FILED STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS ARS 03 GEORGINA M. GRANADOS and T AND T OPTICAL, Petitioner, : ap Avy © vs. CASE NO. 03-1190MPI : AUDIT NO. 00-0893-000/3/BLT STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER This cause came before me for issuance of a Final Order. In a Final Agency Audit Report dated January 7, 2003 (audit number C.J. 00-0893-000/3/BLT). Petitioner, Georgina M. Granados and T and T Optical were informed the Agency was seeking to recover Medicaid overpayments of $76,474.71. The letter was sent certified mail, return receipt requested to Georgina M. Granados and T and T Optical (hereinafter “PROVIDERS”), who signied for it. The letter contained full disclosure and notice regarding the PROVIDERS’ administrative hearing and due process rights. The PROVIDERS filed a petition for formal hearing. The PROVIDERS through counsel withdrew the petition. Jurisdiction was relinquished by the Division of Administrative Hearings to the Agency for Health Care Administration. FINDINGS OF FACTS The PROVIDERS received the Final Agency Audit Report and that report disclosed to the providers their administrative and due process rights. The PROVIDERS filed a petition and later through counsel withdrew the petition. Therefore, petitioner has chosen not to dispute the facts set forth in the Final Agency Audit Report dated January 7, 2003. Therefore, those facts are hereby deemed admitted, additionally the total overpayment amount of $76,474.71 is deemed admitted, and these form the factual basis for the existence of an overpayment owed by the PROVIDERS, in the amount of $76,474.71. The facts set forth in the Final Agency Report are hereby adopted. That amount is now due and owing, with interest, since the date of January 7, 2003. CONCLUSIONS OF LAW The Agency incorporates and adopts the statements and conclusions of law as set forth in the letter dated March 28, 2002. The admitted facts and facts support the conclusion that the overpayment is due and owing, under the law generally set forth in the final audit letter. Under Florida Statute 409, interest accrues on this overpayment from January 7, 2003. Based on the foregoing, it is ORDERED AND ADJUDGED that Petitioner refund, forthwith, the sum of $76,474.71, together with statutory interest as set forth in Section 409.913, Florida Statutes, from the date of January 7, 2003. DONE AND ORDERED this 4 day of ( Ducat: , 2003, in Tallahassee, Florida. OF Medo ty} 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 ‘o: Anthony C. Vitale, Esquire Chris Parella, Esquire Anthony C. Vitale, P.A. 799 Brickell Plaza, Suite 700 Miami, FL 33131 Grant P. Dearborn, Assistant General Counsel Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #3 Tallahassee, Florida 32308-5403 (Interoffice) Timothy Byrnes, Chief Medicaid Program Integrity Agency for Health Care Administration 2727 Mahan Drive. MS #5 Tallahassee, Florida 32308 (Interoffice) Willie Bivins Finance & Accounting Medicaid Accounts Receivables Agency for Health Care Administration (Interoffice) R.E. Meale Administrative Law Judge DOAH (Interoffice) Laura Dearborn, Analyst MPI (interoffice) CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregaing has been furnished via postage-paid U.S. Mail, Inter-office Mail, E-mail and/or Facsimile Transmission on the __/ 4 day of 4 ¢ t , 2003. (i NATTA 5 Oe £)@Lealand McCharen, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, MS 3 Tallahassee, Florida 32308 850/922-5873 STATE OF FLORIDA RECEIVED DIVISION OF ADMINISTRATIVE HEAIGENERAL COUNSEL JUL 14 2093 GEORGINA M. GRANADOS AND T AND T OPTICAL, Agency for Health Care Admini j Petitioner, ustrayjon vs. Case No. 03-1190MPE". G AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. ORDER CLOSING FILE This cause having come before the undersigned on the Petitioner's Motion to Withdraw Petition for Formal Hearing, filed July 10, 2003, and the undersigned being fully advised, it is, therefore, ORDERED that: 1. The final hearing in this cause scheduled for July 14 and 15, 2003, is hereby cancelled. 2. The file of the Division of Administrative Hearings in the above-captioned matter is hereby closed and jurisdiction is relinquished to the agency.

Docket for Case No: 03-001190MPI