,
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
FILED
AHCA
AGENCY CLERK
ZOii MAR I b A 8: 3,b
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
vs.
Petitioner,
Case No: 10-9434MPI
Provider No.: 6784275 98
C.I. No.: 10-1336-700
LYNZ MANAGEMENT, INC.,
Respondent.
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FINAL ORDER
THIS CAUSE came before the undersigned for issuance of a Final Order on a letter entitled, "Termination from Participation," (hereinafter referred to as the "termination letter") dated August 16, 2010, in C.I. No. 10-1336-700. In the termination letter, the AGENCY FOR HEALTH CARE ADMINISTRATION ("AHCA" or "Agency"), informed the Respondent, LYNZ MANAGEMENT, INC., ("PROVIDER") in pertinent part as follows:
Our records indicate that on June 7, 2010 through July 4, 2010 you submitted false Medicaid claims for payment to the Agency for Health Care Administration (Agency). In accordance with Sections 409.913, Florida Statute (F.S.), Rule 590-9.070, Florida Administrative Code (F.A.C.), the Agency for Health Care Administration (Agency), is hereby terminating your participation in the Medicaid program (7h). This includes any action that resulted in a claim for payment to the Medicaid program as a result of furnishing, supervising a person who is furnishing, or causing a person to furnish goods or services.
The termination letter provided full disclosure and notice to the PROVIDER of procedures for requesting an administrative hearing to contest the sanction.
On or about September 21, 2010, the PROVIDER filed a petition with the Agency, requesting an administrative hearing. The Agency forwarded PROVIDER'S hearing request to the Division of Administrative Hearings ("DOAH") for a formal administrative hearing.
On December 20, 2010, DOAH closed its case file on this matter and relinquished jurisdiction to the Agency. On February 3, 2011, the PROVIDER filed a Notice of Voluntary Dismissal with the Agency, providing notice that PROVIDER voluntarily dismisses its Petition for Administrative Hearing, and stating that the Agency may close its file.
FINDINGS OF FACT
The PROVIDER received the termination letter that gave notice of PROVIDER'S right to an administrative hearing regarding the termination. The PROVIDER filed a petition requesting an administrative hearing, and then agreed to the filing of a Joint Motion to Remand and Relinquish Jurisdiction without Prejudice. Subsequently, the administrative hearing case was CLOSED. By filing a notice of voluntary dismissal, PROVIDER chose not to dispute the facts set forth in the termination letter, dated August 16, 2010. The facts alleged in the termination letter are hereby deemed admitted. The Agency hereby adopts the facts as set forth in the termination letter.
CONCLUSIONS OF LAW
The Agency incorporates and adopts each and every relevant statement and conclusion of law set forth in the termination letter, dated August 16, 2010. The admitted facts support the following legal conclusion:
In accordance with Sections 409.913, Florida Statute (F.S.), Rule 59G-9.070, Florida Administrative Code (F.A.C.), the Agency for Health Care Administration (Agency), is hereby terminating your participation in the
Medicaid program (7h). This includes any action that resulted in a claim for payment to the Medicaid program as a result of furnishing, supervising a person who is furnishing, or causing a person to furnish goods or services.
Based on the foregoing, it is hereby ORDERED AND ADJUDGED that PROVIDER is terminated from the Medicaid Program within thirty (30) days of the issuance of this Final Order. The PROVIDER'S request for an administrative hearing is
DISMISSED.
th Care Administration
DONE AND ORDERED this LL day of , 2011, in Tallahassee, Florida.
Copies Furnished to:
Mark Thomas, Esq. Dale Paleschic, Esq. DELL GRAHAM, P. A.
P. 0. Box 850 Gainesville, FL 32601 Phone: (352) 372-4381
Facsimile: (352) 416-0165 (Via U.S. Mail)
Michael Blackburn, Bureau Chief 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)
Agency for Health Care Administration Bureau of Health Quality Assurance 2727 Mahan Drive, Mail Stop 9
Tallahassee, Florida 32308
License # 299991991 (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)
Inspector General
Medicaid Program Integrity 2727 Mahan Drive
Building 2, Mail Station 6
Tallahassee, Florida 32308 (Interoffice Mail)
J. H. Peterson, III Administrative Law Judge
Division of Administrative Hearings The Desoto Building
1230 Apalachee Parkway
Tallahassee, Florida 32399-3060 (Via U.S. Mail)
Shawn McCauley
Medicaid Contract Management (Via E-Mail Only)
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing document has been furnished to the person(s) named the above by the indicated means of delivery, on this
/ °aayof /1/4.rch , 2011.
Agency Clerk
Agency for Health Care Administration 2727 Mahan Drive
Building 3, Mail Station 3
Tallahassee, Florida 32308
Telephone: (850) 412-3630
Fax: (850) 921-0158
Issue Date | Document | Summary |
---|---|---|
Mar. 16, 2011 | Agency Final Order | |
Mar. 16, 2011 | Agency Final Order |