STATE OF FLORIDA AGENCYFORHEALTHCAREADMINISTRATION 2011 MAY 15 A 8: 39

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

vs.

Petitioner,

CASE NO.: 11-4318MPI

11-4319MPI PROVIDER NO.: 686251901

686251996

C.I. NO.: 11-1641-000

THE SHEPHERD'S GARDEN, INC.,

Respondent.

/

11-1643-000

FINAL ORDER

THE Respondent filed a Notice of Voluntary Withdrawal of Hearing Request with the Division of Administrative Hearings. The Division of Administrative Hearings issued an Order Closing File and Relinquishing Jurisdiction. BASED on the foregoin g, it is ORDERED and ADJUDGED that Respondent refund, forthwith, the sum of $205,215.43, together with such statutory interest as is set forth in Section 409.913(25)(c), Florida Statutes. This amount due will be offset by any amount already received by the Agency in this matter.

Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the /!t!!day of ._ ---,_;;;. ,-;,-_     

Tallahassee, Florida.

, 2012, m

AJYJL :

BETii'a:ioEK(SEcRETARY

Agency for Health Care Administration

1

Filed May 16, 2012 2:09 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:

Daniel Lake, Esquire Agency for Health Care Administration (Interoffice Mail)

Cynthia Mikos, Esquire Allen Dell, P.A.

202 South Rome Avenue, Suite 100

Tampa, Florida 33606 (U.S. Mail)

June C. McKinney Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

Mike Blackbum, Chief, Medicaid Program Integrity Finance and Accounting

HQA

Agency for Persons with Disabilities (Facility)

CERTIFICATE OF SERVICE

7

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/ of /1/  '/ , 2012.

   L:  ,

Richard Shoop, Esquire 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: 11-004318MPI

Orders for Case No: 11-004318MPI