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AGENCY FOR HEALTH CARE ADMINISTRATION vs QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC., 20-004546MPI (2020)

Court: Division of Administrative Hearings, Florida Number: 20-004546MPI Visitors: 6
Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC.
Judges: E. GARY EARLY
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Oct. 13, 2020
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Friday, January 15, 2021.

Latest Update: Dec. 22, 2024
Summary: STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION 2 A 11: 45 2021 SUFI - STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, DOAH CASE NO.: 20-4545MP1 MPI CASE NO.: 2018-0009249 VS. PROVIDER NO.: 030149300 NPI NO.: 1891731626 LICENSE NO.: 800000013 RENDITION NO.: AHCA-a1 -Ss_3 -S-MDO QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC., Respondent. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINI
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20004545_282_06252021_09485288_e


STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLO RJDA , AGENCY FOR HEALTH CARE ADMINISTRAT ION ,

DOAH CASE NO.:

20-4545MPI

MPI CASE NO .:

2018-0009249

PROVIDER NO.:

030149300

NPI NO.:

1891731626

LICENSE NO.:

800000013

Petitioner ,


vs.


2021 JUN -2 A \I: S



QUEST DIAGNOSTICS CLINICAL LABORATORIES, JNC.,

Respondent.

I


STATE OF FLORJDA, AGENCY FOR HEALTH CARE ADM I NISTRATION ,

Petitioner,

RENDITION NO.: AHCA- .;l.I - - $ 3 -S-MDO


vs.


QUEST DIAGNOSTICS CLINICAL LA BORA TORIES, INC.,

Respondent.

I

FINAL ORDER

DOAH CASE NO .: MPI CASE NO.: PROVIDER NO.: NPI NO. : LICENSE NO.:

20-4546MPI

2018-0009250

030149301

1518903350

66


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. Based on the foregoin g,

this file is CLOSED.

. ')-Q ,,

DONE and ORDERED on this _o'-- 0- day of 2021 m Tallahassee , Leon County, Florida.


ak, Acting Deputy Secretary Quality Assurance

Agency for Health Care Administration


State of Florida, Agenc y for Health Care Administr ation vs. Quest Diagnostics Cli mcal Laboratone s, Inc , MP! Case No.. 20 I 8-0009249 and 2018-0009250

Final Order Page 1 of 3

Filed June 25, 2021 9:48 AM 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:


Quest Diagnostics Clinical Laboratories, Inc.

120 I S. Collegeville Rd. Collegeville, PA 19426-2998 (U.S. Mail)

Mark S. Thomas

THOMAS HEALTH LAW GROUP, P.A.

5200 SW 91st Terrace, Suite 101-8

Gainesville, FL 32608

mark@thomashlg.com (Electronic Mail)

Kelly Bennett, Chief MPI

Division of Health Quality Assurance

Medicaid Program Integrity Kelly.Bennett@ahca.myflorida.com

Laura MacLafferty, Bureau Chief Division of Health Quality Assurance Bureau of Health Facility Regulation BHFR((vahca.myflorida.com (Electronic Mail)

(Electronic Mail)

James D. Varnado, Esquire General Counsel

Office of the General Counsel

.lames. Varnado@ahca.myflorida.com

Michael Murphy, Revenue Financial Administrator

Bureau of Financial Services Michael.Muq;:1hy(mahca.myflorida.com

(Electronic Mail)

(Electronic Mail)

Shena L. Grantham, Esquire MAL & MPI Chief Counsel Office of the General Counsel

Shena.Grantham@ahca.myflorida.com

Katrina Derico-Harris, MAR Unit Mgr. Medicaid Accounts Receivables Unit Bureau of Financial Services

Katrina. Derico-Harri s@ahca. m yflorida.com

(Electronic Mail)

(Electronic Mail)

Ryan Fitch, Chief Central Services Division of Health Quality Assurance Bureau of Central Services

CSMU-86@vahca.myflorida.com

Deborah Warfel, Bureau Chief

Bureau of Medicaid Fiscal Agent Operations Deborah. Warfel@ahca.myflorida.com

(Electronic Mail)

(Electronic Mail)

Eunice Medina, Bureau Chief

Medicaid Plan Management Operations Eunice.Medina((vahca.myflorida.com

Erica Baker, Government Analyst II Bureau of Plan Management Operations Erica.Baker(ivahca.mytlorida.com

(Electronic Mail)

(Electronic Mail)

Bradley S. Butler, Jr.

Office of the General Counsel Bradley. Butler@ahca.mytlorida.com


(Electronic Mail)


CERTIFICATE OF SERVICE


I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been


furnished to the above-named addressees by U.S. Mail or other designated method on this day of , ) ,: 2021.


Agency Clerk State of Florida

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

Tallahassee, Florida 32308-5403

(850) 412-3689/F AX (850) 921-0158


Docket for Case No: 20-004546MPI
Issue Date Proceedings
Jun. 25, 2021 Settlement Agreement filed.
Jun. 25, 2021 Agency Final Order filed.
Jan. 15, 2021 Order Closing File and Relinquishing Jurisdiction. CASE CLOSED.
Jan. 14, 2021 Motion to Relinquish Jurisdiction filed.
Nov. 19, 2020 Notice of Substitution of Counsel filed.
Oct. 29, 2020 Notice of Service of Agency's First Request for Admissions, Agency's First Interrogatories and Expert Interrogatories, and Agency's First Request for Production of Documents to Respondents filed.
Oct. 27, 2020 Order of Pre-hearing Instructions.
Oct. 27, 2020 Notice of Hearing by Zoom Conference (hearing set for January 20, 2021; 9:00 a.m., Eastern Time).
Oct. 26, 2020 Joint Response to Initial Order filed.
Oct. 23, 2020 Order Granting Motion to Extend Response Period.
Oct. 22, 2020 Joint Request for an Extension to Respond to the Initial Order filed.
Oct. 21, 2020 Order of Consolidation (DOAH Case Nos. 20-4545, 20-4546)
Oct. 15, 2020 Addendum to Initial Order.
Oct. 15, 2020 Initial Order.
Oct. 13, 2020 Amended Request for Formal Administrative Hearing filed.
Oct. 13, 2020 Amended Final Audit Report filed.
Oct. 13, 2020 Notice (of Agency referral) filed.

