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STATE OF FLORIDA A GEJ JCY CLERK

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DIVISION OF ADMINISTRATIVE HEARINGS..

· L0l3 MAY I O !2: OO :

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

V.

BREEZE HEALTH CARE INC.,

Respondent.

                                                                !

Case No. 12-3199MPI

Provider No. 000613300

C.I. No. 12-2397-000

RENDITION NO.: AHCA - /3 - '/'6'/ -5-MDO

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of the attached settlement agreement, attached as Exhibit "A." Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the day of - -- -ic..-:a<------

2013, in Tallahassee, Florida.

ELI ETH DUDEK, S

Agency for Health

1

Filed May 14, 2013 12:58 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 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 RENDITION OF THE ORDER TO BE REVIEWED.

Copies furnished to:

Sheri Creel

AHCA Investigator

Medicaid Program Integrity 2727 Mahan Drive, MS#6 Tallahassee, Florida 32308 (VIA Interoffice Mail)

Gintaras Razaitis, RN, MSN, Director of Nursing,

Breeze Health Care, Inc.

318 East Dania Beach Boulevard Dania, Florida, 33004

(VIA US MAIL)

Shena Grantham, Esquire Agency for Health Care

Administration

2727 Mahan Drive, MS#3 Tallahassee, Florida 32308 (Via Interoffice Mail)

Eric Miller, Inspector General 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)

Rick Zenuch, Bureau Chief Medicaid Program Integrity 2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

Bureau of Health Quality Assurance

2727 Mahan Drive, Mail Stop 9

Tallahassee, Florida 32308 (Interoffice Mail)

Division of Administrative Hearings

The Desoto Building 1230 Apalachee Parkway

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

CERTIFICATE OF SERVICE

-o

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 .JS£:._ day of , 2013.

Richard oop, Esqu1 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: 12-003199MPI

Orders for Case No: 12-003199MPI