilities arising from the findings in the
audit referenced as: C.I. 95-0132-086-2/PML
8. Petitioner agrees that it will not rebill the Medicaid Program in any manner for claims
that were not covered by Medicaid, which are the subject of the audit in this case.
9. Payment shall be made payable to:
AGENCY FOR HEALTHCARE ADMINISTRATION
Medicaid Accounts Receivable
Post Office Box 13749
Tallahassee, Florida 32317-3749
Payment shall clearly indicate that it is per a settlement agreement, shall reference
the DOAH Case Number, and shall reference the C.I. Number.
10. Upon complete execution of this Agreement by Petitioner, this Agreement constitutes
Petitioner’s’ dismissal of the petition and authorizes AHCA to file a Motion to Relinquish
Jurisdiction with the Division of Administrative Hearings.
11. The parties will bear their own fees and costs associated with these proceedings.
12, The signatories to this Agreement, acting in a representative capacity, represent that they
are duly authorized to enter into this Agreement on behalf of the respective parties.
Sudhira A. Kulatunga, M.D.
DOAH Case No.: 02-1661MP!
Page 3 of 4
13. This Agreement shall be construed in accordance with the provisions of the laws of
Florida, Venue for any action arising from this Agreement shall be in Leon County, Florida.
14. This Agreement constitutes the entire agreement between Petitioner and AHCA,
including anyone acting for, associated with or employed by them, concerning all matters
relating to audit no. C.L 95-0132-086-2/PML and supercedes any prior discussions, agreements
or understandings; there are no promises, representations or agreements between Petitioner and
the AHCA other than as set forth herein. No modification or waiver of any provision shall be
valid unless a written amendment to the Agreement is completed and properly executed by the
parties.
15. Petitioner expressly waives in this matter its right to any hearing pursuant to sections
120.569 or 120.57, Florida Statutes, the making of findings of fact and conclusions of law by the
Agency, and all further and other proceedings to which it may be entitled by law or rules of the
Agency regarding this proceeding and any and all issues raised herein. Petitioner further agrees
that the Agency shall issue a Final Order adopting the terms of this settlement. However, if for
any reason AHCA does not adopt this agreement, Petitioner reserves the right to re-open this
matter with the Division of Administrative Hearings and shall have not waived any rights.
16. . This Agreement is and shall be deemed jointly drafted and written by all parties to it and
shall not be construed or interpreted against the party originating or preparing it.
17. To the extent that any provision of this Agreement is prohibited by law for any reason,
such provision shall be effective to the extent not so prohibited, and such prohibition shall not
affect any other provision of this Agreement.
18. This Agreement shall inure to the benefit of and be binding on each party’s successors,
assigns, heirs, administrators, representatives and trustees.
Sudhira A. Kulatunga, M.D.
DOAH Case No.: 02-1661MPI
Page 4 of 4
SUDHIRA A. KULATUNGA, M.D.
13001 Southern Blvd.
Loxahatchee, FL 33470
—_ Dated: 7/ 3/ , 2002
pa
By: PUDHIZA. A. KKucaTuiNar
(print name above)
ITs:_M +>.
(print title above)
Dated: 7/8 , 2002
Sternsteifi, Rainer, and Clarke
101 N. Gadsden St.
Tallahassee, FL 32301
AGENCY FOR HEALTH CARE
ADMINISTRATION
2727 Mahan Drive, Mail Stop #3
Tallahassee, FL 32308-5403
Dated: dt , 2002
Rufus Nople
Inspector General
Dated: £& A & , 2002
William Roberts
Acting General Coynsel
Dated: , 2002
Assistant General Counsel
Docket for Case No: 02-001661MPI
Issue Date |
Proceedings |
Aug. 30, 2002 |
Final Order filed.
|
Jun. 17, 2002 |
Order Closing File issued. CASE CLOSED.
|
Jun. 14, 2002 |
Motion to Cancel Hearing and Relinquish Jurisdiction (filed by Respondent via facsimile).
|
Jun. 13, 2002 |
Notice of Taking Deposition Duces Tecum, S. Kulatunga (filed via facsimile).
|
May 10, 2002 |
Order of Pre-hearing Instructions issued.
|
May 10, 2002 |
Notice of Hearing issued (hearing set for June 25, 2002; 9:00 a.m.; Tallahassee, FL).
|
May 07, 2002 |
Joint Response to Initial Order (filed via facsimile).
|
Apr. 29, 2002 |
Initial Order issued.
|
Apr. 29, 2002 |
Final Agency Audit Report filed.
|
Apr. 29, 2002 |
Petition for Formal Administrative Hearing filed.
|
Apr. 29, 2002 |
Notice (of Agency referral) filed.
|