STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

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ZOIO FEB 2W P f: Ob

vs.

Petitioner,

CASE NO.: 09-5554MPI PROVIDER NO.: 0875198-00

C.I. NO.: 09-8094-000

NORTH CENTRAL FLORIDA HOSPICE, INC. d/b/a HAVEN HOSPICE,

JUDGE: L. NELSON

RENDITION NO.: AHCA-10-0Z4'1 -5-MDO

Respondent.

I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a settlement agreement, which is attached and incorporated by reference. The parties are directed to comply with the terms of

the attached settlement agreement. Based on the foregoing, this file is hereby CLOSED .

DONE AND ORDERED on this the , l <or·r-

Tallahassee, Florida.

day of =tf

, 2010, in

Thomas W. Arnold, Secrefary

Agency for Health Care Administration

Agency for Health Care Administration v. North Central Florida Hospice, Inc. d/b/a Haven Hospice Final Order - Page I of 3

Filed February 25, 2010 12:11 PM Division of Administrative Hearings.

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 BYLAW, 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:

Alison Ingram

North Central Florida Hospital, Inc. d/b/a Haven Hospice

4200 Northwest 90th Boulevard Gainesville, Florida 32606 (Via U.S. Mail)

Justin M. Senior, General Counsel Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Kim Kellum, Chief Medicaid Counsel Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Tracie L. Hardin, Esquire

Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Bureau of Health Quality Assurance 2727 Mahan Drive, Mail Stop 9

Tallahassee, Florida 32308 (Interoffice Mail)

Ken Yon, Bureau Chief Medicaid Program Integrity 2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

Peter Williams, Inspector General Medicaid Program Integrity

2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

Division of Administrative Hearings The Desoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060 (Via U.S. Mail)

Agency for Health Care Administration Bureau of Finance and Accounting 2727 Mahan Drive

Building 2, Mail Station 14

Tallahassee, Florida 32308 (Interoffice Mail)

'.

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, or the method designated, on this the Z,</ day of

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7

., 2010.

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

Docket for Case No: 09-005554MPI

Orders for Case No: 09-005554MPI