STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

FILED

MIC .

A G ENC Y CLERK

ZOIJ HAY 13 A 10: 2b

vs.

Petitioner,

CASE NO. 12-3472MPI C.I. NO. 12-2490-000

PROVIDER NO. 651052300

NPI NO. 1588865927

LICENSE NO. 22015096

GOLDENCARE HOME HEALTH AGENCY, INC.,

RENDITION NO.: AHCA-/J - 4'/9 -5-MDO

Respondent.

                                                                               I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of t he attached settlement agreement. Based on the

foregoing, this file is CLOSED.

DONE and ORD ERE D on this the q}!!_ day of 2 01 3 , in Tallahassee, Florida.

E ABETH DUDEK RETApU'

Agency for Health Care Administration

1

Filed May 14, 2013 1:00 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:

Beverly H. Smith Assistant General Counsel

Agency for Health Care Administration Office of the General Counsel (Interoffice Mail)

Bernard P. Coniff, Esquire 760 Ponce De Leon Boulevard Coral Gables, Florida 33134 (U.S. Mail)

Jessica E. Varn Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

Ken Yon, Acting Bureau Chief, Medicaid Program Integrity Finance and Accounting

Health Quality Assurance

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the

foregoing has

U.S. Mail or

been

other

furnished to the above named addressees by

designated method on this the /%-day of

- -t:.. /  

, 2013.

Richard oop, Esquire Agency Clerk

State of Florida

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

Tallahassee, Florida 32308-5403

(850) 412-3630/FAX (850) 921-0158

Docket for Case No: 12-003472MPI

Orders for Case No: 12-003472MPI