Orders for Case No: 20-004546MPI
Issue Date Document Summary
Jun. 02, 2021 Agency Final Order STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION 2 A 11: 45
2021 SUFI -
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, 
Petitioner, 
DOAH CASE NO.: 20-4545MP1 MPI CASE NO.: 2018-0009249 VS. PROVIDER NO.: 030149300 NPI NO.: 1891731626 LICENSE NO.: 800000013 
RENDITION NO.: AHCA-a1 -Ss_3 -S-MDO
QUEST DIAGNOSTICS CLINICAL 
LABORATORIES, INC., 
Respondent. 
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, 
Petitioner, 
DOAH CASE NO.: 20-4546MPI MPI CASE NO.: 2018-0009250 vs. PROVIDER NO.: 030149301 NPI NO.: 1518903350 LICENSE NO.: 66 
QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC., 
Respondent. 
FINAL ORDER 
THETHE PARTIESPARTIES resolvedresolved allall disputeddisputed issuesissues andand executedexecuted aa SettlementSettlement Agreement.Agreement. TheThe partiesparties 
areare directeddirected toto complycomply withwith thethe termsterms ofof thethe attachedattached settlementsettlement agreement.agreement. BasedBased onon thethe foregoing,foregoing, 
thisthis filefile isis CLOSED.CLOSED. 
DONEDONE andand ORDEREDORDERED onon thisthis 
dayday ofof MnMn 20212021 inin Tallahassee,Tallahassee, LeonLeon 
County,County, Florida.Florida. 
KimberlyKimberly R.R. Sgak,Sgak, ActingActing DeputyDeputy SecretarySecretary DivisionDivision ofof HeaNhHeaNh QualityQuality AssuranceAssurance AgencyAgency forfor HealthHealth CareCare AdministrationAdministration 
StateState ofof Florida,Florida, AgencyAgency forfor HealthHealth CareCare AdministrationAdministration vs.vs. QuestQuest DiagnosticsDiagnostics ClinicalClinical Laboratories,Laboratories, Ina,Ina, MPIMPI CaseCase No.No. 2018-2018-00092490009249 andand 2018-2018-00092500009250 FinalFinal OrderOrder 
PagePage 11 ofof 33 
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: 
Quest Diagnostics Clinical Laboratories, Inc. 120 I S. Collegeville Rd. Collegeville, PA 19426-2998 (U.S. Mail) Mark S. Thomas THOMAS HEALTH LAW GROUP, P.A. 5200 SW 91st Terrace, Suite 101-B Gainesville, FL 32608 mark@thomashlg.com (Electronic Mail) 
Kelly Bennett, Chief MPI Division of Health Quality Assurance Medicaid Program Integrity Ke II X". Bennett@ahca.myfl ori da.com Laura MacLafferty, Bureau Chief Division of Health Quality Assurance Bureau of Health Facility Regulation BHFR({Ilahca.mytlorida.com (Electronic Mail) 
(Electronic Mail) 
James D. Varnado, Esquire General Counsel Office of the General Counsel Michael Murphy, Revenue Financial Administrator Bureau of Financial Services Michael. M uq;1h)l(illahca.mytlorida,com 
.lames. Varnado@ahca.m)ltlorida.com (Electronic Mail) 
(Electronic Mail) 
Shena L. Grantham, Esquire MAL & MPI Chief Counsel Office of the General Counsel Shena.Grantham@ahca.m)lflorida.com Katrina Derico-Harris, MAR Unit Mgr. Medicaid Accounts Receivables Unit Bureau of Financial Services Katrina. Derico-Hat-ri s@ahca. m )"tlorida.com 
(Electronic Mail) (Electronic Mail) 
Ryan Fitch, ChiefCentral Services Division of Health Quality Assurance Bureau of Central Services Deborah Warfel, Bureau Chief Bureau of Medicaid Fiscal Agent Operations Deborah. Warfel@ahca.m)"florida.com 
CSMU-86(fvahca.m)lflorida.com (Electronic Mail) 
(Electronic Mail) 
Eunice Medina, Bureau Chief Medicaid Plan Management Operations Eunice.Medina({llahca.myflorida.com Erica Baker, Government Analyst II Bureau of Plan Management Operations Erica. Baker@ahca.m ytlorida.com 
(Electronic Mail) (Electronic Mail) 
Bradley S. Butler, Jr. Office of the General Counsel Bradley. Butler@ahca.mytlorida.com 
(Electronic Mail) 
State of Florida. Agency for Health Care Administration vs. Quest Diagnostics Clinical Laboratories, Inc, MPI Case No 2018-0009249 and 2018-0009250 Final Order Page 2 of 3 
CERTIFICATE OF SERVICE 
I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished to the above-named addressees by U.S. Mail or other designated method on this~ day of , )~~ 2021. 
Agency for Health Care Administration 2727 Mahan Drive, MS #3 Tallahassee, Florida 32308-5403 (850) 412-3689/F AX (850) 921-0158 
State of Florida, Agency for Health Care Administration vs. Quest Diagnostics Clinical Laboratories, Inc, MPI Case No 2018-0009249 and 2018-0009250 Final Order Page 3 of3
Source:  Florida - Division of Administrative Hearings

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