STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
SUNRISE COMMUNITY, INC.,
Petitioner,
AHCA
AGnJCY CLERK
vs. Case No. 19-4177
VERSA No. 2016007891
Case No. 19-4178
VERSA No. 2016007892
Engagement No. DD16-015C Engagement No. DD16-016C
Case No. 19-4179 Case No. 19-4180
VERSA No. 2016007893 VERSA No. 2016007894
Engagement No. DD16-017C Engagement No. DD16-018C
Case No. 19-4181 Case No. 19-4182
VERSA No. 2016007895 VERSA No. 2016007896
Engagement No. DD16-019C Engagement No. DDl6-020C
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINJSTRA TION,
Respondent.
I
FINAL ORDER
THIS CAUSE comes before the AGENCY FOR HEALTH CARE ADMINISTRATION
(the "Agency") concerning six (6) examination reports for the period ending June 30, 2014. In letters dated March 6, 2019, Petitioner was informed that the Agency had completed an examination of its Medicaid cost reports for the reporting period specified in the letters. The letters consisted of examination reports that notified Petitioner of adjustments to its cost reports for the reporting period specified in each letter. Adjustments to the cost report impact the rate of Medicaid payments to Petitioner. A retroactive rate adjustment can result in an overpayment determination for which Petitioner is obligated to repay. The original Examination Reports are attached hereto and incorporated by reference herein as Composite Exhibit A.
I
The Petitioner filed a Petition for Formal Administrative Hearing with respect to the Examination Reports that was forwarded by the Agency Clerk to the Division of Administrative Hearings ("DOAH").
On August 14, 2019, the Agency agreed to revise the Examination Reports, and filed Amended Examination Reports with DOAH. The revisions were by handwritten notes and interlineations to the original Examination Reports. The Amended Examination Reports are attached hereto and incorporated by reference as Composite Exhibit B.
On August 30, 2019, the Petitioner filed its Request for Entry of Recommended Order Adopting the Amended Examination Reports, and agreed to the voluntary dismissal of the six (6) consolidated DOAH cases. The Request is attached as Exhibit C.
On September 5, 2019, an Order Closing Case and Relinquishing Jurisdiction was issued by DOAH as a result of the voluntary dismissal.
ORDER
BASED on the foregoing, it is hereby ORDERED and ADJUDGED:
The Agency incorporates and adopts the statements and conclusions of law as set forth in the attached Composite Exhibit B. By virtue of Petitioner's voluntary dismissal, the facts support the conclusion that the cost report adjustments are true and accurate and form the basis for any corresponding rate adjustments.
The rate adjustments will be assessed immediately and any overpayments which resulted are due and owing to the Agency. Notice of the rate adjustment and any overpayments which result from the retroactive rate adjustment will be conveyed to Petitioner. At that time, Petitioner is obligated to repay the overpayment or make satisfactory arrangements with the Agency.
The above-styled case is closed.
DONE and ORDERED this cJL, day of _ _,<ys.i· --,---'f-"
County, Florida.
,2019, in Tallahassee, Leon
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a h Care Administration
Copies furnished to:
Sunrise Community, Inc. 9040 Sunset Drive
Miami, FL 33173 (U.S. Mail)
Toriano Hatcher
Audit Services Administrator (Electronic mail)
Bureau of Financial Services (Electronic mail)
Steven Malono, Esq. Office of General Counsel (Electronic mail)
Stefan R. Grow, General Counsel (Electronic Mail)
Shena L. Grantham, Esquire MAL & MPI Chief Counsel (by Electronic Mail)
Steven M. Weinger, Esq. 1881 S. Bayshore Drive Miami, FL 33133 Weingerlaw@gmail.com (Electronic mail)
Zainab Day, Regulatory Analyst Supervisor, MPF
(Electronic Mail)
Deborah Kenon, Government Operations Consultant, MPF
(Electronic Mail)
State of Florida, Division of Administrative Hearings
The Desoto Building 1230 Apalachee Parkway
Tallahassee, Florida 32399-3060
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail or other designated method on this the Z
Ri
Agency Clerk State of Florida
Agency for Health Care Administration 2727 Mahan Drive, MS #3
Tallahassee, Florida 32308-5403
(850) 412-3689/FAX (850) 921-0158
Issue Date | Document | Summary |
---|---|---|
Sep. 26, 2019 | Agency Final Order |