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AGENCY FOR HEALTH CARE ADMINISTRATION vs GRACE VALENTE, M.D., 08-005524MPI (2008)

Court: Division of Administrative Hearings, Florida Number: 08-005524MPI Visitors: 18
Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: GRACE VALENTE, M.D.
Judges: HARRY L. HOOPER
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Nov. 04, 2008
Status: Closed
Recommended Order on Monday, February 9, 2009.

Latest Update: Mar. 20, 2009
Summary: The issue is whether Respondent violated federal and state laws addressing Medicaid payments, and, if so, what is an appropriate remedy.Respondent failed to comply with Medicaid regulations and failed to supply medical records when requested.
AHCA v Grace Valente, MD



STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

FILED

AHCA

AGEt4CY CLERK

20M MAR 20 P 2: 04


STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,


Petitioner,

V.


GRACE VALENTE, M.D.,


Respondent.

I


FINAL ORDER


DOAH CASE NO. 08-5524MPI AUDIT NO. C.I. 08-6463-000

RENDITION NO.: AHCA-09- \ '13 -FOF-MDO


This case was referred to the Division of Administrative Hearings (DOAH) where the assigned Administrative Law Judge (ALJ), Harry L. Hooper, issued a Recommended Order after conducting a formal hearing. At issue in this proceeding is whether Respondent violated-federal and state laws addressing Medicaid payments, and, if so, what is an appropriate remedy. The Recommended Order dated February 9, 2009, is incorporated herein by reference.

RULING ON EXCEPTIONS


The parties did not file any exceptions to the Recommended Order.


F'INDINGS OF FACT


The Agency adopts the findings of fact set forth in the Recommended Order.


CONCLUSIONS OF LAW


The Agency adopts the conclusions oflaw set forth in the Recommended Order.


IT IS THEREFORE ADJUDGED THAT:


Respondent is required to repay $5,350.02 in Medicaid overpayments, plus statutory interest as articulated in the Recommended Order, to the Agency for paid claims covering the


Filed March 20, 2009 2:46 PM Division of Administrative Hearings.


period from January 1, 2003 to December 31, 2005. Additionally, the Agency imposes a $1,500 fine on the Respondent. Respondent shall make full payment of the overpayment and fine to the Agency for Health Care Administration within 30 days of the rendition of this Final Order. Respondent shall pay by check payable to the Agency for Health Care Administration and mailed to the Agency for Health Care Administration, Office of Finance and Accounting, 2727 Mahan Drive, Fort Knox Building 2, Mail Stop 14, Tallahassee, Florida 32308.


DONE and ORDERED this /0/IJ day of _ij_l+_,).

, 2009, in Tallahassee,


Florida.


Secretary

AGENCY FOR HEALTH CARE ADMINISTRATION


NOTICE OF RIGHT TO JUDICIAL REVIEW


A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO WDICIAL REVIEW, WHICH SHALL BE INSTITUTED BY FILING THE ORIGINAL. NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A COPY ALONG WITH THE FILING FEE 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 THE RENDITION OF THE ORDER TO BE REVIEWED.


CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished by U.S. or interoffice mail to the persons named below on this 701:l..aay of

11/ ,2009.


RICHARD J. SHOOP, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, MS #3

Tallahassee, Florida 32308

(850) 922-5873

COPIES FURNISHED TO:


Honorable Harry L. Hooper Administrative Law Judge Division of Administrative Hearing The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060


William Blocker, II, Esquire Assistant General Counsel

Agency for Health Care Administration

272.7 Mahan Drive, MS #3 Tallahassee, Florida 32308


GraceValente, M.D.

3474 Paddle Point

Spring Hill, Florida 34609


Medicaid Program Integrity

Agency for Health Care Administration 2727 Mahan Drive, MS #4

Fort Knox Building III Tallahassee, Florida 32308


HemyEvans

Finance & Accounting


Docket for Case No: 08-005524MPI
Issue Date Proceedings
Mar. 20, 2009 Agency Final Order filed.
Feb. 09, 2009 Recommended Order cover letter identifying the hearing record referred to the Agency.
Feb. 09, 2009 Letter to Judge Hooper from G. Valente enclosing Exhibits 1 and 2 filed.
Feb. 09, 2009 Recommended Order (hearing held December 17, 2008). CASE CLOSED.
Feb. 06, 2009 Letter to Judge Hooper from G. Valente enclosing proposed recommendation filed.
Jan. 23, 2009 Letter to Judge Hooper from G. Valente regarding response to transcript filed.
Jan. 12, 2009 State of Florida, Agency for Health Care Administration`s Closing Argument and Proposed Recommended Order filed.
Jan. 06, 2009 Transcript of Proceedings (Volumes I&II) filed.
Dec. 17, 2008 CASE STATUS: Hearing Held.
Dec. 15, 2008 Petitioner`s Motion to Restrict Use and Disclosure of Information Concerning Medicaid Program Applicants and Beneficiaries filed.
Dec. 05, 2008 Order Granting Official Recognition.
Dec. 04, 2008 Unilateral Statement of the Facts and Issues in Question filed.
Dec. 04, 2008 Petitioner`s Witness List filed.
Dec. 04, 2008 Petitioner`s Request for Official Recognition filed.
Nov. 13, 2008 Order of Pre-hearing Instructions.
Nov. 13, 2008 Notice of Hearing (hearing set for December 17, 2008; 9:00 a.m.; Tallahassee, FL).
Nov. 12, 2008 Joint Response to Initial Order filed.
Nov. 05, 2008 Initial Order.
Nov. 04, 2008 Final Audit Report filed.
Nov. 04, 2008 Request for Formal Hearing filed.
Nov. 04, 2008 Order Relinquishing Jurisdiction filed.
Nov. 04, 2008 Notice (of Agency referral) filed.

Orders for Case No: 08-005524MPI
Issue Date Document Summary
Mar. 20, 2009 Agency Final Order
Feb. 09, 2009 Recommended Order Respondent failed to comply with Medicaid regulations and failed to supply medical records when requested.
Source:  Florida - Division of Administrative Hearings

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