11-006339MPI Agency For Health Care Administration vs. Jumerolis Home Care, Corp.
 Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, February 6, 2012.


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1STATE OF FLORIDA FIL"ED r.\\-WA

7AGENCY FOR HEALTH CARE ADMINISTRATION A.GENCl C'lERr\\

14STATE OF FLORIDA, AGENCY FOR 1011 APR 20 A 8: lllt

25HEALTH CARE ADMINISTRATION,

28Petitioner, Case No. 11-6339MPI

32Provider No. 142533100

35vs. C.I. No. 12-0804-000

39JUMEROLIS HOME CARE, CORP.,

43Respondent.

44----------------_./

45FINAL ORDER

47This cause came before me for issuance of a Final Order. In a sanction letter dated

63November 9, 2011, Respondent, Jumerolis Home Care Corp. was informed the Agency was

76seeking to impose a fine in the amount of eight thousand dollars ($8,000.00). The letter was sent

94certified mail, return receipt requested to Jumerolis Home Care Corp. (hereinafter

"105PROVIDER").

107The letter contained full disclosure and notice regarding the PROVIDER'S administrative

118hearing and due process rights. The PROVIDER filed a petition for hearing. Upon review of

133documents subsequently submitted by the PROVIDER to the Agency, it was determined the

146sanction should be recalculated and the fine was adjusted to one thousand dollars ($1,000.00). A

162copy of the correspondence reflecting the recalculated fine is attached hereto and incorporated by

176reference herein.

178The PROVIDER paid the fine of $1,000.00 to the Agency's Finance and Accounting

192Department on February 21,2012. Copies of the check(s) and final agency action report(s) are

207also incorporated by reference herein. The PROVIDER withdrew the Petition.

217AHCA v Jumerolis Home Care Corp.

223Page I of3

226Filed April 20, 2012 9:54 AM Division of Administrative Hearings

236The PROVIDER paid the fine of $1,000.00 to the Agency's Finance and Accounting

250Department on February 21, 2012. Copies of the check( s) and final agency action report( s) are

267also incorporated by reference herein. The PROVIDER withdrew the Petition.

277Based on the foregoing, the sanction has beenpaid and the file is CLOSED.

290DONE AND ORDERED this of April, 2012, in Tallahassee, Florida .

301•

302Agency for Health Care Administration

307A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED

319TO A JUDICIAL REVIEWWHICH SHALL BE INSTITUTED BY FILING ONE COPY

330OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A

343SECOND COpy ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE

355DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE

365AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES.

374REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE

383FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED

393WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

404Copies furnished to:

407Allan Cao Beverly H. Smith, Esquire

413Jumerolis Home Care Corp. Assistant General Counsel

420956 Southwest 143 Place Agency for Health Care Administration

429Miami, Florida 33184 2727 Mahan Drive, MS #3

437(U.S. Mail) Tallahassee, Florida 32308

442(Interoffice Mail)

444Claude B. Arrington Mike Blackburn, Bureau Chief, Medicaid

452Administrative Law Judge Program Integrity

457Division of Administrative Hearings (Interoffice Mail)

463The DeSoto Building

4661230 Apalachee Parkway

469Tallahassee, Florida 32399-3060

472(U.S. Mail)

474Finance and Accounting Health Quality Assurance

480AHCA v Jumerolis Home Care Corp.

486Page 2 of3

489CERTIFICATE OF SERVICE

492I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished

507to the above named addresses by U.S. Mail on this the -zh y of April, 2012.

523Agency Clerk

525State of Florida

528Agency for Health Care Administration

5332727 Mahan Drive, MS #3

538Tallahassee, Florida 32308-5403

541(850) 412- 3630/FAX (850) 921-0158

546AHCA v Jumerolis Home Care Corp.

552Page 3 of3

555JwcA flORIDA AGENCY FOR HEALTH CARE ADMINISTRATION

562RICK SCOTT Better Health Care for all Floridians ELIZABETH DUDEK

572GOVERNOR SECRETARY

574CERTIFIED MAIL RETURN RECEIPT NO.

579January 17,2012

582c.1. No: 120804000

585Provider No: 142533100 Provider License No: 9687

592Jumerolis Home rd Care Corporation

597956 SW 143 Place

601Miami, Florida, 33184

604In Reply Refer to: Sanction

609Dear Provider:

611In accordance with Section 409.913, Florida Statutes (F.S.), and Rule 590-9.070, Florida

623Administrative Code (F.A.C.), the Agency for Health CareAdministration (Agency), shall apply

634sanctions for violations of federal and state laws, including the following violation of Medicaid

648policy:

649• Failure to maintain a current Health Assessment and Service plan in one recipient record.

664This letter shall serve as notice ofthe following sanction(s):

673•A fine of$1000.00 for violation(s) of7(e) under Rule Section 590-9.070, F.A.C.

