STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

FILED

AHCA

AGENCY CLERK

20!0 JUN -q A q: 02

vs.

Petitioner,

CASE NO.: 09-6608MPI FORMERLY: 09-4194MPI C.I. No.: 06-4516-000

PROVIDER NO.: 2556481-00

JAIME J. RODRIGUEZ, M.D., INC.,

Respondent.

RENDITION NO.: AHCA-10- cto4'1 -5-MDO

/

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 L/f- day of -----' 2010, in

Tallahassee, Florida.

Thomas W. Arnold, Secretary

Agency for Health Care Administration

JAIME J. RODRIGUEZ, M.D., INC. - Final Order Provider No. 2556481-00; C. I. No. 06-4516-000

Page 1 of3

Filed June 9, 2010 1:04 PM Division of Administrative Hearings.

AP ARTY 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:

Vanessa Reynolds, Esquire Broad and Cassel

One Financial Plaza, Suite 2700 100 Southeast 3rd Avenue

Fort Lauderdale, Florida 33394 (Via U.S. Mail)

Peter Williams, Inspector General Medicaid Program Integrity

2727 Mahan Drive

Building 2, Mail Station 6

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 (Via E-mail Only)

Ken Yon, Bureau Chief Medicaid Program Integrity 2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

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

Building 2, Mail Station 14

Tallahassee, Florida 32308 (Interoffice Mail)

Division of Administrative Hearings The Desoto Building

1230 Apalachee Parkway

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

Florida Department of Health License No.: ME58774

(Via Email Only)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to

L

0------

the above named addressees by U.S. Mail, or the method designated, on this the day of

CJ"""- ,_ -·2010.

Agency Clerk State of Florida

Agency for Health Care Administration 2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403

(850) 412-3630

Docket for Case No: 09-006608MPI

Orders for Case No: 09-006608MPI