_. 1 STATE OF FLORIDA §B 25 AGENCY FOR HEALTH CARE ADMINISTRATION i . Opyy: GENERAL MEDICAL CENTER, INC. HE af fi d/b/a GENERAL MEDICAL PHARMACY, . Petitioner, vs. CASE NO. 05-3103MPI PROVIDER NO. 022815000 STATE OF FLORIDA,,. AUDIT C.I. NO. 03-1434-000-3 AGENCY FOR HEALTH CARE Rendition No. AHCA-O06- -S-MDP ADMINISTRATION, Respondent. / FINAL ORDER THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of the attached settlement agreement. Based on the foregoing, this file is CLOSED. eee DONE and ORDERED on this the _/ 7 day of _A@a27Ggay’ , 2006, in Tallahassee, Florida. nfs ff evine, 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. Move Copies furnished to: L. William.Porter II, Esquire Agency for Health Care Administration (Interoffice Mail) Frank Diaz Qualified Representative General Medical Pharmacy 3400 Coral Way, Suite 600 Miami, Florida 33145 (U.S. Mail) Florence Rivas Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Tim Byrnes, Chief, Medicaid Program Integrity Ramona Stewart, Medicaid Program Integrity Maryann Alliegood, 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 addressees by U.S. Mail on this the DP vey of _Fetoeaee 2006. Richard Shoop, Esquire Agency Clerk State of Florida Agency for Health Care Administration 2727 Mahan Drive, Building #3 Tallahassee, Florida 32308-5403 (850) 922-5873 Division of Administrative Hearings FILED B-223-Ob . STATE OF FLORIDA - DIVISION OF ADMINISTRATIVE HEARING$ Date GENERAL MEDICAL CENTER, INC. d/b/a GENERAL MEDICAL PHARMACY, ' Petitioner, vs. CASE NO. 05-3103 a PROVIDER NO. 022815000 STATE OF FLORIDA, AGENCY FOR HEALTH CARE _ ADMINISTRATION, Respondent. ! : / SETTLEMENT AGREEMENT STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION (“AHCA” or “the Agency”), and General Medical Center d/b/a General Medical Pharmacy (“PROVIDER”), by and through the undersigned, hereby stipulate and agree as follows: ‘I. . “~The two parties enter into this agreement for the purpose of memorializing the resolution to this matter. 2. PROVIDER is a Medicaid provider in the State of Florida, provider number 022815000 and was a provider during the audit period. 3. In its Final Agency Audit Report (final agency action) dated November 17, 2004, AHCA notified PROVIDER that review of Medicaid claims performed by Medicaid Program Integrity (MPI), Office of the AHCA Inspector General, indicated that certain claims, in whole or in part, has been inappropriately paid by Medicaid. The Agency sought recoupment of this overpayment, in the amount of $85,075.32. In response to the audit letter dated November 17, Generai Medical Center, Inc.'d/h/a General Medical Pharmacy ‘Settlernent Agreement 2004, PROVIDER filed a petition for a formal administrative hearing, which was assigned DOAH Case No. 05-3103. - 4, Subsequent tothe original audit that took place in this matter and in preparation for trial, AHCA re-reviewed the PROVIDER’s claims and evaluated additional documentation submitted by the PROVIDER: As a result, AHCA determined that the overpayment was adjusted to $66,476.19. 5. In order to resolve this matter without further administrative proceedings, ’ PROVIDER and the AHCA expressly agree as follows: (1) AHCA agrees to accept the payment set forth herein in settlement of the overpayment issues arising from the MPI review. If no payment is made, a default final order will be entered. ' (2) PROVIDER agrees that payment of sixty six thousand four hundred seventy six dollars and nineteen cents ($66,476.19) in full and complete settlement of all claims in the -proceedings before the Division of Administrative Hearings (DOAH Case No. 05-3103) is due to AHCA. AHCA retains the right to perform a 6 month follow-up review. PROVIDER has no defenses to the overpayment claimed and withdraws its petition, herewith. (3) PROVIDER 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. 03-1434- 000-3. PROVIDER agrees they are liable to the Agency in the amount of $66,476.19 and, if not paid, the Agency will enter a default final order. General Medical Center, Inc. d/b/a General Medical Pharmacy Settlement Agreement . . (4) PROVIDER 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. 6. ‘ Payment shall be made to: ‘ * AGENCY FOR HEALTHCARE ADMINISTRATION _ Medicaid Accounts Receivable ‘ Post Office Box 13749 Tallahassee, Florida 32317-3749 7. "PROVIDER agrees that failure to pay any monies due and owing under the terms of this Agreement shall constitute PROVIDER’S authorization for the Agency, without further ( ‘ notice, to enter a default final order and to withhold the total remaining amount due under the terms of this agreement from any monies due and owing to PROVIDER for any Medicaid claims. 8. .AHCA reserves the right to enforce this Agreement under the laws of the State of Florida, the Rules of the Medicaid Program, and all other applicable rules and regulations. 9. ) This settlement does not constitute an admission of wrongdoing or error by either party with respect to this case or any other matter. 10. Each party shall bear its own attorneys’ fees and costs, if any. 11. 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. 12. 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. 13. This Agreement constitutes the entire agreement between PROVIDER and the AHCA, including anyone acting for, associated with or employed by them, concerning all matters and supersedes any prior discussions, agreements or understandings; there are no ' . General Medical Center, Inc.'d/bva General Medical Pharmacy ‘ Settlement Agreement promises, representations or agreements between PROVIDER 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. 14. This is an Agreement of settlement and compromise, made in recognition that the parties may have different or incorrect understandings, information and contentions, as to facts and law, and with each party compromising and settling any potential correctness or incorrectness of its understandings, information and contentions as to facts and law, so that no misunderstanding or misinformation shall be a ground for rescission hereof. 15. PROVIDER 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. PROVIDER further agrees that it shall not challenge or contest any Final Order entered in this matter which is consistent with the terms of this settlement agreement in any forum now or in the future available to it, including the right to any administrative proceeding, circuit or federal court action or any appeal. 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. General Medical Center, Inc. d/b/a General Medical Pharmacy ‘Settlernent Agreement . 19.., All times stated herein are of the essence of this Agreement. 20. This Agreement shall be in full force and effect upon execution by the respective parties in counterpart. t GENERAL MEDICAL CENTER, INC. d/b/a GENERAL MEDICAL PHARMACY Pr Dated: | 23 , 2006 BY: : Ster2 (Print name) x ITS: Ca whfed Reprints AGENCY FOR HEALTH CARE ADMINISTRATION 2727 Mahan Drive, Mail Stop #3 Tallahassee, FL, 32308-5403 heew é : Dated: 2/5 , 2006 Jémes D. Boyd Inspector General } oe C leur fr Colones Dated: P/F . 2006 Christa Calamas , a Coungel Dated: [- ZF , 2006 L. W liam Porter IT Assistant General Counse

Docket for Case No: 05-003103MPI