684Furthermore, this letter serves as notice that the agency, upon entry of a final agency order, a

701judgment or order of a court of competent jurisdiction, or a stipulation or settlement, may collect

717the moneys owed by all means allowable by law, including, but not limited to, notifying any

733fiscal intermediary of Medicare benefits that the state has a superior right of payment. Upon

748receipt of such written notification, the Medicare fiscal intermediary shall remit to the state the

763sum claimed. This is in accordance with Section 409.913, (25) (d) F.S.

775Please remit a certified check in the amount of$1000.00. The check must be payable to the

791Florida Agency for Health Care Administration. Questions regarding procedures for

801submitting payment should be directed to Medicaid Accounts Receivable, (850) 488-5869. To

813ensure proper credit, be certain yourprovider number and the investigation case number

825(120804000) are shown on your check. Please mail payment to:

835Medicaid Accounts Receivable - MS # 14

842Agency for Health Care Administration

8472727 Mahan Drive Bldg. 2, Ste. 200

854Tallahassee, FL 32308

8572727 Mahan Drive, MS# 6 Visit AHCA online at

866Tallahassee, Florida 32308 http://ahca.myflorid a. com

872Jumerolis Home Care Corporation

876142533100

877File 78604 or Case 120804000

882January 17,2012

885Page 2 of 4

889If payment is not received, or arranged for, within 30 days of receipt of this letter, the Agency

907may withhold Medicaid payments or impose additional sanctions, which include, but are not

920limited to, fines, suspension and termination from the Medicaid Program.

930You have the right to request a formal or informal hearing pursuant to Section 120.569, F.S. If a

948request for a formal hearing is made, the petition must be made in compliance with Section 28­

965106.201, F.A.C. and mediation may be available. If a request for an informal hearing is made,

981the petition must be made in compliance with rule Section 28-106.301, F.A.C. Additionally, you

995are hereby informed that if a request for a hearing is made, the petition must be received by the

1014Agency within twenty-one (21) days of receipt of this letter. For more information regarding

1028your hearing and mediation rights, please see the attached Notice of Administrative

1040Hearing and Mediation Rights.

1044Any questions you may have about this matter should be directed to: Heberto A. Blandino,

1059Inspector; Agency for Health Care Administration, Medicaid Program Integrity, P.O. Box

107052-2804, Miami, Florida 33152-2804, telephone (305) 718-5900, facsimile (305) 718-5944.

1080Sincerely,

1081Horace Dozier

1083Field Office Manager

1086Office of Inspector General

1090Medicaid Program Integrity

1093Enclosures

1094cc: AHCA Bureau of Finance and Accounting

1101Attn: Katrina Derico-Harris

1104Health Quality Assurance (HQA)

1108(Ex.1)

1109Jumerolis Home Care Corporation

1113142533100

1114File 78604 or Case 120804000

1119January 17,2012

1122Page 3 of 4

1126NOTICE OF ADMINISTRATIVE HEARING AND MEDIATION RIGHTS

1133You have the right to request an administrative hearing pursuant to Sections 120.569 and 120.57,

1148Florida Statutes. If you disagree with the facts stated in the foregoing Final Audit Report (hereinafter

1164FAR), you may request a formal administrative hearing pursuant to Section 120.57(1), Florida Statutes.

1178If you do not dispute the facts stated in the FAR, but believe there are additional reasons to grant the relief

1199you seek, you may request an informal administrative hearing pursuant to Section 120.57(2), Florida

1213Statutes. Additionally, pursuant to Section 120.573, Florida Statutes, mediation may be available if you

1227have chosen a formal administrative hearing, as discussed more fully below.

1238The written request for an administrative hearing must conform to the requirements of either Rule

125328-106.201(2) or Rule 28-106.301(2), Florida Administrative Code, and must be received by the Agency

1267for Health Care Administration, by 5:00 P.M. no later than 21 days after you received the FAR. The

1285address for filing the written request for an administrative hearing is:

1296Richard J. Shoop, Esquire

1300Agency Clerk

1302Agency for Health Care Administration

13072727 Mahan Drive, Mail Stop #3

1313Tallahassee, Florida 32308

1316Fax: (850) 921-0158

1319The request must be legible, on 8 lh by II-inch white paper, and contain:

13331. Your name, address, telephone number, any Agency identifying number on the FAR, if known,

1348and name, address, and telephone number of your representative, if any;

13592. An explanation of how yoursubstantial interests will be affected by the action described in the

1375FAR;

13763. A statement of when and how you received the FAR;

13874. For a request for formal hearing, a statement of all disputed issues of material fact;

14035. For a request for formal hearing, a concise statement of the ultimate facts alleged, as well as the

1422rules and statutes which entitle you to relief;

14306. For a request for formal hearing, whether you request mediation, if it is available;

14457. For a request for informal hearing, what bases support an adjustmentto the amount owed to the

1462Agency; and

14648. A demand for relief.

1469A formal hearing will be held if there are disputed issues of material fact. Additionally, mediation

1485may be available in conjunction with a formal hearing. Mediation is a way to use a neutral third party to

1505assist the parties in a legal or administrative proceeding to reach a settlement of their case. If you and the

1525Agency agree to mediation, it does not mean that you give up the right to a hearing. Rather, you and the

1546Agency will try to settle your case first with mediation.

1556If you request mediation, and the Agency agreesto it, you will be contacted by the Agency to set

1574up a time for the mediation and to enter into a mediation agreement. If a mediation agreement is not

1593reached within 10 days following the request for mediation, the matter will proceed without mediation.

1608The mediation must be concluded within 60 days of having entered into the agreement, unless you and the

1626Agency agree to a different time period. The mediation agreement between you and the Agency will

1642include provisions for selecting the mediator, the allocation of costs and fees associated with the

1657mediation, and the confidentiality of discussions and documents involved in the mediation. Mediators

1670charge hourly fees that must be shared equally by you and the Agency.

1683If a written request for an administrative hearing is not timelyreceived you will have waived your

1699right to havethe intended action reviewed pursuant to Chapter 120, Florida Statutes, and the action set

1715forth in the FAR shall be conclusive and final.

1724Jumerolis Home Care Corporation

1728142533100

1729File 78604 or Case 120804000

1734January 17,2012

1737Page 4 of 4

1741Complete this form and send along with your check to:

1751Agency for Health Care Administration

1756Medicaid Accounts Receivable

17592727 Mahan Drive, Mail Stop #14

1765Tallahassee, Florida 32308

1768CHECK MUST BE MADE PAY ABLE TO: FLORIDA AGENCY FOR HEALTH CARE

1780ADMINISTRATION

1781Provider Name: Jumerolis Home Care

1786Provider ID: 142533100

1789MPI Case #: 120804000

1793Overpayment Amount:

1795Fine Amount: $1000.00

1798Total Amount Owed: $1000.00

1802Check Number:

1804Untitled Document Page 1 of 1

1810Payments

1811Balance

1812MAR Number: 14865

1815Balance per F/A: $0.00

1819Balance Last Updated: 03/07/2012

1823Paid in Full:

1826Repayment Status: LEGAL - UNDER APPEAL - DOAH

1834Transactions

1835Trans Type Date Total Trans Amount alP Fine Interest Misc

1845BILLED 02/21/2012 $1,000.01 $0.01 $1,000.00 $0.00 $0.00

1854BILL ADJUSTMENT 02/21/2012 ($0.01) ($0.01) $0.00 $0.00 $0.00

1862COLLECTED 02/21/2012 ($1,000.00) $0.00 ($1,000.00) $0.00 $0.00

1871Balance: $0.00 $0.00 $0.00 $0.00 $0.00

1877Disclaimer: This balance should not be used to quote amount due by provider. Only FI A can verify

1895amounts for this purpose.

1899©1994 Infinity Software Development, Inc. User Documentation

1906http://ahcanet/facts/payments _mar. asp 03/07/2012

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 04/20/2012
Proceedings: Agency Final Order
PDF:
Date: 04/20/2012
Proceedings: (Agency) Final Order filed.
PDF:
Date: 02/06/2012
Proceedings: Order Closing File and Relinquishing Jurisdiction. CASE CLOSED.
PDF:
Date: 02/06/2012
Proceedings: Agreed to Motion to Relinquish Jurisdiction and Remand to the Agency for Health Care Administration filed.
PDF:
Date: 12/20/2011
Proceedings: Petitioner's First Request for Admissions filed.
PDF:
Date: 12/20/2011
Proceedings: Petitioner's First Interrogatories to Respondent filed.
PDF:
Date: 12/20/2011
Proceedings: Petitioner's First Request for Production of Documents filed.
PDF:
Date: 12/20/2011
Proceedings: Petitioner's Notice of Service of First Set of Interrogatories filed.
PDF:
Date: 12/19/2011
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 12/19/2011
Proceedings: Notice of Hearing (hearing set for March 8 and 9, 2012; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 12/16/2011
Proceedings: Response of Agency for Health Care Administration to Initial Order filed.
PDF:
Date: 12/13/2011
Proceedings: Initial Order.
PDF:
Date: 12/13/2011
Proceedings: Notice (of Agency referral) filed.
PDF:
Date: 12/13/2011
Proceedings: Request for Administrative Hearing filed.
PDF:
Date: 12/13/2011
Proceedings: Agency action letter filed.

Case Information

Judge:
CLAUDE B. ARRINGTON
Date Filed:
12/13/2011
Date Assignment:
12/13/2011
Last Docket Entry:
04/20/2012
Location:
Tallahassee, Florida
District:
Northern
Agency:
Other
Suffix:
MPI
 

Counsels

Related DOAH Cases(s) (1):

Related Florida Statute(s) (4):

Related Florida Rule(s) (2):